Generally, neonatal circumcision is a relatively simple procedure, and it is relatively straightforward to assign codes for the diagnosis and procedure as well. International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) provides code Z41.2 for routine or ritual male circumcision. When the newborn’s attending physician provides neonatal evaluation and management (E/M) and circumcision services on the same date, a code for live-born neonate according to place and type of birth (category Z38) is reported first. The circumcision is reported based on the type of procedure and, when reporting codes 54160 and 54161, by patient age.

Although circumcision is one of the oldest and most common surgical procedures, like all surgical procedures, it is not without risk of complications. Reporting services to address complications associated with circumcision requires knowledge of ICD-10-CM guidelines for reporting complications of care and related procedural services.

A key guideline for diagnosis coding...

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