TURBT CPT Code: Bladder Tumor Resection Billing Guide for Urology
QUICK ANSWER What TURBT Is and Which CPT Codes Apply TURBT stands for transurethral resection of bladder tumor. It is one of the most common surgical procedures in urology, performed
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Explore advice and insights to transform urology medical billing, enhancing efficiency and profitability.
FY 2027 ICD-10 Code Update Takes Effect October 1 and Urology Practices Need to Prepare
QUICK ANSWER What Changed in the FY 2027 Code Set CMS published the FY 2027 ICD-10-CM code set in June 2026, with an effective date of October 1, 2026. The
Site-Neutral Imaging Payment 2027: CMS Proposes 60% Cut for Hospital Outpatient Imaging in Urology
QUICK ANSWER How Does Site-Neutral Imaging Payment Work? Under current Medicare payment rules, the same imaging service can generate significantly different reimbursement depending on where it is performed. An ultrasound
CMS Proposes Major RPM and RTM Billing Changes for 2027: What Urology Practices Must Know
QUICK ANSWER What Changed in the 2027 Proposed Rule On July 14, 2026, CMS released the CY 2027 Medicare Physician Fee Schedule proposed rule (CMS-1848-P), which includes the most significant
CPT Code 52204: Cystourethroscopy with Biopsy Billing Guide for 2026
QUICK ANSWER What CPT Code 52204 Covers CPT code 52204 is defined by the American Medical Association as “Cystourethroscopy, with biopsy(s).” It sits within the transurethral bladder and urethra surgical
CPT 52601: TURP Billing, Modifiers, and Reimbursement in 2026
QUICK ANSWER What CPT 52601 Covers CPT 52601 reports a complete transurethral electrosurgical resection of the prostate. The procedure uses a resectoscope inserted through the urethra to remove obstructing prostate
CMS Electronic Prior Authorization Rules for 2027: What Urology Practices Need to Know
QUICK ANSWER What Changed Under CMS-0057-F CMS finalized the Interoperability and Prior Authorization rule (CMS-0057-F) in January 2024, setting a phased compliance timeline that lands its heaviest requirements in early
G2211 Is Being Deleted: What Urology Practices Need to Know About the 2027 Modifier Change
QUICK ANSWER What G2211 Actually Does in Urology Billing G2211 is the HCPCS Level II add-on code for visit complexity inherent to evaluation and management services. CMS created it to
N39.0 ICD-10 Code: Billing Urinary Tract Infection, Site Not Specified, the Right Way in 2027
QUICK ANSWER When Should You Actually Use N39.0? Use N39.0 only when the provider confirms a urinary tract infection but the record does not localize it to the bladder, kidney,
N32.81 ICD-10 Code: Overactive Bladder Billing Guide (2026)
QUICK ANSWER What Documentation Supports N32.81? N32.81 is supported only when the clinical note documents urinary urgency, typically alongside daytime voiding frequency and nocturia. Because payers review the full record
