CPT code 54161: Circumcision, age 28 days or older2026 Medicare rate & RVUs in Oklahoma
Reports surgical removal of the foreskin in a patient aged 28 days or older, using an excisional technique rather than a clamp or device.
In Oklahoma, Medicare pays $171.61 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.
On this page 11 sections
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 Oklahoma 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. Oklahoma pays $171.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oklahoma · this page$171.61
- Los Angeles, CA · California$191.51+$19.90
- Washington, DC area · District of Columbia$198.93+$27.32
- Miami, FL · Florida$204.89+$33.28
- Chicago, IL · Illinois$200.25+$28.64
- Manhattan, NY · New York$205.70+$34.09
- Alaska · Alaska$232.66+$61.05
Other areas in Oklahoma first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $182.01 |
| Merced, CACalifornia | — | $182.01 |
| Modesto, CACalifornia | — | $182.01 |
| Napa, CACalifornia | — | $199.64 |
| Oxnard, CACalifornia | — | $189.47 |
| Redding, CACalifornia | — | $182.01 |
| Rest of CaliforniaCalifornia | — | $182.01 |
| Riverside, CACalifornia | — | $186.56 |
| Sacramento, CACalifornia | — | $188.00 |
| Salinas, CACalifornia | — | $187.23 |
| San Diego, CACalifornia | — | $189.38 |
| Marin County, CACalifornia | — | $207.83 |
| San Francisco, CACalifornia | — | $207.35 |
| San Benito County, CACalifornia | — | $212.41 |
| Santa Clara County, CACalifornia | — | $210.46 |
| San Luis Obispo, CACalifornia | — | $184.53 |
| Santa Cruz, CACalifornia | — | $189.44 |
| Santa Maria, CACalifornia | — | $187.31 |
| Santa Rosa, CACalifornia | — | $191.17 |
| Stockton, CACalifornia | — | $182.01 |
| Vallejo, CACalifornia | — | $198.96 |
| Visalia, CACalifornia | — | $182.01 |
| Yuba City, CACalifornia | — | $182.01 |
| ColoradoColorado | — | $183.02 |
| ConnecticutConnecticut | — | $190.67 |
| DelawareDelaware | — | $179.45 |
| Fort Lauderdale, FLFlorida | — | $193.13 |
| Rest of FloridaFlorida | — | $185.50 |
| Atlanta, GAGeorgia | — | $185.12 |
| Rest of GeorgiaGeorgia | — | $177.38 |
| Hawaii, Guam, HIHawaii | — | $183.18 |
| IowaIowa | — | $167.58 |
| IdahoIdaho | — | $168.94 |
| East St. Louis, ILIllinois | — | $190.55 |
| Rest of IllinoisIllinois | — | $183.82 |
| Suburban Chicago, ILIllinois | — | $194.21 |
| IndianaIndiana | — | $169.53 |
| KansasKansas | — | $168.43 |
| KentuckyKentucky | — | $173.32 |
| New Orleans, LALouisiana | — | $179.47 |
| Rest of LouisianaLouisiana | — | $173.68 |
| Metropolitan Boston, MAMassachusetts | — | $195.33 |
| Rest of MassachusettsMassachusetts | — | $183.03 |
| Baltimore area, MDMaryland | — | $190.38 |
| Rest of MarylandMaryland | — | $181.67 |
| Rest of MaineMaine | — | $171.03 |
| Southern Maine, MEMaine | — | $175.33 |
| Detroit, MIMichigan | — | $188.60 |
| Rest of MichiganMichigan | — | $177.73 |
| MinnesotaMinnesota | — | $172.86 |
| Metropolitan Kansas City, MOMissouri | — | $177.12 |
| Metropolitan St. Louis, MOMissouri | — | $178.24 |
| Rest of MissouriMissouri | — | $172.56 |
| MississippiMississippi | — | $169.20 |
| MontanaMontana | — | $181.00 |
| North CarolinaNorth Carolina | — | $172.03 |
| North DakotaNorth Dakota | — | $172.70 |
| NebraskaNebraska | — | $167.78 |
| New HampshireNew Hampshire | — | $181.69 |
| Northern New JerseyNew Jersey | — | $198.21 |
| Rest of New JerseyNew Jersey | — | $192.13 |
| New MexicoNew Mexico | — | $178.97 |
| NevadaNevada | — | $178.75 |
| NYC suburbs and Long Island, NYNew York | — | $211.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $194.43 |
| Queens, NYNew York | — | $204.86 |
| Rest of New YorkNew York | — | $173.93 |
| OhioOhio | — | $176.03 |
| Portland, OROregon | — | $185.70 |
| Rest of OregonOregon | — | $176.63 |
| Metropolitan Philadelphia, PAPennsylvania | — | $188.10 |
| Rest of PennsylvaniaPennsylvania | — | $175.44 |
| Puerto RicoPuerto Rico | — | $181.47 |
| Rhode IslandRhode Island | — | $183.51 |
| South CarolinaSouth Carolina | — | $174.46 |
| South DakotaSouth Dakota | — | $171.72 |
| TennesseeTennessee | — | $169.19 |
| Austin, TXTexas | — | $183.06 |
| Beaumont, TXTexas | — | $174.75 |
| Brazoria, TXTexas | — | $178.28 |
| Dallas, TXTexas | — | $179.78 |
| Fort Worth, TXTexas | — | $179.37 |
| Galveston, TXTexas | — | $179.07 |
| Houston, TXTexas | — | $186.76 |
| Rest of TexasTexas | — | $176.67 |
| UtahUtah | — | $176.07 |
| VirginiaVirginia | — | $175.91 |
| Virgin Islands, VIUnited States Virgin Islands | — | $181.47 |
| VermontVermont | — | $173.52 |
| Rest of WashingtonWashington | — | $182.20 |
| King County, WAWashington | — | $197.22 |
| WisconsinWisconsin | — | $168.86 |
| West VirginiaWest Virginia | — | $179.38 |
| WyomingWyoming | — | $177.39 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Oklahoma 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
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.24 | × 1.000 | 3.2400 |
| Practice expense | 1.76 | × 0.893 | 1.5717 |
| Malpractice | 0.42 | × 0.777 | 0.3263 |
| Total RVUs | 5.1380 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$171.61
Facility: (3.24 × 1 + 1.76 × 0.893 + 0.42 × 0.777) × $33.4009 = $171.61
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
How 54161 has changed in Oklahoma
54161 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $171.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $171.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $171.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $171.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $182.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $182.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $182.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $182.76 | RVU25A |
| 2024-10-01 | Not available in this setting | $186.59 | RVU24D |
| 2024-07-01 | Not available in this setting | $186.59 | RVU24C |
| 2024-04-01 | Not available in this setting | $186.59 | RVU24B |
| 2024-03-09 | Not available in this setting | $186.59 | RVU24AR |
| 2024-01-01 | Not available in this setting | $183.54 | RVU24A |
| 2023-10-01 | Not available in this setting | $186.97 | RVU23D |
| 2023-07-01 | Not available in this setting | $186.97 | RVU23C |
| 2023-04-01 | Not available in this setting | $186.97 | RVU23B |
| 2023-01-01 | Not available in this setting | $186.97 | RVU23A |
| 2022-10-01 | Not available in this setting | $188.52 | RVU22D |
| 2022-07-01 | Not available in this setting | $188.52 | RVU22C |
| 2022-04-01 | Not available in this setting | $188.52 | RVU22B |
| 2022-01-01 | Not available in this setting | $188.52 | RVU22A |
| 2021-10-01 | Not available in this setting | $189.20 | RVU21D |
| 2021-07-01 | Not available in this setting | $189.20 | RVU21C |
| 2021-04-01 | Not available in this setting | $189.20 | RVU21B |
| 2021-01-01 | Not available in this setting | $189.20 | RVU21A |
| 2020-10-01 | Not available in this setting | $195.03 | RVU20D |
| 2020-07-01 | Not available in this setting | $195.03 | RVU20C |
| 2020-04-01 | Not available in this setting | $195.03 | RVU20B |
| 2020-01-01 | Not available in this setting | $195.03 | RVU20A |
| 2019-10-01 | Not available in this setting | $196.94 | RVU19D |
| 2019-07-01 | Not available in this setting | $196.94 | RVU19C |
| 2019-04-01 | Not available in this setting | $196.94 | RVU19B |
| 2019-01-01 | Not available in this setting | $196.94 | RVU19A |
| 2018-10-01 | Not available in this setting | $196.70 | RVU18D |
| 2018-07-01 | Not available in this setting | $196.70 | RVU18C |
| 2018-04-01 | Not available in this setting | $196.70 | RVU18B |
| 2018-01-01 | Not available in this setting | $196.70 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $194.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $194.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $194.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $194.10 | RVU17A |
| 2016-10-01 | Not available in this setting | $191.25 | RVU16D |
| 2016-07-01 | Not available in this setting | $191.25 | RVU16C |
| 2016-04-01 | Not available in this setting | $191.25 | RVU16B |
| 2016-01-01 | Not available in this setting | $191.25 | RVU16A |
| 2015-10-01 | Not available in this setting | $191.64 | RVU15D |
| 2015-07-01 | Not available in this setting | $191.64 | RVU15C |
| 2015-04-01 | Not available in this setting | $190.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $190.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $188.01 | RVU14D |
| 2014-07-01 | Not available in this setting | $188.01 | RVU14C |
| 2014-04-01 | Not available in this setting | $188.01 | RVU14B |
| 2014-01-01 | Not available in this setting | $188.01 | RVU14A |
| 2013-10-01 | Not available in this setting | $181.44 | RVU13D |
| 2013-07-01 | Not available in this setting | $181.44 | RVU13C |
| 2013-04-01 | Not available in this setting | $181.44 | RVU13B |
| 2013-01-01 | Not available in this setting | $181.44 | RVU13AR |
Where the Oklahoma rate applies
Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.
- Lahoma
- Achille
- Ada
- Adair
- Adams
- Adamson
- Addington
- Afton
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
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