Prior Auth Required

54161 - Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCircumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age
Procedure / Service Description

Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete - (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and 52649 transurethral resection of prostate are included if performed) 54161 Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age 54400 Insertion of penile prosthesis; non-inflatable (semi-rigid) Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.