🦋 CPT 60280 — Excision Of Thyroglossal Duct Cyst Or Sinus
Quick Reference
wRVU: 6.16 | Global Period: 090 | Assistant Payable: Yes (Modifier 80/AS) | Bilateral Indicator: 0 Rule: CPT 60280 carries a 90-day global period, bundling all directly related pre- and post-operative care within that window into the surgical payment. The bilateral indicator of 0 reflects the fact that a thyroglossal duct cyst is a single, midline embryologic remnant structure — it does not have a paired left/right counterpart, so modifiers -RT, -LT, and -50 do not apply. This code is distinguished from CPT 60281, which specifically describes excision of a recurrent thyroglossal duct cyst or sinus and carries a higher wRVU reflecting the added complexity of reoperative dissection.
📋 Clinical Description
CPT 60280 describes the surgical excision of a thyroglossal duct cyst or sinus, a congenital anomaly resulting from incomplete obliteration of the thyroglossal duct — the embryologic tract along which the thyroid gland descends from the base of the tongue (foramen cecum) to its final position in the anterior neck. The surgeon makes a transverse incision over the palpable midline neck mass, dissects the cyst free from surrounding strap muscles, and traces and removes any associated sinus tract; the excised specimen is typically sent for surgical pathology to rule out ectopic thyroid tissue or, rarely, papillary thyroid carcinoma arising within the cyst wall. This procedure is distinguished from CPT 60281 (excision, recurrent), which is reported when the cyst has previously been excised and recurs, and from CPT 60000 (incision and drainage of thyroglossal duct cyst, infected), which is a temporizing procedure for an acutely infected cyst rather than definitive excision.
Because the thyroglossal duct’s embryologic course runs directly through or adjacent to the central portion of the hyoid bone, standard surgical teaching (the Sistrunk procedure) calls for excision of the cyst along with the central segment of the hyoid bone and a core of tongue base musculature up to the foramen cecum to minimize recurrence risk. When this more extensive Sistrunk technique is performed, many payers and coding references still direct use of CPT 60280 for a first-time excision (with 60281 reserved for recurrence), so documentation should be reviewed carefully to determine whether the hyoid bone resection was included, as this affects the level of procedural complexity and may support modifier -22 if substantially more extensive dissection was required. Preoperative ultrasound is frequently obtained to confirm the presence of a normally located, functioning thyroid gland before the thyroglossal remnant is excised, since roughly 1 percent of patients have no other functioning thyroid tissue.
This procedure may be performed in the following clinical contexts:
- Pediatric congenital neck mass — Thyroglossal duct cysts are the most common congenital midline neck mass in children, typically presenting before age 10 as a painless, mobile mass that elevates with tongue protrusion or swallowing; 60280 is the definitive treatment once diagnosis is confirmed and any active infection has resolved.
- Recurrent infection or abscess formation — A thyroglossal duct cyst that has undergone repeated episodes of infection or abscess formation is typically excised electively after the acute infection resolves, since operating through active infection or scarring from prior incision and drainage increases surgical complexity and recurrence risk.
- Adult incidental discovery — Thyroglossal duct cysts may remain asymptomatic into adulthood and present incidentally on imaging or as a slowly enlarging midline neck mass; excision is generally recommended even in asymptomatic adults due to the small but real risk of malignant transformation within the cyst epithelium.
- Cosmetic and functional concern — Patients may seek excision for cosmetic reasons or due to functional symptoms such as dysphagia or a sensation of fullness when the cyst enlarges, particularly during upper respiratory infections when lymphoid tissue within the cyst wall reacts and swells.
- Suspicion of malignancy — When preoperative imaging or fine-needle aspiration raises concern for papillary thyroid carcinoma arising within a thyroglossal duct cyst, definitive excision via 60280 is performed both for diagnostic confirmation via pathology and as the primary therapeutic step, with subsequent management guided by final pathology results.
🔬 Anatomical & Procedural Considerations
| Variant | Mechanism | Key Notes |
|---|---|---|
| Standard (Sistrunk) Excision | A horizontal incision is made over the palpable cyst, the strap muscles are retracted, and the cyst is dissected free along its tract cephalad toward the hyoid bone; the central portion of the hyoid bone is removed en bloc with the cyst, along with a core of tissue extending toward the foramen cecum at the tongue base, to minimize the risk of recurrence from residual epithelial tract. | The Sistrunk technique, including hyoid bone resection, is considered the standard of care and is captured under CPT 60280 for a first-time excision; documentation should clearly describe the hyoid bone segment removal, as omitting this step from the operative note may raise questions about whether a lesser, non-standard excision was performed. |
| Simple Cystectomy Without Hyoid Resection | In select cases — typically small, well-encapsulated cysts without an obvious tract to the hyoid — the surgeon may excise the cyst alone without removing the central hyoid segment. | This variant carries a materially higher recurrence risk compared to the standard Sistrunk approach and is used less frequently in current practice; it is still coded 60280 for a first-time excision, but the operative note should clearly justify the deviation from standard technique. |
| Excision with Intraoperative Frozen Section | When preoperative imaging or clinical suspicion raises concern for malignancy within the cyst wall, the surgeon may send the specimen for intraoperative frozen section pathology analysis during the excision; results may influence the extent of resection performed at that same setting. | The frozen section pathology interpretation itself is reported separately by the pathologist under CPT 88331 and is not bundled into the surgeon’s 60280 code; however, any additional resection performed based on frozen section findings within the same operative session remains part of the global 60280 service unless a substantially more extensive procedure (e.g., thyroidectomy) is required and separately reportable. |
Clinical Pearl
Always confirm that preoperative imaging (typically ultrasound) documented a normally positioned, functioning thyroid gland before the excision — approximately 1 percent of patients with a thyroglossal duct cyst have no other functioning thyroid tissue, meaning the “cyst” is actually their only thyroid tissue. Excising it without this confirmation would render the patient permanently hypothyroid and constitutes a significant surgical and coding red flag if the preoperative workup is absent from the record. Coders reviewing operative reports for 60280 should verify that a preoperative thyroid ultrasound or scan is referenced in the history and physical or preoperative note.
✅ Procedure Includes
- Transverse neck incision and dissection to the cyst — Surgical exposure of the thyroglossal duct cyst through the strap muscles is included in the global package and is not separately reportable.
- Excision of the cyst and associated sinus tract — Complete removal of the cystic structure along with any identifiable epithelial-lined tract is the core work captured by 60280.
- Central hyoid bone segment resection (Sistrunk technique) — When performed as part of the standard technique, resection of the central hyoid bone segment along with the cyst tract is bundled into the global 60280 service and is not separately reportable as a bone excision procedure.
- Ligation of the tract toward the foramen cecum — Suture ligation of the proximal tract remnant near the tongue base to prevent recurrence is included in the global surgical package.
- Hemostasis and wound closure — Surgical hemostasis and multilayered wound closure, including strap muscle reapproximation and skin closure, are included in the global package.
- Placement of a surgical drain when performed — Insertion of a small surgical drain at the conclusion of the procedure to prevent seroma or hematoma formation is included and not separately billable.
- Routine post-operative wound checks within the global period — Follow-up visits directly related to routine post-surgical healing within 90 days are bundled into the global fee.
❌ Excludes / Do Not Report Together
| Code | Description | Relationship |
|---|---|---|
| 60281 | Excision of thyroglossal duct cyst or sinus; recurrent | Mutually exclusive with 60280 — 60281 is reported specifically when the excised cyst represents a recurrence following prior excision; the two codes describe alternative clinical scenarios for the same anatomical structure and cannot both be reported for the same lesion at the same encounter. |
| 60000 | Incision and drainage of thyroglossal duct cyst, infected | 60000 is a distinct, more limited procedure performed for acute infection and does not constitute definitive excision; if a patient undergoes incision and drainage followed at a later, separate encounter by definitive excision, both codes are reportable on their respective dates, but they should never be billed together for the same operative session. |
| 60200 | Excision of cyst or adenoma of thyroid, or transection of isthmus | 60200 addresses true thyroid gland cysts or adenomas rather than the embryologic thyroglossal duct remnant; these are anatomically and pathologically distinct entities, and correct code selection depends on accurate identification of the excised structure in the operative and pathology reports. |
| 88331 | Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen | Reported separately by the pathologist (not the surgeon) when intraoperative frozen section analysis is performed on the excised specimen; this is billed under a separate pathology claim and is not part of the surgeon’s 60280 global package. |
Bundling Alert
CPT 60280 carries a 90-day global period, and all directly related post-operative wound checks, suture removal, and routine follow-up E/M visits within that window are bundled into the global surgical payment. If a patient develops a post-operative wound infection or hematoma requiring a return trip to the operating room within the global period, modifier -78 must be appended to reflect a related, unplanned return to the OR, limiting reimbursement to the intraoperative RVU component only. A common audit target involves separately billing pathology surgical specimen interpretation codes (e.g., 88304 or 88305 for gross and microscopic examination) alongside the surgeon’s 60280 claim — this is appropriate since the surgical pathology interpretation is a distinct professional service performed by the pathologist, but coders must ensure it is billed under the pathologist’s own claim, not duplicated on the surgeon’s claim.
🌳 Code Tree — Surgery: Endocrine System — Thyroid Gland
CPT 60000-60300 Surgery: Endocrine System — Thyroid Gland
│
├── 60000 Incision and drainage of thyroglossal duct cyst, infected (Global: 010)
│
├── 60200 Excision of cyst or adenoma of thyroid, or transection of isthmus (Global: 090)
│
├── 60210-60271 Thyroidectomy Procedures
│ ├── 60210 Partial thyroid lobectomy, unilateral; with or without isthmusectomy (Global: 090)
│ └── 60271 Removal of all remaining thyroid tissue following previous removal of a portion of thyroid (Global: 090)
│
├── 60280-60281 Thyroglossal Duct Cyst Excision
│ ├── ▶▶ 60280 ◀◀ Excision of thyroglossal duct cyst or sinus ← YOU ARE HERE (Global: 090)
│ └── 60281 Excision of thyroglossal duct cyst or sinus; recurrent (Global: 090)
│
└── 60300 Aspiration and/or injection, thyroid cyst (Global: 000)💰 RVU & Reimbursement Profile
| Component | Value |
|---|---|
| Work RVU | 6.16 |
| Global Period | 090 |
| Bilateral Indicator | 0 — Bilateral concept does not apply |
| Assistant Surgeon | Payable — Modifier 80 (MD) or AS (NP/PA/CNS) |
| Co‑Surgeon | Not typically applicable for this procedure |
| Team Surgery | Not applicable for this procedure |
| PC/TC Split | 0 — Global surgical fee only; no professional/technical component split |
| Modifier -51 Exempt | No — Subject to standard multiple procedure reduction rules |
| Anesthesia | General anesthesia is standard for this procedure; reported separately under CPT 00320 (Anesthesia for procedures on major structures of the neck) |
Bilateral Billing Rules
The thyroglossal duct cyst is a single midline embryologic structure without a paired left/right counterpart, so the bilateral indicator for 60280 is 0 and modifiers -RT, -LT, or -50 are never appropriate for this code. Coders should not attempt to apply bilateral billing logic to this procedure under any circumstances, as doing so would misrepresent the anatomy and is likely to trigger an automatic payer denial.
🏷️ Modifier Reference
| Modifier | Name | When to Apply |
|---|---|---|
| -22 | Increased Procedural Services | Apply when the excision requires substantially more extensive dissection than typical — for example, extensive scarring from prior infection or incision and drainage, or an unusually long or tortuous tract requiring dissection well beyond the hyoid bone; requires a written operative narrative describing the added complexity. |
| -51 | Multiple Procedures | Append to the secondary procedure when 60280 is performed alongside another separately reportable surgical procedure at the same session — for example, concurrent excision of an unrelated neck lesion; the lower-valued procedure receives the standard multiple procedure reduction. |
| -59 | Distinct Procedural Service | Use to identify a separately reportable procedure performed at the same operative session as 60280 that is anatomically and clinically distinct, such as excision of a separate, unrelated cervical lesion; strong operative documentation is required to support this modifier. |
| -78 | Return to OR — Related Procedure | Required when the patient returns to the operating room within the 90-day global period of 60280 for a complication directly related to the excision, such as a post-operative hematoma or wound infection requiring surgical drainage; reimbursement is limited to the intraoperative RVU component only. |
| -79 | Unrelated Procedure in Global Period | Apply when a procedure clearly unrelated to the thyroglossal duct cyst excision is performed during the 90-day global period; documentation must clearly establish the unrelated nature of the additional procedure. |
| -GC | Resident Under Supervision | Apply in teaching hospital settings when a resident performs components of the procedure under the direct or oversight supervision of the attending surgeon; required for compliance with Medicare teaching physician documentation rules. |
| -AS | PA/NP/CNS as Assistant | Report on the assistant’s claim when a non-physician practitioner serves as the surgical assistant during the excision; the operative report must document the assistant’s participation and support medical necessity for the assistant. |
🩺 Common ICD‑10‑CM Pairings
Primary Diagnosis Group
| ICD‑10 | Description | HCC? | Notes |
|---|---|---|---|
| Q89.2 | Congenital malformation of other endocrine glands | No | This is the primary and most specific ICD-10-CM code for a thyroglossal duct cyst, as it is a congenital anomaly of thyroid gland descent; use this code for the vast majority of first-time excisions regardless of the patient’s age at presentation, since the anomaly itself is congenital even if discovered in adulthood. |
| R22.1 | Localized swelling, mass and lump, neck | No | Appropriate as an admitting or presenting symptom code when the definitive congenital etiology has not yet been confirmed at the time of the initial encounter; once the diagnosis of thyroglossal duct cyst is confirmed clinically or pathologically, Q89.2 should be used as the definitive diagnosis for the surgical encounter. |
| J39.2 | Other diseases of pharynx, not elsewhere classified | No | Consider only when the operative or pathology report specifically documents an infected or inflamed thyroglossal remnant with pharyngeal extension; this is an infrequent pairing and should be supported by clear documentation rather than defaulted to. |
Secondary Group
| ICD‑10 | Description | HCC? | Notes |
|---|---|---|---|
| L03.221 | Cellulitis of neck | No | Report as an additional diagnosis when the thyroglossal duct cyst has become secondarily infected with surrounding cellulitis prior to elective excision; document resolution of the acute infection in the pre-operative note to support surgical timing decisions. |
Etiology / Complication
| ICD‑10 | Description | HCC? | Notes |
|---|---|---|---|
| T81.4XXA | Infection following a procedure, initial encounter | No | Assign for a post-operative surgical site infection following the excision, identified within the global period; requires the 7th character A for the initial encounter of active treatment and must be clearly linked to the surgical procedure in physician documentation. |
Coding Specificity Reminder
Q89.2 is the correct, billable, non-parent-level ICD-10-CM code for a thyroglossal duct cyst in the 2026 code set and should be used as the primary diagnosis for the vast majority of 60280 encounters. Avoid defaulting to the nonspecific R22.1 (neck mass) once a definitive diagnosis of thyroglossal duct cyst has been established either clinically or via imaging, as this understates diagnostic specificity and may affect medical necessity review. If final surgical pathology unexpectedly reveals papillary thyroid carcinoma within the cyst wall, the appropriate primary malignancy code (C73) must be added upon pathology confirmation, and the case may require additional coding guidance from the facility’s oncology coding protocol.
🏥 MS‑DRG Considerations
CPT 60280 is predominantly performed in the outpatient or ambulatory surgical center setting and therefore does not typically generate an inpatient MS-DRG assignment on its own. In the uncommon scenario where thyroglossal duct cyst excision is performed during an inpatient admission — for example, in a medically complex pediatric patient or as part of a broader head and neck surgical episode — the procedure falls within MDC 10 (Endocrine, Nutritional, and Metabolic Diseases and Disorders) and would be evaluated as an OR procedure influencing DRG assignment based on the principal diagnosis and any documented complications or comorbidities. Inpatient profee coders should confirm the setting of service before assuming DRG applicability, as the overwhelming majority of 60280 encounters are billed under outpatient facility and physician fee schedules rather than inpatient DRG methodology.
🔧 ICD‑10‑PCS Equivalents
| PCS Code | Full Description | Modality |
|---|---|---|
| 0WBK0ZZ | Excision of Neck Anterior, Open Approach | Open |
| 0GBP0ZZ | Excision of Thyroid Gland Isthmus, Open Approach | Open |
| 0W9K0ZZ | Drainage of Neck, Open Approach | Open |
| 0W3Q0ZZ | Control Bleeding in Neck, Open Approach | Open |
PCS Character Analysis (Primary code: 0WBK0ZZ)
| Position | Character | Value | Definition |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical — the root section for the invasive excisional procedure described. |
| 2 | Body System | W | Anatomical Regions, General — the thyroglossal duct cyst is classified under the general anterior neck region rather than a specific organ system, since the cyst itself is not thyroid parenchyma. |
| 3 | Root Operation | B | Excision — defined in ICD-10-PCS as “cutting out or off, without replacement, a portion of a body part”; this matches the CPT intent of removing the cyst and tract without removing the entire anatomical region. |
| 4 | Body Part | K | Neck, Anterior — reflects the anatomical location of the thyroglossal duct cyst within the midline anterior neck. |
| 5 | Approach | 0 | Open — the standard surgical approach for thyroglossal duct cyst excision via a direct neck incision. |
| 6 | Device | Z | No Device — no implantable device is left in place following excision of the cyst. |
| 7 | Qualifier | Z | No Qualifier — no additional qualifying circumstance applies to this procedure in the PCS framework. |
Root Operation Comparison
- Excision (B) is the correct root operation for 60280 because the procedure removes a discrete portion of the anterior neck (the cyst and tract) without removing the entirety of any specific body part.
- Resection would apply only if an entire named anatomical body part (such as the entire thyroid gland) were being removed, which is not the case in an isolated thyroglossal duct cyst excision.
- Extirpation would apply if the sole intent were removal of solid matter (such as a foreign body or thrombus) rather than excision of a cystic structure with surrounding epithelial tissue.
📝 Coding Examples
Example 1
Clinical Scenario: A 6-year-old male presents with a painless, mobile midline neck mass that elevates with tongue protrusion, consistent with a thyroglossal duct cyst confirmed by preoperative ultrasound showing a normally positioned thyroid gland. The surgeon performs a standard Sistrunk excision, removing the cyst, its tract, and the central segment of the hyoid bone through a transverse cervical incision. The wound is closed in layers and a small drain is placed.
| Field | Code | Rationale |
|---|---|---|
| CPT | 60280 | Standard first-time excision of thyroglossal duct cyst using the Sistrunk technique with hyoid bone segment resection, all bundled into 60280. |
| PDx | Q89.2 | Congenital malformation of other endocrine glands — the definitive diagnosis for a thyroglossal duct cyst, confirmed both clinically and by imaging. |
Note
The preoperative confirmation of a normally located, functioning thyroid gland is essential documentation to support that the excised structure was indeed an embryologic remnant and not the patient’s only functioning thyroid tissue. The surgical drain placement and hyoid bone resection are both bundled into 60280 and are not separately reportable.
Example 2
Clinical Scenario: A 34-year-old female with a history of two prior episodes of infected thyroglossal duct cyst, each treated with incision and drainage (60000) at outside facilities, now presents for elective definitive excision after the most recent infection has fully resolved. The surgeon notes significant scarring from prior incisions requiring extended dissection time and additional care to identify tissue planes, documenting this as substantially increased complexity in the operative report.
| Field | Code | Rationale |
|---|---|---|
| CPT | 60280-22 | First-time definitive excision (not a recurrence of a prior excision — this is the first excisional surgery, only prior I&D procedures were performed); modifier -22 supports the substantially increased complexity from scarring, well documented in the operative narrative. |
| PDx | Q89.2 | Congenital malformation of other endocrine glands — definitive diagnosis for the thyroglossal duct cyst. |
| SDx | L03.221 | Cellulitis of neck — historical, resolved prior episodes of infection contributing to surgical complexity; use only if documentation supports active or recently resolved infection relevant to this encounter. |
Warning
Modifier -22 requires clear, quantifiable documentation of the added complexity — vague statements such as “difficult case” are insufficient and will likely result in payer denial of the additional reimbursement; the operative note should specify the extent of scar tissue, additional operative time, and any unusual technical challenges encountered.
Example 3
Clinical Scenario: A 28-year-old male who underwent thyroglossal duct cyst excision (60280) 12 days ago presents with a rapidly expanding, tender neck swelling at the surgical site. He is taken back to the operating room for evacuation of a post-operative hematoma, which is found to be compressing the airway. The surgeon documents this as an unplanned, related return to the OR.
| Field | Code | Rationale |
|---|---|---|
| CPT | 60280-78 | Return to OR within the 90-day global period of the original 60280 for a directly related complication (post-operative hematoma); modifier -78 limits reimbursement to the intraoperative component only. |
| PDx | T81.4XXA | Infection following a procedure, initial encounter — used if the hematoma is associated with documented infection; if purely a hematoma without infection, a hemorrhagic complication code specific to the procedure should be used instead per physician documentation. |
Global period reminder
The 90-day global period for the original 60280 procedure requires modifier -78 on any related, unplanned return to the OR occurring within that window. Failure to append modifier -78 will result in claim denial as a duplicate service or global period inclusion. Reimbursement under modifier -78 is limited to the intraoperative work RVU component only, since pre- and post-operative work were already compensated in the original global surgical payment.
⚠️ Common Coding Pitfalls
- Pitfall 1 — Confusing first-time excision with recurrent excision (60280 vs. 60281): The distinction hinges entirely on whether this is the patient’s first surgical excision of the thyroglossal duct cyst or a repeat excision following prior definitive surgery; prior incision and drainage (60000) does not count as a prior excision and does not trigger use of 60281 — only a prior true excisional surgery does.
- Pitfall 2 — Omitting preoperative thyroid imaging documentation: Failing to confirm that a preoperative ultrasound or thyroid scan documented a normally positioned, functioning thyroid gland is a significant clinical and coding red flag, since approximately 1 percent of patients have no other functioning thyroid tissue; this documentation gap can also raise medical necessity questions during payer review.
- Pitfall 3 — Defaulting to nonspecific R22.1 (neck mass) instead of Q89.2: Once the diagnosis of thyroglossal duct cyst is clinically or pathologically confirmed, R22.1 should not be used as the primary or sole diagnosis for the surgical encounter; Q89.2 is the appropriate, billable, specific ICD-10-CM code and should be assigned whenever supported by documentation.
- Pitfall 4 — Separately billing the hyoid bone resection: The central hyoid bone segment removal performed as part of the standard Sistrunk technique is bundled into CPT 60280 and should never be separately reported using a bone excision code, regardless of the additional technical effort involved.
- Pitfall 5 — Missing modifier -78 on related global period return to OR: Any unplanned return to the operating room within the 90-day global period for a complication directly related to the original excision — such as hematoma evacuation or infection drainage — requires modifier -78; omitting this modifier results in claim denial as duplicate or bundled service.
- Pitfall 6 — Failing to update the diagnosis if pathology reveals malignancy: If final surgical pathology unexpectedly identifies papillary thyroid carcinoma within the thyroglossal duct cyst wall, the diagnosis coding must be updated to reflect the malignancy finding per facility oncology coding protocol; continuing to report only Q89.2 after a malignant pathology result is confirmed does not accurately reflect the clinical picture.
📎 Sources
1 AMA CPT 2026 Professional Edition — Code 60280 official descriptor, parenthetical notes, and bundling instructions. 2 CMS 2026 Medicare Physician Fee Schedule Final Rule — Global period (090), bilateral indicator (0), and wRVU data for 60280. 3 CMS Medicare Coverage Database — No National Coverage Determination (NCD) specifically governs CPT 60280; coverage is determined under general Medicare medical necessity standards, and no active Local Coverage Determination (LCD) specific to thyroglossal duct cyst excision was identified as of 2026 across major Medicare Administrative Contractor (MAC) jurisdictions. 4 ICD-10-CM 2026 Official Guidelines for Coding and Reporting — Q89.2 congenital malformation coding rules and 7th character requirements for T81 post-procedural complication codes. 5 ICD-10-PCS 2026 Official Code Set — Root operation Excision (B), Anatomical Regions General body system (W), and character analysis for 0WBK0ZZ. 6 AAPC Codify — Clinical description and coding tips for CPT 60280 and 60281. 1. American Medical Association. *CPT 2026 Professional Edition*. AMA Press, 2025. 2. Centers for Medicare & Medicaid Services. *2026 Medicare Physician Fee Schedule Final Rule*. CMS.gov, November 2025. 3. Centers for Medicare & Medicaid Services. *Medicare Coverage Database — NCD/LCD Search*. CMS.gov, accessed July 2026. 4. Centers for Medicare & Medicaid Services. *ICD-10-CM Official Guidelines for Coding and Reporting FY2026*. CMS.gov, October 2025. 5. Centers for Medicare & Medicaid Services. *ICD-10-PCS 2026 Official Code Set and Reference Manual*. CMS.gov, October 2025. 6. AAPC. *CPT Code 60280 — Excision Procedures on the Thyroid Gland*. AAPC.com, 2026.Sources listed above correspond to superscript citations throughout this note. Verify all Medicare payment figures against your current CMS PFS Lookup tool and applicable MAC LCD prior to claim submission. Please use the latest AAPC/AHIMA Coding Books to verify each code within this note.