2025 CPT code 60540
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Endocrine System Surgery Feed
Adrenalectomy, partial or complete, or exploration of the adrenal gland with or without biopsy, via transabdominal, lumbar, or dorsal approach (separate procedure).
Modifiers 50 (bilateral procedure), 51 (multiple procedures), and 59 (distinct procedural service) may be applicable depending on the circumstances. Consult payer-specific guidelines.
Medical necessity is established through pre-operative evaluation demonstrating a clinical indication for adrenalectomy or exploration, such as a suspicious adrenal mass detected on imaging or hormonal imbalances suggestive of adrenal pathology. The extent of the procedure will be based on surgeon judgement during the procedure.
The surgeon is responsible for the pre-operative assessment, surgical procedure (including incision selection, exploration, biopsy if indicated, and gland removal), and post-operative care.An endocrinologist may be involved in patient management before and after the surgery.
In simple words: The doctor explores or removes one or both adrenal glands, which are small organs above the kidneys that control hormones.This might involve a biopsy.Different incisions are used depending on the problem, and the doctor removes the affected part or the whole gland.The removed tissue is checked under a microscope.
This CPT code encompasses the surgical exploration or removal (partial or complete) of one or both adrenal glands.The procedure may involve a biopsy.Surgical approaches include transabdominal, lumbar, or dorsal incisions, selected based on tumor size, location, and invasiveness. The surgeon identifies the adrenal gland(s), ligates blood vessels to minimize bleeding, dissects the gland from surrounding structures, and removes the indicated portion or the entire gland.If an adjacent retroperitoneal tumor is present, it's resected with a margin of healthy tissue. The specimen is sent for pathology. The abdominal cavity is rinsed, and incisions are closed.
Example 1: A patient presents with a suspected adrenal tumor.The surgeon performs a laparoscopic adrenalectomy (60540) to remove the tumor. Pathology confirms malignancy., A patient with Cushing's syndrome undergoes a bilateral adrenalectomy (60540) via a transabdominal approach.Post-operative monitoring includes close observation for adrenal insufficiency., A patient with pheochromocytoma has a partial adrenalectomy (60540) performed with a minimally invasive approach to preserve as much healthy adrenal tissue as possible.
** This code is for adrenalectomy performed as a separate procedure.If performed as part of another procedure, it is usually not separately reported.The choice of surgical approach depends on factors such as tumor size and location.Partial adrenalectomy is a complex procedure requiring specialized expertise.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided text.Consult the current year's Medicare Physician Fee Schedule for RVU values.
- Global Days: This information is not explicitly stated in the provided text.The global period will vary depending on the extent of the procedure and payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: Technical component (TC) modifier application depends on payer and the specific circumstance.Review payer rules before applying any modifier.
- Fee Schedule: Historical fee schedule information is not available in the provided text. Consult historical Medicare Physician Fee Schedules for relevant data.
- Specialties:Endocrine Surgery, Urology, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital