UROLOGY MEDICAL BILLING SERVICES
UROLOGY MEDICAL BILLING SERVICES
Urology Billing That Captures Every Procedure, Every Modifier, Every Dollar
From in-office cystoscopy and prostate biopsy to lithotripsy and injectable therapies, urology revenue is easy to lose in modifiers, bundling rules, and drug billing. Expert Medical Billing Services pairs certified urology coders with denial-focused billers to protect it.
UROLOGY REVENUE CHECKLIST
What we review in your first 30 days
- Cystoscopy and endoscopy code bundling
- Modifier 25, 51, 50, 58, 78 and 79 usage
- In-office procedure and supply charge capture
- Buy-and-bill injectables: J-codes, units, NDCs
- In-house lab and pathology billing
- Prior authorization on procedures and imaging
99.9%
Claim acceptance target
48 hrs
Standard appeal turnaround
50
States served
@1.99%
Starting rate on collections
Why Urology Billing Is Different
Urology mixes office visits, in-office procedures, surgery, imaging, labs and drugs. Six pressure points cause most lost revenue.
01
Bundling in endoscopic families
Cystoscopy, ureteroscopy and related codes bundle in specific ways. One wrong pairing means a denial or an underpayment.
02
Global periods and modifiers
Minor procedures carry global periods. Modifiers 25, 58, 78 and 79 decide whether same-day and follow-up work gets paid.
03
Drug and supply billing
Injectable therapies and in-office supplies need correct J-codes, units and NDC data, or they quietly go unpaid.
04
In-house lab and pathology
Urinalysis, cultures and prostate biopsy pathology add revenue, and add compliance rules, when run in your own office.
05
Prior authorizations
Many payers require approval for procedures, imaging and lithotripsy. Missed auths turn into hard denials.
06
Surgery center and facility splits
Urologists often work across office, ASC and hospital settings. Each has different billing rules and fee schedules.
Urology Procedures and Code Families We Bill
Our coders work from current CPT, HCPCS and ICD-10 guidance and verify code details against payer policy before submission.
Office and Diagnostics
E/M visits with modifier 25 logic, uroflowmetry, post-void residual ultrasound (51798), urinalysis, PSA-related lab billing.
Cystoscopy and Endoscopy
Diagnostic cystourethroscopy (52000), biopsy (52204), stent placement (52332), ureteroscopy families.
Stone Management
Shock wave lithotripsy (50590), ureteroscopic stone treatment, stent management, imaging and pre-authorization.
Prostate Procedures
Prostate biopsy (55700), TURP (52601), transrectal ultrasound, newer minimally invasive therapies.
Men's Health and Vasectomy
Vasectomy (55250), circumcision, erectile dysfunction and male infertility evaluation billing.
Oncology and Injectables
Androgen deprivation injections, intravesical therapies, infusion drug billing with J-codes, units and NDCs.
DENIAL PREVENTION
The Urology Denials We Fix Before They Happen
Most urology denials follow predictable patterns. We audit your claims against them before submission, then work every denial that still arrives until it is paid or exhausted.
- Missing or incorrect modifier 25 on same-day E/M
- Multiple endoscopy codes billed without proper bundling
- Procedures billed inside an active global period
- Missing prior authorization for lithotripsy or imaging
- Injectable drug claims rejected for units or NDC errors
- Diagnosis codes that do not support medical necessity
- Bilateral procedures billed without modifier 50 logic
- Timely filing misses on aged claims
How Our Urology Billing Process Works
1
Free Billing Audit
We review recent claims, denials and A/R for urology-specific leakage.
2
Seamless Onboarding
We connect to your EHR and practice management system with no disruption.
3
Charge Capture and Coding
Certified coders verify procedures, modifiers, units and diagnoses.
4
Submit and Follow Up
Clean claims go out fast, then are tracked to payment.
5
Report and Improve
Monthly reporting shows denial trends, A/R and collections.
TRANSPARENT PRICING
Urology Billing Starting at @1.99% of Collections
You pay a percentage of what we collect, with no long-term contracts. Final rates depend on your collections volume and scope of services.
- Urology-certified coding and charge review
- Claim scrubbing and electronic submission
- Denial management and appeals
- A/R follow-up and payment posting
- Prior authorization support
- Monthly performance reporting
Urology Billing FAQs
It covers charge capture, CPT, HCPCS and ICD-10 coding, claim submission, denial management, A/R follow-up, payment posting and prior authorization for urology services across office, ASC and hospital settings.
Cystoscopy, ureteroscopy, prostate biopsy, TURP, lithotripsy, vasectomy, urodynamics, in-office injectables, imaging and more, for general urology and subspecialties such as urologic oncology and male infertility.
Our coders review the documentation behind every same-day E/M and multi-procedure claim, then apply modifiers only where the record and payer rules support them. This reduces denials and avoids compliance risk.
Yes. We verify the J-code, units and NDC details for each injectable and check them against payer policy before submission, so buy-and-bill drugs get paid.
Yes. We integrate with your current EHR and practice management software, so you do not need to change systems.
Pricing starts at 1.99% of collections. The final rate depends on your monthly collections and the services you need. Contact us for a custom quote.
Onboarding is typically completed within about two weeks, with our team handling setup, integration and go-live support.