Eligibility & Verification
Coverage checks before every visit.
Specialty Billing
Urology Medical Billing
Urology blends in-office procedures, diagnostics, and surgery. We handle global periods and the prior authorizations that imaging and procedures require so nothing delays your reimbursement.
The Challenge
Urology billing, solved
We understand the billing complexities unique to urology and build them into every claim.
- In-office procedure coding
- Surgical global periods
- Prior auth for imaging/procedures
What we focus on
- Cystoscopy & procedure codes
- Diagnostic testing billing
- Surgical claim management
Coding Focus
Urology code sets we work in
The CPT/HCPCS procedure families and ICD-10 diagnosis groups our certified coders handle for this specialty every day.
Common CPT / procedure codes
- 52000–52010Diagnostic cystoscopy of the bladder and urethra
- 51725–51798Urodynamic testing of bladder function and pressure
- 55700–55706Needle biopsy sampling of the prostate
- 52601–52649Transurethral resection and related prostate procedures
ICD-10 diagnosis focus
- N40 benign prostatic enlargement
- N20–N23 urinary tract stones
- C61 / C67 prostate and bladder cancers
- N39 urinary infection and incontinence
Code references are shown as general identifiers for illustration. Actual code selection always follows current payer rules and your provider's documentation.
Clean Claims
Modifiers, denials & billing rules we manage
How our team keeps urology claims compliant — the modifiers that matter, the denials we prevent, and the guidelines we follow.
Key modifiers
- RT/LT
Specifies the side treated for paired structures such as kidneys or ureters.
- 50
Reports a procedure performed on both sides during one session.
- 26
Bills the interpretation portion of imaging or urodynamic studies.
- 51
Indicates multiple procedures so additional services are ranked and priced.
Common denials & fixes
Diagnostic cystoscopy denied as bundled.
Verify bundling edits and bill the diagnostic scope only when it is genuinely separate.
Urodynamic study denied for a component error.
Split professional and technical charges correctly when testing and interpretation occur separately.
Procedure denied for missing prior authorization.
Secure authorization for advanced imaging and surgery before the date of service.
Bilateral procedure paid on one side only.
Apply the bilateral or right/left modifiers so both sides are reimbursed.
Billing guidelines
- Verify whether a diagnostic cystoscopy is bundled into a same-session therapeutic procedure before billing both.
- Assign laterality or bilateral modifiers correctly for paired-organ procedures on kidneys and ureters.
- Separate urodynamic testing into professional and technical components when equipment and interpretation differ.
- Obtain prior authorization for advanced imaging and higher-cost surgical procedures ahead of scheduling.
End-to-End
What we handle for Urology
A complete revenue cycle service tailored to your specialty.
Specialty Coding
Certified, specialty-trained coders.
Charge Entry & Claims
Clean, accurate claim submission.
Payment Posting
ERA/EOB posting and reconciliation.
Denial & AR Management
Appeals and aggressive AR recovery.
Reporting & Analytics
Real-time KPIs and insights.
98%
Clean claim rate
30%
Average revenue lift
24/7
Operations coverage
HIPAA
Compliant processes
FAQ
Urology billing — FAQs
Yes — our certified coders are trained on specialty-specific rules, code sets, and payer policies, and we assign coders with experience in your specialty.
We work in your current practice management system and EHR, so your workflows and reporting stay intact while we handle the billing.
Through accurate specialty coding, front-end eligibility checks, clean claim submission, and relentless denial and AR follow-up — typically lifting first-pass acceptance and net collections.
Always. We use strict access controls, encryption, signed BAAs, and audit trails to protect patient data.
More Specialties
Other specialties we bill for
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