Circumcision Medical Billing

Circumcision Medical Billing

There are two main circumcision medical billing codes. Although one code is used more often, there are two that are acceptable. The two medical billing codes used for newborns circumcision are 54150 and 54160.

54150 means, circumcision, using clamp or other device; newborn. The current procedural terminology code 54160 means circumcision surgical excision other than clamp, device or dorsal slit; newborn. As you read a circumcision with any type of device or clamp uses the code 54150. Most physicians use this medical billing code because it is the most common way to perform a circumcision.

Another important point to remember is to charge for a ring block or the procedure on the dorsal side. In this case you should use the medical billing CPT code 64450 (Injection, anesthetic agent; other peripheral nerve or branch). There are several modifiers that payers may require for this column. You could use modifier 59 (Distinct procedural service, modifier 47 (Anesthesia by surgeon), or modifier 51 (Multiple procedures} for the nerve block. Do keep in mind, however, that using modifier 51 may reduce medical billing reimbursement for the current procedural terminology code 64450.

Keeping the medical billing circumcision codes straight is fairly simple. If your medical billing staff have a hard time deciding which circumcision codes to use, you may need a change. Failure to keep simple codes straight may mean claims training is in order. Your staff should not only get in depth initial training, but also intermittent training throughout the year. Coding rules and medical billing policies change throughout the year . Your staff should be able to adapt to new policies quickly.

If your staff have a difficult time changing their ways, began outsourcing your medical billing. Outsourcing medical billing responsibilities will give your practice more time to deal one on one with your patients.

View all Articles by: Kathryn E, CCS-P - Retired