CPT code 54161: Circumcision, age 28 days or older2026 Medicare rate & RVUs in Idaho

In Idaho, Medicare pays $168.94 for 54161 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 54161 nationwide

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

What 54161 covers

This code is for circumcision performed by surgically excising the foreskin in a patient who is at least 28 days old. Urologists, pediatric surgeons, and other surgeons may perform it in an office procedure room or an operating room. Common clinical reasons include phimosis or recurrent inflammation of the foreskin; the record should identify the indication and the excisional approach.

Choose this code by the patient’s age and the method used, not simply by the fact that circumcision was performed. Document the age, indication, and operative work. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this procedure. Assistant-at-surgery services are not paid; 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 Idaho compares for 54161

Across 109 of 109 payment localities, the facility rate for 54161 runs from $165.94 in Arkansas to $232.66 in Alaska. Idaho pays $168.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

54161 rates by state

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

See 54161 in every payment locality

How the 54161 rate is calculated

Each of 54161’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.

Payment rules and modifiers for 54161

54161 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 54161

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

How 54161 has changed in Idaho

Price 54161 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Acequia
• Albion
• American Falls
• Ammon
• Arbon Valley
• Arco
• Arimo

Browse all communities in Idaho

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

Open CMS sourceHow we calculate rates