ICD-10-CM Code Z41.2

Encounter for routine and ritual male circumcision

Version 2020 Billable Code Diagnoses For Males Only POA Exempt

Valid for Submission

Z41.2 is a billable code used to specify a medical diagnosis of encounter for routine and ritual male circumcision. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z41.2 might also be used to specify conditions or terms like circumcision requested. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z41.2 is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.

ICD-10:Z41.2
Short Description:Encounter for routine and ritual male circumcision
Long Description:Encounter for routine and ritual male circumcision

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z41.2 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for males only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to MALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Circumcision requested

Diagnostic Related Groups

The ICD-10 code Z41.2 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 727 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
  • 728 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC

Present on Admission (POA)

Z41.2 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z41.2 to ICD-9

  • V50.2 - Routine circumcision

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Encntr for proc for purposes oth than remedying health state (Z41)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Circumcision

What is circumcision?

Circumcision is a surgical procedure to remove the foreskin, the skin that covers the tip of the penis. In the United States, it is often done before a new baby leaves the hospital. According to the American Academy of Pediatrics (AAP), there are medical benefits and risks to circumcision.

What are the medical benefits of circumcision?

The possible medical benefits of circumcision include

  • A lower risk of HIV
  • A slightly lower risk of other sexually transmitted diseases
  • A slightly lower risk of urinary tract infections and penile cancer. However, these are both rare in all males.

What are the risks of circumcision?

The risks of circumcision include

  • A low risk of bleeding or infection
  • Pain. AAP suggests that providers use pain medicines to reduce pain from circumcision.

What are the American Academy of Pediatrics (AAP) recommendations on circumcision?

The AAP does not recommend routine circumcision. However, they said that because of the possible benefits, parents should have the option to circumcise their sons if they want to. They recommend that parents discuss circumcision with their baby's health care provider. Parents should make their decision based on the benefits and risks, as well as their own religious, cultural, and personal preferences.


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