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Urology billing services · Procedures · Drugs · ASC
PhysiAssist runs billing for urology practices: office procedures, drug administration for prostate and bladder cancer, surgery in the ASC, and imaging, urodynamics and in-house lab. We bill every drug by its units and dose schedule, code procedures to the bundling rules, and keep authorizations ahead of each injection.
Prostate cancer drug units
Try itDrug line
Administration
Next dose due
HCPCS units from label doses; your physician's order rules
The basics
Urology billing services manage the revenue cycle of a urology practice: office procedures, drug administration for prostate and bladder cancer, surgery and ASC claims, imaging, urodynamics and in-house lab, payment posting, denials and AR. In urology the drug lines carry a large share of revenue, and a wrong unit count or a lapsed authorization costs the most.
Cystoscopy, prostate biopsy, vasectomy and stent changes, coded to the bundling rules.
Leuprolide, triptorelin, degarelix and BCG billed by unit and dose schedule.
Lithotripsy, ureteroscopy and TURP for the surgeon and the facility.
Ultrasound, urodynamics, post-void residual and in-house urinalysis.
What we check
| Codes | What they cover | What we check |
|---|---|---|
| 52000 · 52332 · 52204 | Cystoscopy, with stent, with biopsy | The most complete procedure coded and NCCI bundling applied |
| 55700 · 76872 | Prostate biopsy, transrectal ultrasound | Guidance, core count documentation and same-day pairing rules |
| J9217 · J1952 · J3315 · J9155 | Leuprolide, Camcevi, triptorelin, degarelix | Units from the dose, the dose interval, JZ and authorization |
| 96402 | Hormonal anti-cancer injection | Administration billed with each drug line |
| J9030 · 51720 | BCG and bladder instillation | Each instillation in the induction and maintenance schedule |
| 50590 · 52356 · 52601 | Lithotripsy, ureteroscopy with lithotripsy, TURP | Laterality, stent bundling and ASC facility claims |
| 51728 · 51798 · 81001 | Urodynamics, post-void residual, urinalysis | Components, frequency and lab certification |
Free urology billing audit
Send us a recent month of procedure, drug and imaging claims. A certified coder checks every one and sends a written report you keep, whether or not you work with us.
Claims reviewed
290With an issue
22Dollar impact
$15,900What the report covers
Office, infusion and surgery
A urology practice bills procedures in the office, drugs in the injection room and surgery in the ASC. We bill all three and keep each one matched to the authorization behind it.
The systems we work in every day
We log in to your system; nothing about it changes for your team.
Claims, rejections and remittances worked through your clearinghouse.
Submissions, status checks and renewals in each payer's own portal.
Pricing
One rate of 2.8% to 5% of net collections, quoted in writing before you sign. Where you land depends on monthly collections, specialty mix, the scope of services, and your AR backlog and payer mix.
The rate covers medical coding, claim submission, payment posting, denials and AR follow-up. Front desk services, prior authorization, the reporting dashboard, patient statements, credentialing and digital marketing are quoted separately.
See full pricing and estimate your rate →Eligibility and prior authorization, coding of office visits and procedures such as cystoscopy, prostate biopsy and vasectomy, drug administration for prostate and bladder cancer, lithotripsy, ureteroscopy and TURP, ASC claims, imaging, urodynamics and in-house lab, payment posting, denials, AR follow-up and patient billing.
Both are billed with J9217 per 7.5 mg: a 22.5 mg three-month dose is 3 units and a 45 mg six-month dose is 6 units, with administration code 96402, diagnosis C61 and JZ when nothing is discarded. Camcevi has its own code, J1952, billed per 1 mg.
Diagnostic cystoscopy (52000) is included when a more extensive cystoscopic procedure is done the same session, such as stent placement or biopsy. We code the most complete procedure and only add what the NCCI rules allow.
BCG is billed per instillation with J9030 and the bladder instillation code 51720, with each treatment in the induction and maintenance schedule documented.
Yes. Lithotripsy, ureteroscopy, TURP and other procedures done in an ASC are billed on both the surgeon and facility side. See our ASC billing services.
Yes. Urodynamic studies, bladder and prostate ultrasound, post-void residual and urinalysis are billed with the right components, frequency rules and lab certification.
PhysiAssist charges 2.8% to 5% of net collections for coding, claims, payment posting, denials and AR, quoted in writing before you sign.
We review recent procedure, drug and imaging claims and send a written report: drug units and codes, administration codes, cystoscopy bundling, imaging components, denials by root cause and the dollar value of each.
A free urology billing audit by a certified coder, with a written report you keep.