Z41.2Encounter for routine and ritual male circumcision

Z41.2 is the ICD-10-CM diagnosis code for encounter for routine and ritual male circumcision. It belongs to category Z41 (encounter for procedures for purposes other than remedying health state), block Z40-Z53 (Encounters for other specific health care) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z41 (encounter for procedures for purposes other than remedying health state), Z41.2 is specifically for encounter for routine and ritual male circumcision. Related codes cover cosmetic surgery (Z41.1), ear piercing (Z41.3), other procedures for purposes other than remedying health state (Z41.8) and procedure for purposes other than remedying health state, unspecified (Z41.9).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 727 (Inflammation of the Male Reproductive System with MCC, relative weight 1.37), DRG 728 (Inflammation of the Male Reproductive System without MCC, relative weight 0.8224) and DRG 795 (Normal Newborn, relative weight 0.2022), in MDC 12 (Diseases and Disorders of the Male Reproductive System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is on the CMS list of diagnoses consistent only with male patients (the sex-conflict edit itself was retired in FY2025).

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V50.2 (routine or ritual circumcision).