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Urology billing

Urology Billing Services

Cystoscopies, prostate biopsies, stone procedures and injectable drugs make urology billing procedure- and drug-heavy. Specialist billers capture it all.

  • Office procedures and diagnostics coded from reports
  • Injectable drugs for prostate cancer billed with correct units
  • Surgical global periods and ASC claims coordinated

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96%
Clean-claim rate target
20%
Revenue often missed on in-office testing
< 35
Days in A/R goal
Overview

Why urology billing needs specialists

Urologists perform many in-office procedures and diagnostic tests, cystoscopy, urodynamics, uroflowmetry, post-void residual measurement and prostate biopsy, that are frequently bundled with each other or with office visits. Knowing which combinations are payable is key to avoiding denials.

Urology practices also administer expensive injectable drugs, especially hormone therapies for prostate cancer, which require correct HCPCS units, NDCs and sometimes prior authorization. Surgical procedures such as ureteroscopy with lithotripsy, stent placement and prostate procedures carry global periods and often take place in ASCs.

A urology billing partner codes procedures accurately, manages drug billing and authorizations, coordinates professional and ASC claims, and tracks global periods so follow-up visits and unrelated procedures are billed correctly.

Why it's hard

Common urology billing challenges

01

In-office procedure bundling

Cystoscopy and diagnostic tests often bundle with each other and with E/M visits.

02

Urodynamics coding

Multiple urodynamic components require correct code combinations and modifiers.

03

Injectable drug billing

Hormone therapies need correct units, NDCs and authorization.

04

Stone procedure coding

Ureteroscopy, lithotripsy and stent placement combinations are complex.

05

Global periods

Post-operative care within global periods requires modifiers for unrelated services.

06

ASC coordination

Facility and professional claims must match.

What's included

What a urology billing partner should handle

  • Benefits and authorization checks
  • Office procedure and diagnostic test coding
  • Urodynamics and imaging billing
  • Injectable drug billing with J-codes and NDCs
  • Surgical and stone procedure coding
  • ASC facility claim coordination
  • Global period tracking
  • Denial management and appeals
  • Patient estimates and statements
  • Provider and procedure revenue reports
Coding focus

Key codes in urology billing

Code(s)What it covers
52000Cystourethroscopy (separate procedure).
52332Cystourethroscopy with insertion of indwelling ureteral stent.
52356Cystourethroscopy with ureteroscopy and lithotripsy, including stent insertion.
55700Biopsy of prostate, needle or punch, any approach.
51741Complex uroflowmetry.
51798Measurement of post-voiding residual urine by ultrasound, non-imaging.
J9217Leuprolide acetate (for depot suspension), 7.5 mg.

Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.

Bundling awareness

Check NCCI edits for urology procedure pairs before billing. Use modifier 59 or X{EPSU} only when procedures are truly distinct and documented as such.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven urology experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their urology experience.

See all companies
5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
Pricing

How much does urology billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
4% - 7%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

Urology billing FAQs

Only when a significant, separately identifiable E/M service is documented, billed with modifier 25.

With the drug’s J-code in the correct units and NDC, plus the injection administration code when appropriate.

Typically with 52356 when stent insertion is included, or other ureteroscopy codes based on the procedure performed.

Yes, many urology billing companies coordinate both professional and ASC facility claims.

Common reasons include bundling of procedures, missing authorizations for drugs and global-period conflicts.

Typically 4% to 7% of collections.

Related billing services

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