54160 Circumcision neonate
Also known as: neonatal circumcision, newborn circumcision
Circumcision of the prepuce in a neonate (newborn less than 28 days old) under local anesthesia.
In Plain Language
removing foreskin in newborn
Clinical Context
Routine procedure performed in neonates, typically 1-14 days of age. Uses topical anesthesia without systemic risk.
RVU Breakdown
| Work RVU | 2.47 |
| Total RVU | 2.47 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.47, this code ranks in the 17th percentile among Surgery codes — 3.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54160?
CPT 54160 (Circumcision neonate) is a Surgery code. Circumcision of the prepuce in a neonate (newborn less than 28 days old) under local anesthesia.
What is the wRVU value for CPT 54160?
The work RVU for CPT 54160 is 2.47. This code is primarily used by Urology, Pediatrics, General Surgery. It has a 10-day global period.
When is CPT 54160 used?
Routine procedure performed in neonates, typically 1-14 days of age. Uses topical anesthesia without systemic risk.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.