MedCare Billing Solutions specializes in urology billing for solo urologists, group practices, and academic medical centers. Our AAPC-certified coders know every cystoscopy bundling rule, TURP global period, and robotic surgery billing requirement — so your practice collects every dollar it earns.
Urology combines high-volume office procedures with complex surgical cases — each with its own global period, modifier rules, and bundling edits. Practices using general billing staff leave 12–20% of revenue uncollected due to:
The average 3-urologist practice leaves $190,000–$380,000/year in uncollected revenue due to surgical bundling errors, global period violations, and robotic surgery miscoding. MedCare's specialists close that gap.
Our coders are trained on all urological procedure codes — from in-office diagnostics to complex robotic surgeries.
| CPT Code | Procedure | Common Billing Issue |
|---|---|---|
| 52000 | Cystoscopy, diagnostic | Bundled incorrectly with upper urinary tract procedures |
| 52310 / 52315 | Cystoscopy with ureteral catheter/stone removal | Using simple code when complicated criteria met; revenue difference = $400+ |
| 52630 | TURP (transurethral resection of prostate) | Post-op visits billed during 90-day global period causing recoupment |
| 55866 | Laparoscopic radical prostatectomy (robotic) | Missing assistant surgeon billing; robotic add-on (S2900) not billed |
| 50590 | Lithotripsy (ESWL) | Missing radiological supervision code (76000); wrong facility split |
| 51700–51798 | Urodynamics studies | Component codes unbundled incorrectly; missing -TC/-26 modifiers |
| 55700 | Prostate biopsy | Missing ultrasound guidance code (76942) billed separately |
| 54150 / 54161 | Circumcision (newborn/older) | Wrong code for patient age; bundled incorrectly with hospital services |
Real-time eligibility verification and prior authorization for TURP, prostatectomy, nephrectomy, lithotripsy, and all surgical procedures before every case.
AAPC-certified coders with urology subspecialty expertise. We handle in-office procedures, hospital-based surgeries, robotic cases, and urologic oncology billing.
Electronic claim submission within 24 hours. Claims scrubbed against urology-specific NCCI edits and global period rules before every submission.
Specialized urology denial appeal team. We fight global period denials, bundling disputes, and medical necessity denials for surgical cases.
Aggressive AR management. We keep your 90+ day AR below 10% and actively recover aged balances from commercial and government payers.
Full urologist credentialing with Medicare, Medicaid, and commercial payers, plus hospital privilege support. Prevent revenue gaps from enrollment delays.
Get a free, confidential urology billing audit. We'll review your surgical coding, global period management, and in-office procedure billing — and show you what you're leaving on the table.