Billing code 54150: CircumcisionMedicare rate & RVUs
Reports circumcision performed with a clamp or other device and regional penile anesthesia, distinguishing it from surgical-excision techniques.
Medicare pays $151.97 for 54150 nationally in the office and $84.17 in a hospital or facility. Local office rates run $136.50–$191.37.
Medicare rate · 54150
Circumcision
Swap in your local Medicare rate.
- Work RVUs
- 1.85
- Total RVUs
- 4.55
- Global days
- 000
National rate · 2026
$151.97
Office setting, before claim adjustments.
See every locality for 54150 → · Billed by an NP, PA or therapist? →
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 10 sections
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.
Where 54150 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$136.50 to $191.37
109 of 109 payment localities
54150 rates by state
Office rate range in each state. Select a state to see its payment localities.
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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.
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| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $184.61 | 1 |
| AL | $138.22 | 1 |
| AR | $136.50 | 1 |
| AZ | $148.27 | 1 |
| CA | $157.19–$191.37 | 29 |
| CO | $156.22 | 1 |
| CT | $161.22 | 1 |
| DC | $170.84 | 1 |
| DE | $150.49 | 1 |
| FL | $152.39–$167.60 | 3 |
| GA | $144.64–$155.09 | 2 |
| GU | $159.86 | 1 |
| HI | $159.86 | 1 |
| IA | $140.16 | 1 |
| ID | $141.18 | 1 |
| IL | $149.34–$163.20 | 4 |
| IN | $141.86 | 1 |
| KS | $140.11 | 1 |
| KY | $142.17 | 1 |
| LA | $142.19–$148.22 | 2 |
| MA | $155.69–$169.57 | 2 |
| MD | $152.92–$170.84 | 3 |
| ME | $142.37–$148.28 | 2 |
| MI | $145.86–$154.60 | 2 |
| MN | $148.71 | 1 |
| MO | $140.43–$148.05 | 3 |
| MS | $138.46 | 1 |
| MT | $151.96 | 1 |
| NC | $143.58 | 1 |
| ND | $147.21 | 1 |
| NE | $140.66 | 1 |
| NH | $154.34 | 1 |
| NJ | $162.78–$169.56 | 2 |
| NM | $146.77 | 1 |
| NV | $150.72 | 1 |
| NY | $145.48–$178.33 | 5 |
| OH | $144.89 | 1 |
| OK | $141.39 | 1 |
| OR | $149.26–$160.03 | 2 |
| PA | $144.80–$158.00 | 2 |
| PR | $152.76 | 1 |
| RI | $154.99 | 1 |
| SC | $144.53 | 1 |
| SD | $146.65 | 1 |
| TN | $140.79 | 1 |
| TX | $144.01–$155.95 | 8 |
| UT | $146.23 | 1 |
| VA | $148.22–$170.84 | 2 |
| VI | $152.76 | 1 |
| VT | $147.19 | 1 |
| WA | $155.22–$172.25 | 2 |
| WI | $142.98 | 1 |
| WV | $144.67 | 1 |
| WY | $149.89 | 1 |
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
Swap in your local Medicare rate.
Work 1.85Practice expense 2.46Malpractice 0.24
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54150
The CMS indicators that decide how 54150 is paid alongside other services.
CMS payment indicators · 54150
Circumcision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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
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%).
54150 compared with similar codes
Compare codes
54150 vs 54160 vs 54161 vs 54162 vs 54164: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54160Circumcision
- Use 54160 for newborn circumcision by surgical excision. Use 54150 when a clamp or other device and regional penile block are used.
- 54161Circumcision
- Use 54161 for surgical-excision circumcision in a patient age 28 days or older. The device-and-block method is the distinction for 54150.
- 54162Penile adhesion lysis
- 54162 describes release of penile adhesions, not removal of the foreskin by circumcision.
- 54164Frenulotomy
- 54164 is a penile frenulotomy. It describes release of the frenulum, not circumcision with a clamp or other device.
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
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