2025 CPT code 54160
Effective Date: N/A Surgery - Surgical Procedures on the Male Genital System Surgery Feed
Surgical excision of the foreskin (circumcision) in a newborn 28 days old or less, using a technique other than clamp, device, or dorsal slit.
Modifiers may be applicable. See the provided list of modifiers and their descriptions for potential use cases.
Medical necessity for non-religious circumcisions may vary by payer.Generally, it can be justified for medical conditions such as phimosis, paraphimosis, recurrent balanitis, or as a preventative measure against certain conditions (as noted in the long description).
The physician is responsible for the safe and effective performance of the circumcision, including proper patient positioning, anesthesia administration, surgical technique, and post-operative care.
In simple words: A doctor removes the foreskin of a newborn baby boy (less than 28 days old) without using any special tools like a clamp or making a cut along the top. The area is numbed, and the baby is kept comfortable.
The provider performs a circumcision on a newborn 28 days old or less using a technique that does not involve a clamp, other devices, or a dorsal slit.The newborn is positioned and secured, and the area is prepped and draped sterilely.Local anesthesia is administered.The physician frees the foreskin (prepuce) from the glans penis and excises it using a variety of techniques involving forceps and/or incisions. The wound is then treated and dressed.This procedure reduces the risk of penile cancer, urinary tract infections, and cervical cancer in sexual partners.
Example 1: A healthy newborn male, 5 days old, is brought in by his parents for a routine circumcision. The parents decline the use of a clamp or other device.The physician performs the circumcision using the described surgical excision technique., A 12-day-old male infant with a family history of penile cancer is brought in for a circumcision. Due to specific anatomical considerations, the physician opts for a surgical excision technique rather than using a clamp or device., A 21-day-old male infant presents with a tight foreskin that cannot be retracted.The physician determines that circumcision is necessary and chooses a surgical excision technique due to the foreskin's condition.
Documentation should include informed consent from the parents, the specific surgical technique used, type of anesthesia, any complications encountered, and post-operative instructions.
- Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
- Specialties:Urology, Pediatrics, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Birthing Center