Urology Billing That Pays What You Earn
Urology billing spans cystoscopy procedures, prostate biopsy and treatment, kidney stone management, incontinence procedures, and male reproductive surgery — all with distinct prior auth requirements and complex surgical global periods. Urodynamics testing, robotic prostatectomy, and in-office procedures billed on the same day as E&M visits are among the most frequently denied services. 360Solutions provides urology billing specialists who capture full procedure revenue, manage cystoscopy add-ons, and prevent the global period violations that erode urology practice income.
Where Urology Practices Lose Revenue
These are the coding and billing pitfalls that cost urology practices the most — and where our specialised billers add the most value.
Cystoscopy Add-On Coding
Cystoscopy (52000) is the base code, but add-ons for biopsy (52204), fulguration (52214), stent placement (52332), and stone retrieval must each be coded separately. Missing add-ons from complex cystoscopy visits represents thousands in lost revenue monthly.
In-Office Procedure Bundling
Urodynamics testing (51725-51797), prostate biopsy (55700), and bladder instillation procedures performed the same day as an office visit face automatic bundling by most payers. We apply modifier -25 with documentation that the E&M was separately identifiable.
Prostate Treatment Coding
Prostate procedures span from in-office UroLift (52441) and Rezum (53850) to robotic prostatectomy (55866) — each with distinct prior auth requirements, device billing rules, and global periods. Procedure selection coding errors on these high-value cases are extremely costly.
Urodynamics Documentation
Urodynamic studies (51725-51797) require separate documentation of each component tested — cystometrogram, uroflowmetry, EMG — and the interpreting physician's findings. Billing the panel code without documenting each component performed triggers denial.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Urology.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Cystoscopy add-on code billed without corresponding primary cystoscopy code
In-office urodynamics billed same day as E&M without modifier -25
Robotic prostatectomy prior auth obtained under wrong CPT code variant
Global period post-op visit billed for surgery-related problem without modifier documentation
Prostate biopsy billed without documenting number of cores and approach
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Urology Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in urology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Urology Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified urology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.