SpecialtiesSurgical
How we see urology billing.
Reviewed by the VisMed surgical billing team
A urologist’s clinic is procedural: cystoscopy, catheter changes, injections, biopsies, urodynamics, imaging. Each is billed beside a visit under modifier 25 rules and with bundling between procedures done together. The volume makes small errors expensive. Prostate biopsies bring pathology hand-offs and specimen-level billing. In-office drug therapies for cancer and bladder conditions bring authorization, units and NDC reporting.
Surgery brings lithotripsy and stone procedures with their bundling and stent rules, cancer surgery with robotics and co-surgeons, and ASC facility claims where the practice owns a center. Advanced imaging and many procedures sit on authorization lists.
VisMed gives urology practices templates that separate visits from procedures, coders who know the cystoscopy and stone bundling families, a pathology reconciliation per specimen, a drug desk for in-office therapies and a case workflow for surgery.
Where urology practices lose money
The patterns we find in the aging and denial history before anything else changes.
Same-day visit and procedure
The visit is billable with modifier 25 when it is significant and separately documented. Routine pre-procedure checks are not. Practices lose visits in one direction and invite audits in the other.Cystoscopy and stone bundling
Cystoscopy with stent placement, ureteroscopy with lithotripsy and stent, and staged stone procedures follow bundling rules that decide the payment. Coders unfamiliar with them lose lines or recoup.Pathology hand-offs
Biopsy cores billed per specimen by the right party, in-house or referred, with the technical and professional components clear. Gaps leave specimens unbilled.In-office drugs
Hormonal therapies, intravesical agents and other in-office drugs require authorization on many plans and exact units and NDC reporting.Urodynamics and imaging components
Multi-channel studies and in-office ultrasound have components and supervision rules that generalist billers apply wrong.
What we do differently for urology
Specialty-matched coders and a denials specialist, working inside your own system.
We give you visit-and-procedure templates
Evaluation and procedure documented distinctly so modifier 25 is applied where it holds.Our urology coders apply the bundles
Cystoscopy, stone and cancer surgery bundling from the report, with a second review on operating room cases.We track pathology and drugs
Specimens tracked to claims; drugs authorized per plan with units and NDC validated and rates compared with cost.Our authorization desk clears imaging and procedures
Authorized against the plan’s criteria ahead of scheduling.
What we bill
The procedure and code families your account team already works in.
Urology billing, asked and answered.
What a physician-owner in this specialty asks on the first call.
How does VisMed handle visits on the same day as cystoscopy?
By billing the visit with modifier 25 only when the note shows a significant, separately identifiable evaluation. VisMed’s templates keep the two distinct so the decision is clear and defensible on every encounter.
Does VisMed know the stone procedure bundling rules?
VisMed codes ureteroscopy, lithotripsy, stent placement and staged procedures from the operative report with the bundling rules and payer edits applied, and a second coder reviews them.
Who bills the prostate biopsy pathology?
Whoever performs each component, and it has to be clear per case. VisMed tracks every specimen to a claim, whether in-house or referred, so nothing is billed twice or missed.
Can VisMed manage in-office drug therapies?
VisMed authorizes per plan and per drug, validates units and NDC against the product, and compares the allowed rate with acquisition so you know the margin before administering.
How does VisMed bill urodynamics?
Multi-channel urodynamic studies are several codes billed together, each with a technical and professional component and supervision requirements. VisMed bills the set from the study report by who owns the equipment and who interprets, and holds the bundling edits per payer.
Also in surgical
General surgery
Global-period tracking and assistant-at-surgery claims.
Orthopedics
Fracture care, implants and DME.
Neurosurgery
Multi-level procedures and co-surgeon billing.
Vascular surgery
Office-based labs and imaging supervision.
Thoracic surgery
Complex globals and critical-care overlap.
Plastic surgery
Reconstructive vs cosmetic separation.
Oral & maxillofacial surgery
Medical and dental claims on one case.
ENT
In-office procedures, audiology and allergy.
Ophthalmology
Eye-code vs E/M choice, injections and ASC.
OB/GYN
Global obstetric packages and gyn procedures.
Ambulatory surgery centers
Facility claims, implants and payer-specific groupers.
Anesthesia
Time units, modifiers and medical direction.
All specialties
The full list, in six groups
See where your urology practice is losing money. Free.
Six months of aging and denials, read by people who bill your specialty every day — quantified as monthly leakage with a recovery estimate. Yours to keep.
or write directly hello@vis.med