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Urology medical billing services

Urology bills a mix of office procedures, surgery with global periods, in-office testing and drug therapies, with specific rules around cystoscopy, prostate procedures and urodynamics. Accurate procedure coding and global-period management keep revenue intact.

What makes urology billing different

General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether urology claims pay the first time.

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  • Cystoscopy codes (52000–52356) bundle many components; add-on procedures follow specific pairing rules.
  • Urodynamic testing (51725–51798) is billed as a set of component codes, each requiring documentation.
  • Prostate biopsy, vasectomy and lithotripsy carry global periods; follow-up visits inside the global are not separately billable.
  • Drug therapies — BCG, hormone injections — need J-codes, units and often prior authorization.

Denials we see most in urology

Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.

Cystoscopy bundling

Components billed separately denied. NCCI edits applied.

Urodynamics documentation

Component codes denied for missing elements. We check each before billing.

Global period visits

Post-op visits denied. Global periods tracked; modifier 24 only for unrelated care.

How Core MB bills for urology

A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new urology providers runs in the same system, tracked live in your client portal.

  • Procedure coding with NCCI edits and global period tracking.
  • Urodynamics billed as documented component sets.
  • Drug therapy billing with authorization and units.

Everything in the service

The full revenue cycle as standard for urology practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.

  • Insurance verification and eligibility checks
  • Charge entry and specialty-specific coding review
  • Claim scrubbing and electronic submission
  • Payer follow-up on every open claim
  • Denial management and appeals
  • Payment posting and reconciliation
  • Accounts receivable recovery
  • Patient statements and balance support
  • Monthly reporting you can read in five minutes
  • Provider credentialing and payer enrollment

Urology billing questions

Why are cystoscopy claims denied?

Usually bundling: a component billed separately that the base code includes. We apply the edits before submission.

How is urodynamic testing billed?

As a set of component codes, each of which needs its own documentation. We verify the elements before billing.

Do you manage surgical global periods?

Yes, for every procedure, so follow-up visits are billed only when they are genuinely unrelated.

How do we get started with Core MB for urology billing?

Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new urology providers can start at the same time.

Find out what your urology billing is leaving on the table

Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.