What Are Urology Billing Services
Urology billing refers to coding, submitting, and managing claims for urology consultations and procedures.
Everything, from diagnostic cystoscopy to prostate surgery, has its very own CPT code, modifier, and rule for documentation. Our experts handle every part of the billing cycle with accuracy and efficiency.
Our Core Urology Billing Services
- Insurance verification and pre-authorization
- Accurate CPT and ICD-10 coding
- Modifier management for proper claim linkage
- Electronic claim submission and tracking
- Denial management and appeals
- HIPAA-compliant data handling
With AccuBill Solutions LLC, you gain a complete partner for smooth financial operations and faster payments.
Our Step-by-Step Urology Billing Process
- Patient Registration and Eligibility Verification
We confirm insurance coverage, benefits, and pre-authorization before services are rendered.
- Accurate Coding and Charge Capture
Each procedure is coded with the correct CPT and ICD-10 codes to reflect medical necessity.
- Claim Review and Submission
All claims are reviewed for accuracy and compliance before being submitted electronically.
- Payment Posting and ERA Processing
Payments are posted using Electronic Remittance Advice (ERA) for full transparency.
- Denial Management and AR Follow-Up
We track, correct, and resubmit denied claims quickly to minimize revenue loss.
- Performance Reporting and Analytics
Monthly reports highlight collection trends, payer performance, and improvement opportunities.
This streamlined process keeps your revenue cycle efficient and compliant.
Urology CPT Codes and Descriptions
Correct coding is the foundation of clean claims and accurate reimbursement.
Common Urology CPT Codes
| CPT Code | Description | Usage |
|---|
| 52000 |
Cystourethroscopy |
Diagnostic endoscopic examination of the bladder and urethra |
| 55899 |
Unlisted procedure, male genital system |
Used for unique or complex urological procedures |
CPT Code 52000 Description
CPT 52000 represents a diagnostic cystourethroscopy, which allows direct visualization of the bladder and urethra.
Accurate documentation must include the reason for the procedure and findings to ensure coverage.
CPT Code 55899 Description
CPT 55899 is an unlisted procedure used when no specific CPT code describes a urological surgery or treatment.
Proper documentation and detailed operative reports are critical for payer approval.
ICD-10 Codes for Common Urology Conditions
| ICD-10 Code | Description |
|---|
| N40.1 | Benign prostatic hyperplasia with lower urinary tract symptoms |
| N20.0 | Calculus of kidney (Kidney stone) |
| N30.0 | Acute cystitis (bladder infection) |
These codes help link medical necessity to each procedure billed under CPT.
Modifiers in Urology Billing
Modifiers provide extra details about a service or procedure. In urology, correct use of modifiers prevents underpayment and denial.
Common Urology Modifiers
| Modifier | Purpose | Description |
|---|
| 25 | Distinct E/M service | Indicates a separate service on the same day as another procedure |
| 26 | Professional component | Used when only the physician’s interpretation is billed |
| 59 | Distinct procedural service | Identifies procedures that should not be bundled |
| TC | Technical component | Used when only equipment, supplies, or technical services are billed |
AccuBill Solutions LLC ensures each modifier is applied correctly, maximizing reimbursement while maintaining compliance.
EHR Integration and Workflow Automation
We integrate with leading Electronic Health Record (EHR) systems such as Athenahealth, AdvancedMD, and Kareo.
Benefits of EHR Integration
- Seamless transfer of patient data to billing systems
- Reduced manual entry and fewer errors
- Real-time tracking of claims and payments
- Better communication between clinical and billing teams
Our billing solutions adapt to your existing workflow, keeping your staff focused on patient care.
HIPAA-Compliant Billing and Data Security
Every process at AccuBill Solutions LLC meets strict HIPAA compliance standards.
We protect patient data through encryption, role-based access, and continuous system monitoring.
Your data security is our top priority, ensuring that both your practice and patients remain fully protected.
How AccuBill Solutions LLC Improves Urology Revenue Cycle Management
Our team specializes in Urology Revenue Cycle Management (RCM) — a complete system designed to increase revenue and efficiency.
Our RCM Strengths
- Eligibility and authorization management
- Accurate coding and modifier application
- Real-time claim tracking and analytics
- Denial trend identification and prevention
- Transparent monthly reporting
We help your practice maintain consistent cash flow with reduced administrative stress.
Why Choose AccuBill Solutions LLC for Urology Billing
- Certified and experienced urology billing professionals
- Complete understanding of urology CPT and ICD-10 coding
- Strong expertise in modifier management and compliance
- HIPAA-compliant and secure systems
- Transparent pricing with no hidden fees
- Nationwide service with strong focus on Miami and St Petersburg, Florida
We treat every client’s billing as our own — ensuring your practice grows confidently.
Frequently Asked Questions (FAQs)
Q1. What are Urology Billing Services?
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They range from coding to claim submission, posting payments, and, specifically in urology practices, denial management.
Q2. What is CPT Code 52000?
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It means a cystourethroscopy, which is an endoscopic investigation of the bladder and urethra.
Q3. What does CPT Code 55899 mean?
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It is for unlisted procedures, male genital system. This is for those when no existing code for the procedure applies.
Q4. Which ICD-10 codes are most common in urology billing?
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N40.1 Benign prostatic enlargement N20.0 Renal and ureteral calculi N30.0 Acute cystitis
Q5. What is the role of modifiers in urology billing?
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Modifiers such as 25, 26, 59, and TC explain a service to provide appropriate payment.
Q6. Is AccuBill Solutions LLC HIPAA compliant?
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Yes, our system and processes are designed with strict HIPAA regulations to safeguard patient data.
Q7. Do you integrate with EHR systems?
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Yes, we work with major EHR platforms for seamless information sharing and reduced manual errors.
Q8. Can your services help reduce claim denials?
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Absolutely. We review every claim before submission, use the appropriate code and modifier applied, and handle denials in an effective manner.
Conclusion – Partner with AccuBill Solutions LLC for Smarter Urology Billing
Urology billing needs minute information on procedures, codes, modifiers, and payer rules. AccuBill Solutions LLC is a professional billing solution that simplifies intricate coding and ensures compliance, enhancing your revenue cycle.
From CPT 52000 to modifier 59, we manage every part of your claim with accuracy and care. Our mission is simple to help your urology practice get paid faster and more reliably.
👉 Contact AccuBill Solutions LLC today to learn how our Urology Billing Services can streamline your billing process and boost revenue across Miami and nationwide USA.
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