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
Weekly News
Explore advice and insights to transform urology medical billing, enhancing efficiency and profitability.
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
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
AMA Moves Urology Category III CPT Codes to October 1, 2026
QUICK ANSWER What the AMA Changed on August 7 On August 7, 2026, the AMA updated its Category III code documents to reflect an action taken by the CPT Editorial
Medicare WISeR Model: What Urology Practices in 6 States Need to Know About Prior Authorization
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.
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
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
