$237.70–$292.07
Use 54160 for newborn circumcision by surgical excision. Use 54150 when a clamp or other device and regional penile block are used.
On this page
CMS RVU26D · Effective 2026-10-01
54150 Circumcision Medicare reimbursement rates in California
Reports circumcision performed with a clamp or other device and regional penile anesthesia, distinguishing it from surgical-excision techniques. Compare 54150 office and facility rates across CMS payment localities in California.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 54150 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$157.19–$191.37
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $34.18 per service.
Facility setting
$82.88–$93.60
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $10.72 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 54150 pays more and less in California
29 payment localities
$157.19 to $191.37
Urology
About 54150: Device circumcision with regional block
Reports circumcision performed with a clamp or other device and regional penile anesthesia, distinguishing it from surgical-excision techniques.
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.
CMS billing rules for 54150
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.85 · 41%
- Practice expense (office) RVU2.46 · 54%
- Malpractice RVU0.24 · 5%
258
Medicare services in 2024 · #4113 by national volume
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.
54150 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Use 54161 for surgical-excision circumcision in a patient age 28 days or older. The device-and-block method is the distinction for 54150.
$273.16–$332.34
54162 describes release of penile adhesions, not removal of the foreskin by circumcision.
No office rate
54164 is a penile frenulotomy. It describes release of the frenulum, not circumcision with a clamp or other device.
Compare 54150 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $157.90 | Facility $83.59 |
| Chico | Office $157.19 | Facility $82.88 |
| El Centro | Office $157.23 | Facility $82.92 |
| Fresno | Office $157.19 | Facility $82.88 |
| Hanford-Corcoran | Office $157.19 | Facility $82.88 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $166.85 | Facility $86.64 |
| Madera | Office $157.19 | Facility $82.88 |
| Merced | Office $157.19 | Facility $82.88 |
| Modesto | Office $157.19 | Facility $82.88 |
| Napa | Office $178.05 | Facility $88.69 |
| Oxnard-Thousand Oaks-Ventura | Office $165.64 | Facility $85.49 |
| Redding | Office $157.19 | Facility $82.88 |
| Rest Of California | Office $157.19 | Facility $82.88 |
| Riverside-San Bernardino-Ontario | Office $159.80 | Facility $85.48 |
| Sacramento-Roseville-Folsom | Office $163.87 | Facility $85.02 |
| Salinas | Office $163.23 | Facility $84.65 |
| San Diego-Chula Vista-Carlsbad | Office $166.26 | Facility $85.17 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $187.20 | Facility $91.59 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $186.92 | Facility $91.32 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $191.37 | Facility $93.60 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $190.25 | Facility $92.48 |
| San Luis Obispo-Paso Robles | Office $160.73 | Facility $83.50 |
| Santa Cruz-Watsonville | Office $167.22 | Facility $84.84 |
| Santa Maria-Santa Barbara | Office $163.62 | Facility $84.57 |
| Santa Rosa-Petaluma | Office $168.84 | Facility $85.58 |
| Stockton | Office $157.19 | Facility $82.88 |
| Vallejo | Office $177.66 | Facility $88.29 |
| Visalia | Office $157.19 | Facility $82.88 |
| Yuba City | Office $157.19 | Facility $82.88 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,25154125,,Removal of penis,A,,14.20,6.21,NA,6.21,,1.96,22.37,22.37,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25254130,,Remove penis & nodes,A,,21.29,7.96,NA,7.96,,2.74,31.99,31.99,0,090,0.10,0.80,0.10,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25354135,,Remove penis & nodes,A,,27.47,9.24,NA,9.24,,3.54,40.25,40.25,0,090,0.10,0.80,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25454150,,Circumcision w/regionl block,A,,1.85,2.46,,0.43,,0.24,4.55,2.52,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25554160,,Circumcision neonate,A,,2.47,4.04,,1.16,,0.33,6.84,3.96,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25654161,,Circum 28 days or older,A,,3.24,1.76,NA,1.76,,0.42,5.42,5.42,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25754162,,Lysis penil circumic lesion,A,,3.24,4.25,,1.86,,0.42,7.91,5.52,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00