What is circumcision?
Circumcision refers to the removal of the foreskin, or prepuce that covers the glans penis (head of the penis).
Baby Vs Adult Circumcision
Circumcision surgery on male babies is fairly straightforward and commonplace. It is usually done for religious, medical or personal-choice reasons. However, the procedure in adults is less frequent, and more complicated in terms of surgical accuracy and skill required to achieve optimal patient results. Recovery time varies according to the age and general health of the person. A baby or child will generally heal in five to seven days after the procedure, while in adults, recovery can take around two to three weeks. If the circumcision is performed during the newborn period, it will take only about five to 10 minutes and it is performed under local anesthesia. For adults, it usually takes an hour approximately and it is performed under general anesthesia.
What are the indications for male circumcision?
Does my insurance cover Circumcision?
Coverage of Circumcision varies with different insurance policies and different local regulations: For Dubai based policy (DHA), medical necessary circumcision is covered for members upto 2 years old or below and will require prior approval. For Abu Dhabi based policy (DOH), circumcision is not covered. For Northern emirates, coverage of circumcisionvaries according to the table of benefit for each policy, please always all Nextcare to check if circumcision is covered.
For Medically Necessary Cases (e.g., Balanophospitis, Balanitis & Emergency Paraphimosis) detailed Medical report/s with confirmed clinical findings, medical management showing no improvements and has been exhausted, must be submitted at the pre-authorization level.
The below ICD-10 codes to be used:
|C60.0-C60.9||Malignant neoplasm of penis|
|D07.4||Carcinoma in situ of penis|
|D29.0||Benign neoplasm of penis|
|D40.8||Neoplasm of uncertain behavior of other specified male genital organs|
|N47.0-N47.8||Disorders of prepuce|
|N48.0||Leukoplakia of penis|
|S31.20XA-S31.25XS||Open wound of penis|
|S38.01XA-S38.01XS||Crushing injury of penis|
|Z40.8-Z40.9||Encounter for other/unspecified prophylactic surgery|
According to the procedure, use the below CPT codes:
|54150||Circumcision, using clamp or other device with regional dorsal penile or ring block (all age)|
|54160||Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less)|
|54161||older than 28 days of age|
|54162||Lysis or excision of penile post-circumcision adhesions|
|54163||Repair incomplete circumcision|
|54164||Frenulotomy of penis|