Explore advice and insights to transform urology medical billing, enhancing efficiency and profitability.
QUICK ANSWER Why Medicare Now Requires Prior Auth for Urology Procedures Prior authorization has been a standard tool in Medicare Advantage for years, but traditional fee-for-service Medicare largely avoided it.
QUICK ANSWER What Was the CPT 55700 Code Description? CPT 55700 described a prostate biopsy by needle or punch, single or multiple specimens, performed through any approach. It was reported
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
QUICK ANSWER What Does CPT 51798 Cover? CPT 51798 reports a post-void residual (PVR) measurement taken with a handheld, non-imaging ultrasound bladder scanner. The device is placed over the suprapubic
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
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
QUICK ANSWER New to urology procedure coding? Start with our urology CPT coding guide for how these codes fit together, then use this page for the 53200 detail. What CPT
QUICK ANSWER What CPT 52000 Actually Covers CPT 52000 describes a cystourethroscopy, the endoscopic examination of the urethra and bladder using either a flexible or rigid cystoscope. It is a
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