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CPT code 54150: Circumcision, device with regional block2026 Medicare rate & RVUs in Houston, TX

Reports circumcision performed with a clamp or other device and regional penile anesthesia, distinguishing it from surgical-excision techniques.

CMS RVU26DEffective Oct 1, 2026One payment locality258 Medicare services in 2024

In Houston, TX, Medicare pays $154.91 for 54150 in the office and $87.58 when it’s performed in a hospital or facility.

$154.91Office (non-facility)
$87.58Hospital or facility
+1.9%vs the national office rate ($151.97)

Check a contract rate as a % of Medicare · 54150 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 54150 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 54150 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 54150 covers

Code 54150 represents circumcision performed with a clamp or other circumcision device after regional penile anesthesia, typically a dorsal penile nerve or ring block. A physician, often a pediatrician, family physician, or urologist, may perform it in a newborn nursery, outpatient office, or procedure setting. The key distinction is the device-based technique with the specified regional block, rather than surgical excision of the foreskin.

Report one unit for the circumcision, documenting the device-based method and the regional block. The block is integral to the service described by this code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When another procedure is performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Report a single circumcision rather than modifier 50. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Houston, TX compares for 54150

Across 109 of 109 payment localities, the office rate for 54150 runs from $136.50 in Arkansas to $191.37 in San Benito County, CA. Houston, TX pays $154.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

54150 in Houston, TX vs other payment areas
  1. Houston, TX · this page$154.91
  2. Austin, TX · Texas$155.95+$1.04
  3. Beaumont, TX · Texas$144.01−$10.90
  4. Brazoria, TX · Texas$149.97−$4.94
  5. Dallas, TX · Texas$151.06−$3.85
  6. Fort Worth, TX · Texas$150.35−$4.56
  7. Galveston, TX · Texas$150.51−$4.40

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

54150 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$147.01$82.66
Los Angeles, CACalifornia$166.85$86.64
Washington, DC areaDistrict of Columbia$170.84$90.97
Miami, FLFlorida$167.60$97.02
Chicago, ILIllinois$163.20$95.06
Manhattan, NYNew York$173.94$95.15
AlaskaAlaska$184.61$112.40
AlabamaAlabama$138.22$78.90

54150 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$136.50

$184.61

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
54150 office rate range by state
State / territoryOffice rate rangeLocalities
AK$184.611
AL$138.221
AR$136.501
AZ$148.271
CA$157.19–$191.3729
CO$156.221
CT$161.221
DC$170.841
DE$150.491
FL$152.39–$167.603
GA$144.64–$155.092
GU$159.861
HI$159.861
IA$140.161
ID$141.181
IL$149.34–$163.204
IN$141.861
KS$140.111
KY$142.171
LA$142.19–$148.222
MA$155.69–$169.572
MD$152.92–$170.843
ME$142.37–$148.282
MI$145.86–$154.602
MN$148.711
MO$140.43–$148.053
MS$138.461
MT$151.961
NC$143.581
ND$147.211
NE$140.661
NH$154.341
NJ$162.78–$169.562
NM$146.771
NV$150.721
NY$145.48–$178.335
OH$144.891
OK$141.391
OR$149.26–$160.032
PA$144.80–$158.002
PR$152.761
RI$154.991
SC$144.531
SD$146.651
TN$140.791
TX$144.01–$155.958
UT$146.231
VA$148.22–$170.842
VI$152.761
VT$147.191
WA$155.22–$172.252
WI$142.981
WV$144.671
WY$149.891

See 54150 in every payment locality

How the 54150 rate is calculated

Each of 54150’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 54150

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.85

1.85 RVUs× 1.000 GPCI

Practice expense2.46

2.46 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

4.5500

Conversion factor

$33.4009

Medicare rate

$151.97

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,254

Code
54150
Physician work
1.85
Practice expense
2.46
Malpractice
0.24

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 54150 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.85× 1.0081.8648
Practice expense2.46× 0.9932.4428
Malpractice0.24× 1.3760.3302
Total RVUs4.6378
Conversion factor× 33.4009

Office rate, Houston, TX$154.91

Office: (1.85 × 1.008 + 2.46 × 0.993 + 0.24 × 1.376) × $33.4009 = $154.91

Facility: (1.85 × 1.008 + 0.43 × 0.993 + 0.24 × 1.376) × $33.4009 = $87.58

Open 54150 in the RVU calculator

Payment rules and modifiers for 54150

The CMS indicators that decide how 54150 is paid alongside other services.

CMS payment indicators · 54150

Circumcision, device with regional block

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

54150 without 51 · national office

$151.97

Circumcision, device with regional block

54150-51 · Second procedure: 50%

$75.99

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 54150

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 54150
CodeHow it relatesOffice range, Houston, TX
Used instead
54160Circumcision, neonate, surgical excisionCircumcision by surgical excision for a newborn, rather than the device-and-block technique.$232.32
54161Circumcision, age 28 days or olderCircumcision by surgical excision at age 28 days or older.No office rate
Often billed with
54164Frenulotomy, penile frenulumA separate penile frenulotomy may be performed during the same encounter.No office rate

How 54150 has changed in Houston, TX

54150 · Office / nonfacility

$154.91

Effective 2026-10-01

The base rate is $6.71 higher than on 2025-10-01, moving from $148.20 to $154.91 (4.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $148.20changed to$154.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.90 changed to 1.85
    • Practice expense RVU 2.31 changed to 2.46
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $152.85changed to$148.20

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.32 changed to 2.31

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $150.35changed to$152.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $154.49changed to$150.35

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.29 changed to 2.32
    • Malpractice RVU 0.25 changed to 0.24
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $156.48changed to$154.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.27 changed to 2.29
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $160.29changed to$156.48

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.34 changed to 2.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $161.46changed to$160.29

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.25 changed to 2.34
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $161.12changed to$161.46

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.29 changed to 2.25
    • Malpractice RVU 0.23 changed to 0.25
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $163.10changed to$161.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.34 changed to 2.29
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $160.29changed to$163.10

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.29 changed to 2.34
    • Malpractice RVU 0.23 changed to 0.24
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $158.23changed to$160.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.25 changed to 2.29
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $159.16changed to$158.23

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.26 changed to 2.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $158.37changed to$159.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $156.98changed to$158.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.24 changed to 2.26
    • Malpractice RVU 0.22 changed to 0.23
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $154.95changed to$156.98

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.42 changed to 2.24
    • Malpractice RVU 0.23 changed to 0.22
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $154.95

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$154.91$87.58RVU26D
2026-07-01$154.91$87.58RVU26C
2026-04-01$154.91$87.58RVU26B
2026-01-01$154.91$87.58RVU26A
2025-10-01$148.20$96.94RVU25D
2025-07-01$148.20$96.94RVU25C
2025-04-01$148.20$96.94RVU25B
2025-01-01$148.20$96.94RVU25A
2024-10-01$152.85$99.09RVU24D
2024-07-01$152.85$99.09RVU24C
2024-04-01$152.85$99.09RVU24B
2024-03-09$152.85$99.09RVU24AR
2024-01-01$150.35$97.48RVU24A
2023-10-01$154.49$99.74RVU23D
2023-07-01$154.49$99.74RVU23C
2023-04-01$154.49$99.74RVU23B
2023-01-01$154.49$99.74RVU23A
2022-10-01$156.48$100.21RVU22D
2022-07-01$156.48$100.21RVU22C
2022-04-01$156.48$100.21RVU22B
2022-01-01$156.48$100.21RVU22A
2021-10-01$160.29$101.04RVU21D
2021-07-01$160.29$101.04RVU21C
2021-04-01$160.29$101.04RVU21B
2021-01-01$160.29$101.04RVU21A
2020-10-01$161.46$104.04RVU20D
2020-07-01$161.46$104.04RVU20C
2020-04-01$161.46$104.04RVU20B
2020-01-01$161.46$104.04RVU20A
2019-10-01$161.12$103.13RVU19D
2019-07-01$161.12$103.13RVU19C
2019-04-01$161.12$103.13RVU19B
2019-01-01$161.12$103.13RVU19A
2018-10-01$163.10$103.36RVU18D
2018-07-01$163.10$103.36RVU18C
2018-04-01$163.10$103.36RVU18B
2018-01-01$163.10$103.36RVU18AR1
2017-10-01$160.29$102.71RVU17D
2017-07-01$160.29$102.71RVU17C
2017-04-01$160.29$102.71RVU17B
2017-01-01$160.29$102.71RVU17A
2016-10-01$158.23$101.68RVU16D
2016-07-01$158.23$101.68RVU16C
2016-04-01$158.23$101.68RVU16B
2016-01-01$158.23$101.68RVU16A
2015-10-01$159.16$102.05RVU15D
2015-07-01$159.16$102.05RVU15C
2015-04-01$158.37$101.54RVU15B
2015-01-01$158.37$101.54RVU15A
2014-10-01$156.98$101.23RVU14D
2014-07-01$156.98$101.23RVU14C
2014-04-01$156.98$101.23RVU14B
2014-01-01$156.98$101.23RVU14A
2013-10-01$154.95$96.99RVU13D
2013-07-01$154.95$96.99RVU13C
2013-04-01$154.95$96.99RVU13B
2013-01-01$154.95$96.99RVU13AR

Price 54150 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

54150 billing questions

How does 54150 differ from 54160 or 54161?

54150 describes a clamp or other device technique with a regional penile block. Codes 54160 and 54161 describe surgical excision instead; the patient-age distinction separates those two codes.

Is the regional block separately reported with 54150?

The regional block is part of the service described by 54150. Document the block and the device-based circumcision technique.

How many units should be reported?

Report one unit for the circumcision. Modifier 50 is not appropriate for this single procedure.

What happens if another procedure is performed in the same session?

CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedure. Assistant-at-surgery payment requires documented medical necessity.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 54150PPRRVU2026_Oct_nonQPP.csv, line 6,254 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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