CPT® Code 60260

The procedure described by CPT® Code 60260 refers to a thyroidectomy, specifically the surgical removal of all remaining thyroid tissue after a previous partial thyroidectomy. This operation is typically indicated when there is a need to eliminate any residual thyroid tissue that may be causing complications or is at risk of becoming problematic. The procedure begins with the patient positioned to extend the neck, allowing for optimal access to the thyroid gland. A transverse incision is made in the skin over the thyroid, usually aligned with the natural creases of the neck to minimize scarring. The incision is deepened through the subcutaneous tissue and the platysma muscle to expose the remaining thyroid tissue. The surgical approach may vary based on the volume of thyroid tissue that remains. Key anatomical structures, such as the middle thyroid vein, recurrent laryngeal nerve, and parathyroid glands, are carefully identified and preserved to prevent complications. The procedure involves ligating blood vessels associated with the thyroid, dividing the Berry ligament, and elevating the isthmus of the thyroid off the trachea before the final removal of the remaining thyroid tissue. After the procedure, the surgical wounds are meticulously repaired, and suction drains may be placed as necessary to manage any postoperative fluid accumulation.