CPT® Code 60270

A thyroidectomy, specifically CPT® Code 60270, refers to a surgical procedure that involves the removal of the thyroid gland, which is located in the neck and consists of two lobes that encircle the trachea. This procedure is particularly indicated when there is an enlargement of the thyroid, known as a substernal thyroid, which can extend down into the chest cavity. The approach for this surgery can be through a sternal split or transthoracic method, allowing for adequate exposure of the substernal thyroid. The procedure begins with the excision of the substernal portion of the thyroid, which is crucial for addressing the enlargement that may be causing symptoms or complications. The surgeon performs a sternotomy or thoracotomy to access the substernal thyroid, carefully separating it from surrounding fibrous attachments and lifting it into the neck for complete removal. This meticulous approach ensures that critical structures, such as the recurrent laryngeal nerve and parathyroid glands, are preserved during the operation. The procedure concludes with the removal of the thyroid gland, followed by the repair of surgical wounds and placement of suction drains as necessary to facilitate recovery.