$149.26–$160.03
Choose 54150 for circumcision using a clamp or other device with a regional block; 54160 is the neonatal surgical-excision service.
On this page
CMS RVU26D · Effective 2026-10-01
54160 Circumcision Medicare reimbursement rates in Oregon
Reports surgical removal of a newborn’s foreskin when the circumcision is performed by excision rather than with a clamp, device, or dorsal slit. Compare 54160 office and facility rates across CMS payment localities in Oregon.
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 54160 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$224.65–$241.94
2 of 2 localities have a supported rate.
Facility setting
$128.84–$135.07
2 of 2 localities have a supported rate.
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.
Urology procedure
About 54160: Neonatal surgical circumcision
Reports surgical removal of a newborn’s foreskin when the circumcision is performed by excision rather than with a clamp, device, or dorsal slit.
This code covers circumcision of a neonate by surgical excision of the foreskin, rather than using a clamp or other device or performing a dorsal slit. It is typically performed by a physician such as a pediatrician, family physician, or urologist in a hospital nursery or outpatient setting. The operative approach, not simply the fact that a circumcision occurred, distinguishes this service from circumcision codes for other techniques or age groups.
Select the code based on the patient’s age and the documented method. The record should identify the neonate’s age and describe the excision technique. CMS assigns 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 50% reduction. Modifier 50 is inappropriate for this service. CMS does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 54160
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.47 · 36%
- Practice expense (office) RVU4.04 · 59%
- Malpractice RVU0.33 · 5%
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.
54160 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
Both describe surgical-excision circumcision, but 54161 applies to the older age category rather than a neonate.
No office rate
54164 describes division of the penile frenulum, not removal of the foreskin. It is relevant only when that separate service is performed.
Compare 54160 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.
2 of 2 payment localities
Portland →
Office / nonfacility
$241.94
Facility
$135.07
Rest Of Oregon →
Office / nonfacility
$224.65
Facility
$128.84
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
54160 billing questions
How does this differ from 54150?
54160 is for neonatal circumcision by surgical excision. 54150 describes circumcision using a clamp or other device with a regional block.
When should 54161 be considered instead?
Use 54161 for surgical-excision circumcision in the older age category. Document the patient’s age because age separates these sibling codes.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in 54160.
Can modifier 50 be appended?
No. Modifier 50 is inappropriate for this circumcision service.
Can an assistant or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports 54160 rather than a neighboring circumcision code?
Document the neonate’s age and that the foreskin was removed by surgical excision. The record should make clear that the service was not performed with a clamp or other device or by dorsal slit.
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.
6,25254130,,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
6,25854163,,Repair of circumcision,A,,3.24,2.54,NA,2.54,,0.42,6.20,6.20,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00