Question: Our urologist performed a circumcision on an infant during an office visit. Since the circumcision code we’re planning to use (54150) has a 0-day global period, can we also code for the office visit? Pennsylvania Subscriber Answer: Before your urologist performs a circumcision, he will provide some sort of E/M service or counseling concerning the procedure. Circumcision counseling normally is simple and straightforward, and an office visit on the day of a 0-day surgery is usually not a payable service. Therefore, you should only bill the circumcision code 54150 (Circumcision, using clamp or other device with regional dorsal penile or ring block) for this encounter.