CPT^® 54163, Under Excision Procedures on the Penis

The Current Procedural Terminology (CPT^®) code 54163 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Penis.

Additional/Related Information

Tabs

Summary

In this procedure, the provider removes excessive residual foreskin left over from a previous circumcision. The provider performs this primarily to treat problems like difficulty in urination and pain in penile erections.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 54163 ? Start a discussion here

54164 or 54163?

I would consider 54163 as there appeared excess skin ventrally, not removed at the initial circumcision.... [ Read More ]

54164 or 54163?

Hi! Would you code this as 54164 or 54163? Thanks!! Indication for operation: Excess foreskin at the frenulum. 48 yo male s/p circumcision in 2016, who c/o excess skin ventrally. It is causing interm... [ Read More ]

54162 or 54163?

Would the following be billed as a circumcision revision or excision of penile adhesions? I read that a "skin bridge" is just another term for adhesions but I want to be sure. Thanks! POSTOPERATIVE D... [ Read More ]

54162 or 54163?

The surgeon excised frenular and dorsal skin bridges on an adult circumcised patient. Would this be considered 54162 (excision of penile post circ adhesions) or 54163 (repair incomplete circ)? Thank... [ Read More ]

Penile Exam under Anesthesia

Interesting comments from an anesthesiologist's point of view and billing perspective. Thank you Lisa for your comments, and I would agree so that the anesthesiologist may bill and also be paid for hi... [ Read More ]

Partial Circumcision

I agree with 54161 for the first circumcision. For the second procedure bill 54163 for the completion of the circumcision. From Michael A/ Ferragamo MD, FACS... [ Read More ]

Partial Circumcision

Hi all, A little help please.... I coded 54161 for this procedure: The patient having urinary incontinence and we could see that the distal aspect of the head of the phallus and a portion of the f... [ Read More ]

correction of glanular torsion and revision of circumcison

Help please. I have the following case I need help coding. I came up with 54163 and 14040... Residual adhesions from the mucosal surface of the prepuce to the glans penis were bluntly released. The ... [ Read More ]

Circumsion revision

CPT code 54163 is correct with dx 605.... [ Read More ]

Circumsion revision

Would you bill a regular 54161 or a 54163 for a child who previously had a circumsion & they are excising the excess foreskin? thank you for any imput Sheila, CPC... [ Read More ]

View All