When a male is circumcised in a surgical setting the principal diagnosis field of the separation record must be filled in. If there is a valid therapeutic reason, such as phimosis (N47) or balanitis (N48), the appropriate code is used. If the procedure is performed without medical indication (ie non-therapeutic) then it is coded as routine/ritual (Z41.2).
That why for males aged 50-54, for instance, 14 males were recorded as undergoing routine circumcision in 2009-10. Not because it's a "matter of course", or "customary", or common or any other such reason.
Dictionaries have nothing to do with it. Routine circumcision means circumcision performed without medical indication.
Well, this is my opinion.
"Routine circumcision" has different meanings depending on the context.
It has been used to mean its done to all baby boys, unless there is a specific objection. It was routine like cutting the umbilical, spanking the baby or whatever they used to do back in the 1950s. Parental consent was not always sought.
Another meaning is routine circumcision is when the parents request it when there is no medical need. In this case it is synonymous with non-therapeutic or cosmetic circumcision.
I'm not fond of the phrase as it can be ambiguous and/or confusing. Adjectives often do this. Communication can be more effective without too many adjectives.
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