Urology billing and revenue cycle, 50-state coverage.

What good urology billing execution looks like.

The operating discipline we install on every urology billing engagement.

1. In-office procedure and pathology billing accuracyUrology generates significant in-office revenue from cystoscopy, biopsy, prostate procedures, and in-office pathology specimens. your state urology practices need accurate procedure and 88305 pathology billing.
2. Modifier 25 discipline for office visits + proceduresUrology visits routinely include procedures (cystoscopy, biopsy) the same day. Modifier 25 must be defensible with separate documentation supporting the E/M.
3. Robotic surgery and OR coding for prostatectomy + nephrectomyRobotic urologic surgery (da Vinci prostatectomy, nephrectomy) carries distinct code stacks. your state urology practices doing robotic surgery need coders who understand the procedural specifics.
4. Prior authorization for advanced imaging and infusionUrology PA volume centers on MRI, CT, and immunotherapy infusion for advanced GU cancers. PA automation compresses cycle time materially.
5. BPH treatment coding (Rezum, UroLift, etc.)Newer BPH treatments carry specific CPT codes with coverage and PA requirements that vary by your state payer. Coding accuracy and PA discipline are foundational.
6. Specialty drug J-code billing for urologic cancersUrologic oncology drug billing follows the same ASP+6 logic as medical oncology. Accuracy is essential.