U.S.-based urology billing experts ensuring accurate CPT/ICD-10 coding, 98% clean claim rate, and full CMS compliance for cystoscopy, TURP, biopsies, and more.
Request a Free RCM AuditExpert coding for cystoscopy (52000), TURP (52601), prostate biopsies (55700), lithotripsy (50590), and stent placements with correct diagnosis linkage.
We prevent denials by correctly applying modifiers -59/-XU to unbundle services when medically necessary and justified.
Accurate component billing for urodynamic studies (51726–51797) and complex procedures to ensure full reimbursement.
Full adherence to LCD/NCD guidelines for urology procedures to pass audits and avoid recoupments.
Monthly reports on missed procedure codes, underbilled cystoscopies, and payer underpayments to recover lost revenue.
Work with coders who understand urology workflows, diagnosis specificity, and bundling rules.
Urology billing requires precision in procedure coding, bundling rules, and modifier usage — errors lead to automatic denials.
Using 52000 without -59 for stone removal or stent placement causes bundling denials.
Failure to bill all components of urodynamic testing results in $200–$800 lost per study.
Missing modifier -59 on medically necessary unbundled services triggers automatic denials.
Charge capture delays result in missed or under-coded procedures like biopsies or stent placements.
A seamless, 5-step workflow designed for private urology practices and hospital departments.
Verify benefits and medical necessity before procedures.
Assign accurate CPT and ICD-10 codes with correct modifiers based on clinical documentation.
Submit clean claims with NCCI edit validation and payer-specific rule checks.
Appeal denials within 48 hours for coding, modifier, or documentation issues.
Deliver monthly KPIs: missed procedures, underbilled studies, net collection %, and payer performance.
Clean Claim Rate
Fewer Claim Denials
Recovered Procedure Revenue
Based on 24 urology clients served in 2024. Results may vary.
Learn how missed modifiers, bundling errors, and incomplete documentation cost urology practices thousands monthly.
Explore More →Discover how to bill for all components of urodynamic testing to recover 100% of eligible reimbursement.
Read Guide →The average urology practice loses 20–30% of revenue to preventable denials and coding errors.