Urology Medical Billing: A Brief Urology Medical Coding Overview

Urology Medical billing is a highly complex Specialty that demands experience-based knowledge and skills to deal with insurance companies. Only a company with well-trained Urology Billing personnel can handle such complexity.

Due to the advanced diagnostic procedures and continually changing technologies, only qualified specialists can manage *urology medical billing*. Complex codes for nearly every procedure are constantly changing because of the discipline’s continuing advancements. Urologists also ignore the billing and coding of their urology services because of their shortage of time. That in the end, hinders the smooth Revenue Cycle Management processes.
Your urology services’ revenue depends on accurate billing, timely follow-up, and account reimbursement. One of the most critical choices medical service providers must make in terms of the business elements is hiring a reliable Urology Medical Billing company.

What is Urology medical coding?

Urology coding is the transformation of urological healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are derived from the documentation in the medical records. Likewise, the transcription of the doctor’s notes, the laboratory, and radiologic test results, etc.
Urology medical billing and coding services involve billing and coding for all diagnoses & treatments provided to correct the urinary system’s dysfunctions and the male reproductive system. Due to the nature of its codes and terminology, billing for urology services might be more complicated than for other specialties.

Urology CPT coding for Surgeries

CPT codes of Urology have been categorized based on the organs like Kidney, Urethra, Bladder, and Male and Female genital organs.

Code Range: 50010-58294
Some of the generally utilized integrated CPT Codes in Urology Medical Billing are the following.

51700: You can record bladder irrigation with therapeutic agents or as a stand-alone restorative therapy using the CPT Code 51700 (Bladder irrigation, lavage, simple, or instillation). For instance, bladder irrigation is a component of more extensive service, such as access to or visually inspecting the urinary system. If so, it cannot be independently reported.
The irrigation of a urinary catheter is part of the global surgical package. It remains illegal to use the 51700 CPT code in order to avoid reporting irrigation of a urinary catheter.

52310: Using a cystoscope, these CPT codes (52315 and 52310) has utilized to remove an indwelling ureteral stent. This procedure involves seeing the stent (CPT Code 52310) and then gripping it with a tool to remove it. Hospitals, ambulatory surgery facilities, and doctors’ offices may perform the procedure.

51701–51703: The total surgical technique includes inserting a urinary bladder catheter. Urinary bladder catheterization (CPT Codes 51701, 51702, and 51703) is not separately reportable with a surgical procedure.

52356: Cystourethroscopy, Ureteroscopy, or Pyeloscopy with Lithotripsy, includes the placement of an indwelling ureteral stent, CPT Code 52356 (e.g., Gibbons or double-J type). However, it also involves performing lithotripsy and inserting an indwelling stent on the same side.

Types of Surgeries in Medical Billing Urology

  • Catheter introduction
  • Excision
  • Laparoscopy
  • Incision/Biopsy
  • Endoscopy (Cystoscopy, Urethroscopy, Cystourethroscopy, etc.,)
  • Transplantation
  • Repairs

ICD-10 CODE (Urology Medical Coding Guidelines)

To reduce insurance denials, ICD-10 codes have generally been applied in accordance with LCD guidelines. The coders utilized the following ICD-10 codes for coding urology procedures.

  • C00 – D49 – Neoplasm
  • N00-N99 – Diseases of the genitourinary system
  • E00 – E89 – Endocrine, nutritional and metabolic diseases
  • R30-R39 – Symptoms and signs involving the genitourinary system
  • Q50-Q56 – Congenital malformations of genital organs

Understanding Urology Medical Billing and Coding Structure

Keep in mind that the patient’s procedure will affect the Urology Billing codes.

For example, the code for successfully treating the patient’s kidney repair would be 0TQ00ZZ.

Once again, the ‘0T’ indicates the technique as a surgical operation on the urinary system. The “Q” defines the root procedure as a repair.
The “0” denotes a right kidney that is undergoing treatment or repair. The following “0” signifies an open-ended procedure. The letter “Z” represents an open healing method. Additionally, this process has no other prerequisites.

After entering the procedure codes, the data then transfers to a billing form and provided to the insurance provider. In order to determine how much of the procedure is covered by the particular patient’s insurance plan, the insurance payer modifies the code.

The insurance provider will subsequently reimburse the designated amount to the urology specialist or facility. And any outstanding balance will be billed by the patient. Rarely, if ever, do patients learn the specific billing code allocated to them for any operations. In general, this is mostly for internal use and documentation.

For individuals who are unfamiliar with the unique codes for particular procedures, coding for urology treatments might be troublesome. If you are familiar with the pattern and the codes, it is simple to identify the procedure, making billing easier.

What is CUC coding?

The Certified Urology Coder (CUC) certificate validates a person’s skill in appropriately assigning codes for urology-related surgical procedures and services.

How do you code Urethroplasty?

Assign “37342-00 1120 Urethroplasty, the single-stage procedure” to the referenced case.

What is CPT code for cystoscopy?

The AAPC assigns CPT® Code 52000 to procedures involving the bladder, such as endoscopy, cystoscopy, urethroscopy, and cystourethroscopy.

What is the CPT code 53410?

CPT® 53410, Under Repair Procedures on the Urethra.
The American Medical Association (AMA) maintains the Current Procedural Terminology (CPT®) Code 53410 as a medical procedural code in the category of Repair Procedures on the Urethra.

Common Medical Errors and Their Consequences

Patients may get medical bills for services they had a year ago due to a lack of staff at medical centers and the inability to handle refused claims physically. There are several reasons for the denial of some claims, including incorrect codes, insufficient documentation, missing data, and legislative restrictions. As a result of the billing problems, a rise in tension has reported between hospital management, employees, and patients.

By working with reliable Medical Billing Companies, your staff can focus on practicing medicine and provide great patient care. We align the interests of the providers with our urology medical billing services. We’ve demonstrated our capacity to develop strategies, scale measures, and boost revenue for medical practitioners worldwide. In addition, we are one of the top Revenue Cycle Management Companies that offer unique services tailored to the mandates of providers. Furthermore, NEO MD provides its clients with free medical billing audits.

What Distinguishes NEO MD As a Urology Medical Billing Outsourcing Partner?

The nuances of Urology Medical Billing are well-understood by NEO MD. If you’re falling behind on your revenue goals, it’s time to contact us for a professional Revenue Cycle Management consultation. Put your setbacks behind you and prepare to launch your Urology practice.

__NEO MD is your best choice for Urology Medical Billing and Coding Outsourcing. It won’t disappoint your trust in us.

What Makes NEO MD the Best Urology Medical Billing Company?

NEOMD stood best among competitors’ Revenue Cycle Management companies due to the following cores;

  • Improve RCM system efficiency with a robust credentialing team.
  • Our experts work hard to reduce your front-end denials by 20%.
  • Provide fortnightly financial and practice overviews.
  • Refunds adjustment and Payment posting to improve the cash flow.
  • Increase the accuracy of fees and collection.
  • Offer internal Medical Billing audits to uncover loopholes.
  • Out of Network Negotiations.
  • We have consistently increased the collection rate for our clients because of the faster processing of accounts receivable and on-time follow-up.
  • Use the latest technology and tools.
  • Provide Urology Medical Billing and collection services that are of high quality and error-free. Offer Services that are easily scalable at all times.

Let’s Schedule a Demo to learn more about how we can improve your medical practice management. Get us at! (info@neomdinc.com) or (929) 502-3636).