CMS Proposes 55% Payment Increase for Prostatic Stent and Major Urology ASC Expansion in 2027
QUICK ANSWER What CMS Proposed on July 2 CMS released the CY 2027 OPPS/ASC proposed rule (CMS-1850-P) on July 2, 2026. For urology practices, three provisions stand out. The CPT 52282 APC reassignment is the most direct payment change. CMS evaluated Medicare outpatient department claims for permanent prostatic stent insertion from January through December 2025 […]
Urology Reimbursement in 2027: Why CMS Projects a 2% Cut and How to Prepare
QUICK ANSWER What CMS Proposed for Urology On July 14, 2026, CMS published the CY 2027 Medicare Physician Fee Schedule proposed rule (CMS-1848-P). The American Urological Association published an initial summary confirming that CMS estimates a net -2% impact on total Medicare charges for urology if the proposals are finalized. The -2% results from several […]
Modifier 50: Bilateral Procedure Billing, Reimbursement and Rules for 2026
QUICK ANSWER What Modifier 50 Covers Modifier 50 applies when a surgeon performs the same procedure on both sides of a paired anatomical structure during a single operative session. The AMA defines it as follows: “Unless otherwise identified in the listings, bilateral procedures that are performed at the same session should be identified by adding […]
How to Find the Right Urology Medical Billing Service
Learn how to choose the best Urology medical billing service for your practice. Discover key traits to look for and where to compare top billing providers.
