Date
As announced in the June 12, 2014, Volume 36, No. 31, Physician Bulletin, effective June 15, 2014, MO HealthNet will pay for elective circumcisions for all newborn infants less than 28 days old using Current Procedural Terminology (CPT) codes 54150 and 54160.
MHD policy previously required documentation in which two physicians had documented in writing that a disease, pathology or other abnormality exists that requires a medically therapeutic circumcision. This policy has been rescinded effective immediately.
See bulletin for further information regarding these changes and the continuation of policy for CPT codes 54161, 54162, 54163, and 54164 that require a Prior Authorization.