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

Reports surgical removal of the foreskin in a patient aged 28 days or older, using an excisional technique rather than a clamp or device.

CMS RVU26DEffective Oct 1, 2026One payment locality6.2K Medicare services in 2024

In Nevada, Medicare pays $178.75 for 54161 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$178.75Hospital or facility

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.

We’ll open 54161 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 54161 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 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 Nevada 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. Nevada pays $178.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

54161 in Nevada vs other payment areas
  1. Nevada · this page$178.75
  2. Los Angeles, CA · California$191.51+$12.76
  3. Washington, DC area · District of Columbia$198.93+$20.18
  4. Miami, FL · Florida$204.89+$26.14
  5. Chicago, IL · Illinois$200.25+$21.50
  6. Manhattan, NY · New York$205.70+$26.95
  7. Alaska · Alaska$232.66+$53.91

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

Every other payment area

54161 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$167.60
ArkansasArkansas—$165.94
ArizonaArizona—$177.19
Bakersfield, CACalifornia—$183.25
Chico, CACalifornia—$182.01
El Centro, CACalifornia—$182.08
Fresno, CACalifornia—$182.01
Hanford, CACalifornia—$182.01

54161 rates by state

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

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.

View every state and territory as a table
54161 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 54161

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.24

3.24 RVUs× 1.000 GPCI

Practice expense1.76

1.76 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

5.4200

Conversion factor

$33.4009

Medicare rate

$181.03

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,256

Code
54161
Physician work
3.24
Practice expense
1.76
Malpractice
0.42

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 54161 in Nevada
ComponentRVULocality factorAdjusted
Physician work3.24× 1.0003.2400
Practice expense1.76× 1.0011.7618
Malpractice0.42× 0.8330.3499
Total RVUs5.3516
Conversion factor× 33.4009

Facility rate, Nevada$178.75

Facility: (3.24 × 1 + 1.76 × 1.001 + 0.42 × 0.833) × $33.4009 = $178.75

Open 54161 in the RVU calculator

Payment rules and modifiers for 54161

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

CMS payment indicators · 54161

Circumcision, age 28 days or older

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 54161

Circumcision, age 28 days or older

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

54161 without 51 · national facility

$181.03

Circumcision, age 28 days or older

54161-51 · Second procedure: 50%

$90.52

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

How 54161 has changed in Nevada

54161 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$178.75RVU26D
2026-07-01Not available in this setting$178.75RVU26C
2026-04-01Not available in this setting$178.75RVU26B
2026-01-01Not available in this setting$178.75RVU26A
2025-10-01Not available in this setting$191.09RVU25D
2025-07-01Not available in this setting$191.09RVU25C
2025-04-01Not available in this setting$191.09RVU25B
2025-01-01Not available in this setting$191.09RVU25A
2024-10-01Not available in this setting$194.98RVU24D
2024-07-01Not available in this setting$194.98RVU24C
2024-04-01Not available in this setting$194.98RVU24B
2024-03-09Not available in this setting$194.98RVU24AR
2024-01-01Not available in this setting$191.80RVU24A
2023-10-01Not available in this setting$199.23RVU23D
2023-07-01Not available in this setting$199.23RVU23C
2023-04-01Not available in this setting$199.23RVU23B
2023-01-01Not available in this setting$199.23RVU23A
2022-10-01Not available in this setting$205.46RVU22D
2022-07-01Not available in this setting$205.46RVU22C
2022-04-01Not available in this setting$205.46RVU22B
2022-01-01Not available in this setting$205.46RVU22A
2021-10-01Not available in this setting$205.99RVU21D
2021-07-01Not available in this setting$205.99RVU21C
2021-04-01Not available in this setting$205.99RVU21B
2021-01-01Not available in this setting$205.99RVU21A
2020-10-01Not available in this setting$207.30RVU20D
2020-07-01Not available in this setting$207.30RVU20C
2020-04-01Not available in this setting$207.30RVU20B
2020-01-01Not available in this setting$207.30RVU20A
2019-10-01Not available in this setting$205.64RVU19D
2019-07-01Not available in this setting$205.64RVU19C
2019-04-01Not available in this setting$205.64RVU19B
2019-01-01Not available in this setting$205.64RVU19A
2018-10-01Not available in this setting$205.45RVU18D
2018-07-01Not available in this setting$205.45RVU18C
2018-04-01Not available in this setting$205.45RVU18B
2018-01-01Not available in this setting$205.45RVU18AR1
2017-10-01Not available in this setting$206.00RVU17D
2017-07-01Not available in this setting$206.00RVU17C
2017-04-01Not available in this setting$206.00RVU17B
2017-01-01Not available in this setting$206.00RVU17A
2016-10-01Not available in this setting$206.20RVU16D
2016-07-01Not available in this setting$206.20RVU16C
2016-04-01Not available in this setting$206.20RVU16B
2016-01-01Not available in this setting$206.20RVU16A
2015-10-01Not available in this setting$206.60RVU15D
2015-07-01Not available in this setting$206.60RVU15C
2015-04-01Not available in this setting$205.57RVU15B
2015-01-01Not available in this setting$205.57RVU15A
2014-10-01Not available in this setting$205.08RVU14D
2014-07-01Not available in this setting$205.08RVU14C
2014-04-01Not available in this setting$205.08RVU14B
2014-01-01Not available in this setting$205.08RVU14A
2013-10-01Not available in this setting$201.36RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 54161 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

54161 billing questions

How does this differ from circumcision code 54160?

Code 54161 is for excisional circumcision at age 28 days or older. Code 54160 is the excisional circumcision code for a newborn younger than 28 days.

When should 54150 be considered instead?

Code 54150 describes circumcision using a clamp or other device with a regional penile block. Use 54161 when the documented method is surgical excision in a patient at least 28 days old.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure payment.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in that session are paid at 50% under the standard multiple procedure reduction.

Can modifier 50 or an assistant-at-surgery service be reported?

Modifier 50 is inappropriate for this procedure. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.

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 54161PPRRVU2026_Oct_nonQPP.csv, line 6,256 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 54161 pays in Nevada?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 54161 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet