2025 ICD-10-CM code Z41.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Encounters for other specific health care Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for routine and ritual male circumcision.
Modifiers may be applicable to the CPT code representing the circumcision procedure (e.g., modifier 52 for reduced services, 25 if an E&M service was provided on the same day). Consult current CPT guidelines.
Medical necessity for Z41.2 is not relevant as it represents a non-medically indicated procedure. The documentation must clearly indicate the reason for the procedure is non-medical.
The clinical responsibility for this code lies with the physician performing the circumcision. This would typically involve pre-operative assessment, consent acquisition, performing the procedure, and providing immediate post-operative care.
- Chapter 21: Factors influencing health status and contact with health services
- Z41-Z41.9: Procedures for purposes other than remedying health state
In simple words: This code means a doctor's visit where the main reason is circumcision. This is for circumcisions done for religious or cultural reasons, not because of a medical problem. The doctor will also use another code to show the circumcision procedure itself.
This ICD-10-CM code signifies an encounter for a routine or ritual male circumcision.It is used to classify a visit where the primary reason is circumcision performed for non-medical reasons, such as religious or cultural practices.This code should be used in conjunction with a procedural code (CPT code) representing the circumcision itself.It is not appropriate for circumcisions performed as part of a newborn's routine hospital care or for medical reasons.
Example 1: A 7-day-old male infant is brought to the clinic by his parents for routine circumcision, requested for religious reasons.Z41.2 would be used along with CPT code 54150 or 54160 (depending on the technique). , A 10-year-old male is brought to a clinic for a ritual circumcision before his Bar Mitzvah. Z41.2 would be recorded along with the appropriate CPT procedural code., An adult male chooses to undergo circumcision for personal reasons. Z41.2 would be documented alongside the relevant CPT code for the procedure.
* Documentation should clearly state that the circumcision is performed for non-medical reasons (religious, cultural, or personal preference).* Comprehensive informed consent must be documented.* Procedure notes should specify the type of circumcision performed (e.g., clamp, surgical excision).* Post-operative instructions provided to the patient or guardian should be included in the record.
** Accurate documentation is essential to ensure proper coding and reimbursement.Any complications encountered during or after the procedure must be accurately documented and coded.
- Revenue Code: Revenue codes will vary depending on the payer and the specific services rendered.Consult your payer's guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes. RVUs are associated with CPT and HCPCS codes, which would be reported in conjunction with Z41.2 if a procedure was performed.
- Global Days : The global period for circumcision (CPT codes 54150 and 54160) is generally 0 days. This means that only the procedure itself, and not any post-operative visits, are included in the payment for the circumcision. Separate E&M codes may be necessary for any significant post-op evaluation.
- Payment Status: Active
- Modifier TC rule: Technical Component (TC) modifiers are not generally applicable to circumcision CPT codes unless other services are bundled, such as anesthesia.
- Fee Schedule : Historical fee schedules for CPT codes 54150 and 54160 will vary by payer and year. Refer to your payer's historical fee schedules for specific details.
- Specialties:Pediatrics, Urology
- Place of Service:Office, Clinic, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center