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CPT code 54162: Penile adhesion lysis, post-circumcision adhesions2026 Medicare rate & RVUs in North Carolina

Reports release or excision of adhesions between penile skin and the glans after circumcision, commonly performed in an office or outpatient setting.

CMS RVU26DEffective Oct 1, 2026One payment locality293 Medicare services in 2024

In North Carolina, Medicare pays $249.63 for 54162 in the office and $175.15 when it’s performed in a hospital or facility.

$249.63Office (non-facility)
$175.15Hospital or facility
−5.5%vs the national office rate ($264.20)

Check a contract rate as a % of Medicare · 54162 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 54162 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 54162 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 54162 covers

This service releases or removes penile adhesions that have formed after circumcision, separating skin attached to the glans. Urologists and other clinicians who perform penile procedures may treat these adhesions in an office or outpatient setting. The operative target is the adhesion itself, rather than a new circumcision, repair of an incomplete circumcision, or release of the frenulum.

Report the code when the documented procedure is lysis or excision of post-circumcision penile adhesions. The record should identify the adhesions and describe the release or removal performed. The service has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and 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 North Carolina compares for 54162

Across 109 of 109 payment localities, the office rate for 54162 runs from $237.38 in Arkansas to $332.34 in San Benito County, CA. North Carolina pays $249.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

54162 in North Carolina vs other payment areas
  1. North Carolina · this page$249.63
  2. Los Angeles, CA · California$289.90+$40.27
  3. Washington, DC area · District of Columbia$296.90+$47.27
  4. Miami, FL · Florida$291.47+$41.84
  5. Chicago, IL · Illinois$283.84+$34.21
  6. Manhattan, NY · New York$302.34+$52.71
  7. Alaska · Alaska$321.24+$71.61

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

Every other payment area

54162 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$240.37$170.52
ArkansasArkansas$237.38$168.81
ArizonaArizona$257.78$180.43
Bakersfield, CACalifornia$274.40$186.91
Chico, CACalifornia$273.16$185.67
El Centro, CACalifornia$273.23$185.74
Fresno, CACalifornia$273.16$185.67
Hanford, CACalifornia$273.16$185.67

54162 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.

$237.38

$321.24

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

View every state and territory as a table
54162 office rate range by state
State / territoryOffice rate rangeLocalities
AK$321.241
AL$240.371
AR$237.381
AZ$257.781
CA$273.16–$332.3429
CO$271.511
CT$280.241
DC$296.901
DE$261.621
FL$265.01–$291.473
GA$251.56–$269.622
GU$277.741
HI$277.741
IA$243.681
ID$245.451
IL$259.75–$283.844
IN$246.631
KS$243.621
KY$247.251
LA$247.29–$257.732
MA$270.61–$294.632
MD$265.84–$296.903
ME$247.54–$257.752
MI$253.66–$268.862
MN$258.441
MO$244.25–$257.423
MS$240.811
MT$264.171
NC$249.631
ND$255.871
NE$244.551
NH$268.271
NJ$282.95–$294.692
NM$255.241
NV$262.001
NY$252.94–$309.985
OH$251.961
OK$245.881
OR$259.47–$278.102
PA$251.79–$274.682
PR$265.551
RI$269.431
SC$251.311
SD$254.891
TN$244.791
TX$250.43–$271.058
UT$254.251
VA$257.66–$296.902
VI$265.551
VT$255.851
WA$269.78–$299.272
WI$248.531
WV$251.651
WY$260.551

See 54162 in every payment locality

How the 54162 rate is calculated

Each of 54162’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 · 54162

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.24

3.24 RVUs× 1.000 GPCI

Practice expense4.25

4.25 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

7.9100

Conversion factor

$33.4009

Medicare rate

$264.20

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,257

Code
54162
Physician work
3.24
Practice expense
4.25
Malpractice
0.42

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 54162 in North Carolina
ComponentRVULocality factorAdjusted
Physician work3.24× 1.0003.2400
Practice expense4.25× 0.9333.9653
Malpractice0.42× 0.6390.2684
Total RVUs7.4736
Conversion factor× 33.4009

Office rate, North Carolina$249.63

Office: (3.24 × 1 + 4.25 × 0.933 + 0.42 × 0.639) × $33.4009 = $249.63

Facility: (3.24 × 1 + 1.86 × 0.933 + 0.42 × 0.639) × $33.4009 = $175.15

Open 54162 in the RVU calculator

Payment rules and modifiers for 54162

54162 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54162

Penile adhesion lysis, post-circumcision adhesions

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 · 54162

Penile adhesion lysis, post-circumcision adhesions

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

54162 without 51 · national office

$264.20

Penile adhesion lysis, post-circumcision adhesions

54162-51 · Second procedure: 50%

$132.10

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 54162

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

Codes related to 54162
CodeHow it relatesOffice range, North Carolina
Used instead
54160Circumcision, neonate, surgical excisionChoose when the service is neonatal circumcision rather than release of post-circumcision adhesions.$215.44
54161Circumcision, age 28 days or olderChoose when circumcision is performed for a patient 28 days or older.No office rate
54163Circumcision repair, revision after prior circumcisionFor repair of an incomplete circumcision, rather than treatment of adhesions.No office rate
54164Frenulotomy, penile frenulumFor release of a penile frenulum when that structure, not skin adhesions, is treated.No office rate

How 54162 has changed in North Carolina

54162 · Office / nonfacility

$249.63

Effective 2026-10-01

The base rate is $13.82 higher than on 2025-10-01, moving from $235.81 to $249.63 (5.9%).

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

    $235.81changed to$249.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.32 changed to 3.24
    • Practice expense RVU 4.00 changed to 4.25
    • Malpractice RVU 0.40 changed to 0.42
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $243.28changed to$235.81

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.02 changed to 4.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $239.31changed to$243.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $246.33changed to$239.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.94 changed to 4.02
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $252.12changed to$246.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.92 changed to 3.94
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $255.22changed to$252.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.96 changed to 3.92
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $253.99changed to$255.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.68 changed to 3.96
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $253.98changed to$253.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.72 changed to 3.68
    • Malpractice RVU 0.38 changed to 0.39
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $254.46changed to$253.98

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.75 changed to 3.72
    • Malpractice RVU 0.37 changed to 0.38

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $251.16changed to$254.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.66 changed to 3.75
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $250.19changed to$251.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.63 changed to 3.66
    • Malpractice RVU 0.38 changed to 0.37
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $249.82changed to$250.19

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.60 changed to 3.63
    • Malpractice RVU 0.37 changed to 0.38

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $248.57changed to$249.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $246.80changed to$248.57

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.59 changed to 3.60
    • Malpractice RVU 0.32 changed to 0.37
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $242.82changed to$246.80

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.87 changed to 3.59
    • Malpractice RVU 0.33 changed to 0.32
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $242.82

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$249.63$175.15RVU26D
2026-07-01$249.63$175.15RVU26C
2026-04-01$249.63$175.15RVU26B
2026-01-01$249.63$175.15RVU26A
2025-10-01$235.81$186.08RVU25D
2025-07-01$235.81$186.08RVU25C
2025-04-01$235.81$186.08RVU25B
2025-01-01$235.81$186.08RVU25A
2024-10-01$243.28$190.26RVU24D
2024-07-01$243.28$190.26RVU24C
2024-04-01$243.28$190.26RVU24B
2024-03-09$243.28$190.26RVU24AR
2024-01-01$239.31$187.16RVU24A
2023-10-01$246.33$192.30RVU23D
2023-07-01$246.33$192.30RVU23C
2023-04-01$246.33$192.30RVU23B
2023-01-01$246.33$192.30RVU23A
2022-10-01$252.12$195.28RVU22D
2022-07-01$252.12$195.28RVU22C
2022-04-01$252.12$195.28RVU22B
2022-01-01$252.12$195.28RVU22A
2021-10-01$255.22$195.64RVU21D
2021-07-01$255.22$195.64RVU21C
2021-04-01$255.22$195.64RVU21B
2021-01-01$255.22$195.64RVU21A
2020-10-01$253.99$198.94RVU20D
2020-07-01$253.99$198.94RVU20C
2020-04-01$253.99$198.94RVU20B
2020-01-01$253.99$198.94RVU20A
2019-10-01$253.98$198.62RVU19D
2019-07-01$253.98$198.62RVU19C
2019-04-01$253.98$198.62RVU19B
2019-01-01$253.98$198.62RVU19A
2018-10-01$254.46$198.82RVU18D
2018-07-01$254.46$198.82RVU18C
2018-04-01$254.46$198.82RVU18B
2018-01-01$254.46$198.82RVU18AR1
2017-10-01$251.16$197.03RVU17D
2017-07-01$251.16$197.03RVU17C
2017-04-01$251.16$197.03RVU17B
2017-01-01$251.16$197.03RVU17A
2016-10-01$250.19$196.58RVU16D
2016-07-01$250.19$196.58RVU16C
2016-04-01$250.19$196.58RVU16B
2016-01-01$250.19$196.58RVU16A
2015-10-01$249.82$197.01RVU15D
2015-07-01$249.82$197.01RVU15C
2015-04-01$248.57$196.03RVU15B
2015-01-01$248.57$196.03RVU15A
2014-10-01$246.80$193.88RVU14D
2014-07-01$246.80$193.88RVU14C
2014-04-01$246.80$193.88RVU14B
2014-01-01$246.80$193.88RVU14A
2013-10-01$242.82$188.25RVU13D
2013-07-01$242.82$188.25RVU13C
2013-04-01$242.82$188.25RVU13B
2013-01-01$242.82$188.25RVU13AR

Price 54162 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

54162 billing questions

When should 54162 be chosen instead of a circumcision code?

Use 54162 when the service releases or removes adhesions between penile skin and the glans after circumcision. Choose a circumcision code when circumcision itself is performed.

Is 54162 the code for correcting an incomplete circumcision?

No. 54162 addresses adhesions. Code 54163 is the nearby code for repair of a circumcision; select based on the procedure actually performed.

Can modifier 50 be used for adhesions on both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

Are postoperative visits included?

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

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted for this code. 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 54162PPRRVU2026_Oct_nonQPP.csv, line 6,257 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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