AAPC - Back to school
Results 1 to 4 of 4

Thread: Circumsision with release of frenulu adhesions

  1. #1

    Default Circumsision with release of frenulu adhesions

    AAPC: Back to School
    Patient comes in with frenulum adhesions and redundant foreskin (had prior circ). Provider does a release of the frenulum adhesions and performs a 2nd circ per his notes.

    Provider wants to bill this as 54162-59 and 54161 or would this be more appropriate with just the 54161?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Patient under general anesthesia?

    Urology is NOT my specialty, but

    CPT 54162 - per Encoder Pro
    The physician retracts the foreskin, releases the preputial post-circumcision adhesions, and cleanses the glans in a patient who is under general anesthesia. If retraction of the foreskin reveals a fibrous ring, the physician places two vertical incisions directly over the fibrous ring and the transversely running fibrous bands are divided to expose the underlying Bucks' fascia. With the foreskin retracted, the defect is closed horizontally with interrupted sutures. (emphasis added by FTB)

    It looks to me that 54162 and 54161 are bundled, but can be reported together with use of modifier. However, ONLY if done under general anesthesia ...

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    If the patient was not put under general anthesthesia just localized anthesthesia would there be a different code used or would a modifer 52 work?

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default No general anesthesia = E/M code

    You would just code the documented E/M visit

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Replies: 0
    Last Post: 04-22-2015, 07:32 AM
  2. Open release of adhesions
    By kellit21 in forum Orthopaedics
    Replies: 0
    Last Post: 06-20-2013, 12:21 PM
  3. Replies: 2
    Last Post: 04-14-2013, 07:42 AM
  4. global for circumsision
    By genawaller in forum E/M
    Replies: 1
    Last Post: 12-08-2011, 10:14 AM
  5. Release of adhesions in the shoulder coding help
    By lostone65 in forum Orthopaedics
    Replies: 0
    Last Post: 07-30-2010, 10:00 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.