© Copyright 2025 American Medical Association. All rights reserved.
A male circumcision is a surgical procedure that involves the excision or removal of the prepuce, commonly known as the foreskin, which is the fold of skin that covers the glans penis in uncircumcised males. This specific procedure, coded as CPT® 54160, is performed on neonates, defined as patients who are 28 days of age or less. The circumcision is executed using a method that does not involve a clamp, device, or dorsal slit technique, indicating a more traditional freehand approach. Prior to the procedure, a local anesthetic is typically administered to minimize discomfort for the neonate. In cases where the procedure is performed on older children or adults, a general anesthetic may be utilized instead. It is important to note that for patients older than 28 days, the appropriate code to use is CPT® 54161. This distinction is crucial for accurate medical coding and billing purposes.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of circumcision, specifically CPT® 54160, is indicated for neonates who may require the removal of the foreskin for various reasons. These indications may include:
The circumcision procedure coded as CPT® 54160 involves several key steps, which are detailed as follows:
Following the circumcision procedure, the neonate is monitored for any immediate complications, such as excessive bleeding or signs of infection. Parents or guardians are provided with detailed post-operative care instructions, which may include keeping the surgical site clean and dry, monitoring for any unusual symptoms, and managing pain with appropriate medications as prescribed. The expected recovery time is generally short, with most neonates returning to normal activities within a few days. Follow-up appointments may be scheduled to ensure proper healing and address any concerns that may arise during the recovery period.
Short Descr | CIRCUMCISION NEONATE |
Medium Descr | CIRCUMCISION NEONATE |
Long Descr | Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) |
Status Code | Active Code |
Global Days | 010 - Minor Procedure |
PC/TC Indicator (26, TC) | 0 - Physician Service Code |
Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. |
Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. |
Physician Supervisions | 09 - Concept does not apply. |
Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... |
Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. |
Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. |
Diagnostic Imaging Family | 99 - Concept Does Not Apply |
APC Status Indicator | Hospital Part B services paid through a comprehensive APC |
ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. |
Type of Service (TOS) | 2 - Surgery |
Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) |
MUE | 1 |
CCS Clinical Classification | 115 - Circumcision |
59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. |
XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
Date
|
Action
|
Notes
|
---|---|---|
2011-01-01 | Changed | Short description changed. |
2007-01-01 | Changed | Code description changed. |
Pre-1990 | Added | Code added. |
Code
|
Description
|
---|---|
L30.4 | Erythema intertrigo |
L90.0 | Lichen sclerosus et atrophicus |
M62.81 | Muscle weakness (generalized) |
N47.0 | Adherent prepuce, newborn |
N47.1 | Phimosis |
N47.2 | Paraphimosis |
N47.5 | Adhesions of prepuce and glans penis |
N47.8 | Other disorders of prepuce |
Q55.64 | Hidden penis |
R26.81 | Unsteadiness on feet |
R54 | Age-related physical debility |
Z00.00 | Encounter for general adult medical examination without abnormal findings |
Z00.01 | Encounter for general adult medical examination with abnormal findings |
Z00.110 | Health examination for newborn under 8 days old |
Z00.111 | Health examination for newborn 8 to 28 days old |
Z00.121 | Encounter for routine child health examination with abnormal findings |
Z00.129 | Encounter for routine child health examination without abnormal findings |
Z00.3 | Encounter for examination for adolescent development state |
Z00.8 | Encounter for other general examination |
Z01.10 | Encounter for examination of ears and hearing without abnormal findings |
Z01.110 | Encounter for hearing examination following failed hearing screening |
Z01.118 | Encounter for examination of ears and hearing with other abnormal findings |
Z01.30 | Encounter for examination of blood pressure without abnormal findings |
Z01.31 | Encounter for examination of blood pressure with abnormal findings |
Z01.411 | Encounter for gynecological examination (general) (routine) with abnormal findings |
Z01.419 | Encounter for gynecological examination (general) (routine) without abnormal findings |
Z01.42 | Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear |
Z11.1 | Encounter for screening for respiratory tuberculosis |
Z11.3 | Encounter for screening for infections with a predominantly sexual mode of transmission |
Z11.4 | Encounter for screening for human immunodeficiency virus [HIV] |
Z11.51 | Encounter for screening for human papillomavirus (HPV) |
Z11.59 | Encounter for screening for other viral diseases |
Z11.8 | Encounter for screening for other infectious and parasitic diseases |
Z12.10 | Encounter for screening for malignant neoplasm of intestinal tract, unspecified |
Z12.11 | Encounter for screening for malignant neoplasm of colon |
Z12.12 | Encounter for screening for malignant neoplasm of rectum |
Z12.13 | Encounter for screening for malignant neoplasm of small intestine |
Z12.31 | Encounter for screening mammogram for malignant neoplasm of breast |
Z12.39 | Encounter for other screening for malignant neoplasm of breast |
Z12.4 | Encounter for screening for malignant neoplasm of cervix |
Z12.5 | Encounter for screening for malignant neoplasm of prostate |
Z13.1 | Encounter for screening for diabetes mellitus |
Z13.220 | Encounter for screening for lipoid disorders |
Z13.31 | Encounter for screening for depression |
Z13.32 | Encounter for screening for maternal depression |
Z13.39 | Encounter for screening examination for other mental health and behavioral disorders |
Z13.41 | Encounter for autism screening |
Z13.42 | Encounter for screening for global developmental delays (milestones) |
Z13.49 | Encounter for screening for other developmental delays |
Z13.6 | Encounter for screening for cardiovascular disorders |
Z13.820 | Encounter for screening for osteoporosis |
Z13.88 | Encounter for screening for disorder due to exposure to contaminants |
Z20.1 | Contact with and (suspected) exposure to tuberculosis |
Z20.2 | Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission |
Z20.5 | Contact with and (suspected) exposure to viral hepatitis |
Z20.6 | Contact with and (suspected) exposure to human immunodeficiency virus [HIV] |
Z23 | Encounter for immunization |
Z29.11 | Encounter for prophylactic immunotherapy for respiratory syncytial virus (RSV) |
Z29.81 | Encounter for HIV pre-exposure prophylaxis |
Z30.013 | Encounter for initial prescription of injectable contraceptive |
Z30.2 | Encounter for sterilization |
Z30.40 | Encounter for surveillance of contraceptives, unspecified |
Z30.42 | Encounter for surveillance of injectable contraceptive |
Z30.49 | Encounter for surveillance of other contraceptives |
Z30.8 | Encounter for other contraceptive management |
Z30.9 | Encounter for contraceptive management, unspecified |
Z31.5 | Encounter for procreative genetic counseling |
Z41.2 | Encounter for routine and ritual male circumcision |
Z71.3 | Dietary counseling and surveillance |
Z71.7 | Human immunodeficiency virus [HIV] counseling |
Z71.83 | Encounter for nonprocreative genetic counseling |
Z72.51 | High risk heterosexual behavior |
Z72.52 | High risk homosexual behavior |
Z72.53 | High risk bisexual behavior |
Z73.9 | Problem related to life management difficulty, unspecified |
Z76.1 | Encounter for health supervision and care of foundling |
Z76.2 | Encounter for health supervision and care of other healthy infant and child |
Z76.81 | Expectant parent(s) prebirth pediatrician visit |
Z80.0 | Family history of malignant neoplasm of digestive organs |
Z80.3 | Family history of malignant neoplasm of breast |
Z80.41 | Family history of malignant neoplasm of ovary |
Z80.42 | Family history of malignant neoplasm of prostate |
Z82.62 | Family history of osteoporosis |
Z83.3 | Family history of diabetes mellitus |
Z83.42 | Family history of familial hypercholesterolemia |
Z83.710 | Family history of adenomatous and serrated polyps |
Z83.711 | Family history of hyperplastic colon polyps |
Z83.718 | Other family history of colon polyps |
Z83.719 | Family history of colon polyps, unspecified |
Z85.3 | Personal history of malignant neoplasm of breast |
Z85.43 | Personal history of malignant neoplasm of ovary |
Z86.32 | Personal history of gestational diabetes |
Z91.81 | History of falling |
Z98.84 | Bariatric surgery status |
No matching codes found |
Code
|
Description
|
---|---|
0VBT0ZZ | Excision of Prepuce, Open Approach |
0VBT3ZZ | Excision of Prepuce, Percutaneous Approach |
0VBT4ZZ | Excision of Prepuce, Percutaneous Endoscopic Approach |
0VTT0ZZ | Resection of Prepuce, Open Approach |
0VTT4ZZ | Resection of Prepuce, Percutaneous Endoscopic Approach |
0VTTXZZ | Resection of Prepuce, External Approach |
No matching codes found |