Thyroid Ablation CPT Code

Q: Is Thyroid RFA Covered by Insurance?

Insurance coverage for thyroid RFA is determined by a patient’s medical situation, insurance coverage, and the determination of their insurance provider. Increasingly, more and more providers are covering this minimally invasive, highly effective treatment option. Some patients may require preauthorization to receive coverage. Consider working with a STARmed reimbursement specialist to ensure your patients can afford the safe, effective care they deserve.

Q: Is Thyroid RFA Covered by Medicare?

Yes, Medicare Part B typically covers RFA for the thyroid. It must be performed in a hospital outpatient department, ambulatory surgical center, or doctor's office. If an overnight stay is required following the procedure, Medicare Part A will cover the hospitalization.

As of December 9^th, 2024, the Centers forMedicare & Medicaid Services(CMS) has established the official CPT^® codes for percutaneous radiofrequency ablation of the thyroid.These codes are officially effective as of January 1^st, 2025.

The assignment of specific CPT^® codes signifies acceptance of thyroid RFA as a standard medical procedure. This is a major step that could potentially increase its adoption and accessibility for patients.

It’s now easier than ever to expand your service offerings and improve patient outcomes with radiofrequency ablation. Connect with us for reimbursement support or to learn how to implement thyroid RFA into your clinical practice.

What Is the CPT^® code for Thyroid Ablation?

There are two CPT® codes for thyroid nodule ablation therapy. List each code separately in addition to the code for the primary procedure.

Thyroid Nodule Radiofrequency Ablation CPT^® Code 60660

Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency.

Thyroid Nodule Radiofrequency Ablation CPT^® Code 60661

Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency.

Reimbursement Support is Available from STARmed

STARmed goes above and beyond to provide clinicians with the support they need to implement RFA into their practice. We’re eager to help physicians and patients navigate the insurance process through our STAR Support Program. You can also contact us with questions by calling 323-692-0028.

Frequently Asked Questions

Is Thyroid RFA Covered by Insurance?

Thyroid RFA is currently insurance covered under the CPT^® codes 60660 and 60661. However, coverage for thyroid RFA is determined by a patient’s medical situation, insurance coverage, and the determination of their insurance provider.

Some patients may require preauthorization to receive coverage. Consider working with a STARmed reimbursement specialist to ensure your patients can afford the safe, effective care they deserve.

Is Thyroid RFA Covered by Medicare?

As of January 1, 2025, Medicare and qualifying insurance plans will use CPT codes 60660 and 60661 for the radiofrequency ablation of one or more thyroid nodules under imaging guidance. It must be performed in a hospital outpatient department, ambulatory surgical center, or doctor’s office.

Will the New CPT Code Impact Whether the Thyroid RFA Procedure is Covered by Insurance?

Previously, insurance companies only processed thyroid RFA as an “unlisted endocrine procedure.” In contrast, the new CPT codes specific language describing the procedure and its applications.

The existence of the new CPT code demonstrates that thyroid RFA is a high-quality, research-backed treatment. The existence of a code will make billing, communication, and processing more streamlined and efficient. Thus, patients seeking coverage will likely face fewer hurdles during the process.

CPT^®Code information: American Medical Association (AMA), American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS), Federal Register
Disclaimer: The information contained in this email is provided for informational purposes only and represents no statement, promise or guarantee by STARmed America concerning reimbursement, payment, or charges. Similarly, all CPT Codes are supplied for informational purposes only and represent no statement, promise, or guarantee by STARmed America that these code selections will be appropriate for a given service or that reimbursement will be due. STARmed strongly recommends consultation with each respective Payor organization regarding coverage of STARmed America products or services.