Urology Billing Company

Urology
Medical Billing Services

A urology trial and a permanent implant are billed as two different claims, under two different codes, with their own documentation requirements. Treat them as one continuous procedure, and the implant claim fails. Our urology billing services track both phases correctly, the trial and the device, every time.

96%avg. net collection rate across TruCare clients

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Results across TruCare clients

96%

average net collection rate across TruCare clients

>95%

clean claim rate, accepted on first submission

−37%

fewer claim rejections

−38%

days in A/R

Figures reflect TruCare client results across specialties, trailing twelve months.

Why urology practices choose our urology medical billing services

Rated 4.8 / 5

Based on 180+ client reviews

Verified client reviews

Apr 06, 2028

We were still billing the deleted biopsy code

We did not realize our charge master had never been updated. Every prostate biopsy claim for weeks was built on a code that no longer existed.

Dr. Harlan Vossberg, urologist

3 weeks ago

Our Aquablation claims stopped including extra guidance codes

We were still billing ultrasound guidance separately out of habit, and the new code already includes it.

Priscilla Okonkwo, practice administrator

Feb 11, 2028

Our neuromodulation trial and implant finally bill as two distinct things

We were confusing the trial electrode with the permanent generator, and Medicare treats those as two completely different events.

Dr. Montgomery Achebe, urologist

Dec 22, 2027

Our Botox authorization stopped getting denied without appeal

We did not know our state required prior authorization for this specific use, and a missing one meant we had no path to appeal at all.

Marisol Fontaine, billing manager

Nov 05, 2027

One view across diagnostics, procedures, and drugs

Urodynamics, cystoscopy, biopsy, and buy-and-bill drugs, all on one screen instead of four separate habits.

Reginald Osei, operations manager

What we handle, diagnosis to device

View all services

We get your urologists enrolled

TruCred files Medicare, Medicaid, and commercial enrollments and keeps your records current. Revalidation dates are tracked so nothing lapses.

Provider enrollmentPECOS upkeepRevalidation

The code you used for a decade can simply stop existing.

Most specialties see their coding evolve gradually. Urology just absorbed something more disruptive: the single code used for nearly every prostate biopsy for years was deleted outright, replaced by a family of nine codes that require a practice to specify exactly how the biopsy was approached and which imaging guidance was used. A charge master built on the old assumption does not produce a reduced claim. It produces a claim for a code that no longer exists.

Running alongside that is a newly permanent code for a robotic BPH procedure that already bundles its imaging guidance, meaning a billing habit from the prior code’s era now actively overbills by adding a service the new code already includes.

Layered on top of both of those sits a device benefit that pays in two distinct phases. Sacral neuromodulation starts as a trial, billed under its own code, and only becomes a permanent implant, billed under an entirely different code, once the trial demonstrates a specific, measured level of improvement. Treating the two phases as one continuous procedure misrepresents what actually happened and what Medicare actually requires before paying for the permanent device.

A billing company unfamiliar with these specific, current realities will submit claims for codes that have already been retired and miss the exact documentation a device-based benefit like neuromodulation actually requires before it pays at all.

Six places urology revenue goes missing

A deleted prostate biopsy code was still in use

Billing the old, generic code produces a claim for something that no longer exists, regardless of how appropriate the biopsy itself was.

Imaging guidance was billed separately from a bundled procedure code

Several current procedure codes now include guidance that used to be billed on its own, and adding it back as a separate line overbills the claim.

A sacral neuromodulation trial and implant were billed the same way

These are two distinct events under two distinct codes, and treating them as one continuous procedure does not match what Medicare actually requires.

Trial success was not documented to the standard required

Medicare requires a specific, measured improvement during the trial phase before it will pay for the permanent device, and documentation that falls short of that standard puts the implant claim at risk.

Buy-and-bill drug authorization was missing

Certain injectable treatments require prior authorization in specific states, and a missing one can mean the claim has no path to appeal at all.

A newly permanent procedure code was still billed as a temporary one

Continuing to use a retired temporary code after its permanent replacement takes effect produces a claim built on an assumption that no longer holds.

Rated on the platforms that matter

Ratings shown are collected from verified client reviews.

Our service offerings

Every part of a urology practice

Prostate biopsy

Billed under the current approach- and guidance-specific code family, matched precisely to what the operative note actually describes.

BPH treatment, across technologies

Robotic waterjet resection, laser procedures, and other minimally invasive approaches, each billed to its own current code and its own bundling rules.

Cystoscopy and endoscopic procedures

Diagnostic and procedural cystoscopy, billed to the correct code based on whether a biopsy, lesion destruction, or stent placement actually occurred.

Urodynamic testing

Diagnostic testing split correctly between professional and technical components when the two are performed by different parties.

Sacral neuromodulation

Trial and permanent implant phases billed under their own distinct codes, with documentation built to the specific standard Medicare requires before the permanent device is approved.

Buy-and-bill injectable therapy

Prostate cancer and overactive bladder treatments, billed with the state-specific prior authorization each one may require.

Erectile dysfunction treatment, briefly

Largely a direct-pay category, billed outside standard insurance claims when that is how the specific treatment is actually covered.

Urologic oncology, briefly

Cancer-related procedures and drug therapy billed under standard oncology billing principles, with full depth available through a dedicated oncology billing relationship.

What actually makes this work

Billers who track code transitions as they happen, not after a denial

Certified billers on your account update charge masters and claim logic the moment a code is deleted or replaced, rather than discovering the change from a pattern of failed claims.

Trial and implant billing kept genuinely distinct

We track the two phases of neuromodulation separately and confirm the documentation standard is met before the permanent device claim goes out.

No disruption to how your practice already runs

We work from the system your practice already uses. Nobody learns a second one.

What actually causes urology claims to fail

A urology denial is rarely about whether the procedure was necessary. It is often about whether the specific current code was used, whether a bundled service was billed separately by mistake, or whether a device trial met its documented threshold before the permanent claim went out.

Here is what we see most, and how each is caught before it becomes routine.

Curious what your denials are actually costing you?

Send us 90 days and we will show you the pattern.

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The recurring six:

Anatomical model of kidneys, ureters and bladder

Deleted prostate biopsy code still submitted

A claim built on the retired generic biopsy code does not match any code currently in effect.

Bundled imaging guidance billed separately

Adding a guidance code to a procedure that already includes it overbills the claim and invites a denial on the extra line.

Neuromodulation trial and implant confused

Billing the permanent implant code during what was actually a trial, or the reverse, does not match the documented phase of treatment.

Trial improvement threshold undocumented

A permanent implant claim without clear evidence the trial met its required improvement standard puts the entire claim at risk.

Missing state-specific drug authorization

A buy-and-bill claim submitted without a required state-specific authorization can leave the practice with no appeal option at all.

Same-day visit and procedure billed without support

A visit performed alongside a procedure needs documentation showing it was genuinely separate, or one absorbs the other.

The codes your urology revenue runs on

Our urology billing and coding services run on a code set that changed more significantly this year than in recent memory. Our coders check every claim against the current, correct code family before anything goes out.

Walk through your coding with us

The ones that matter most:

55707–55715

Prostate biopsy, by approach and guidance

A family of nine codes replacing the single generic biopsy code used for years, each specifying a particular approach and imaging guidance method.

We connect to the EHR you already use

A urology practice documents through its own charting system, and we do not ask that to change. Whether your practice runs on Epic, athenahealth, or Modernizing Medicine’s EMA, TruCare pulls from whatever platform your practice already uses.

What changes is what gets caught before it becomes a denial. A biopsy claim about to go out under a code that no longer exists. An Aquablation claim about to include a guidance code the procedure already bundles. A neuromodulation claim about to confuse the trial with the permanent implant. Each one surfaces while it can still be corrected.

Check for your system

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Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What actually moved for this specialty this year

The prostate biopsy code family was completely rebuilt

CPT 55700, the single generic code used for prostate biopsy for years, was deleted effective January 1, 2026, replaced by nine new codes distinguishing approach and imaging guidance.

Aquablation became a permanent code

The temporary Category III code for this robotic BPH procedure was replaced by a permanent Category I code, effective January 1, 2026, with imaging guidance now bundled into the procedure itself.

Laser coagulation of the prostate was deleted

This specific BPH treatment code is no longer valid, while laser vaporization and laser enucleation remain active and distinct from each other.

New codes were added for emerging procedures

Codes were introduced for irreversible electroporation of prostate tumors and for a drug-coated balloon delivery approach to BPH treatment.

Sacral neuromodulation remains governed by a strict trial-to-permanent standard

Coverage continues to require documented improvement during a trial phase, measured through voiding diaries, before a permanent device is approved, with certain related procedures subject to a federal prior authorization demonstration.

Several major urology procedures carry defined 90-day global periods

A specific set of high-volume procedure codes continue to carry extended global periods under the current fee schedule, affecting how related follow-up care is billed.

Someone has to track a code set that just changed this significantly

A specialty that deleted its most commonly used biopsy code and replaced a temporary procedure code with a permanent one in the same year needs someone actively confirming every claim against the current rules, not the ones from last year’s charge master.

We track every transition as it happens, and we build it into how your claims are checked before they go out.

In-house vs. outsourced

What one biller cannot track through a code rebuild this significant

A general biller can learn last year’s urology codes well. Updating every claim the moment a code is deleted, distinguishing a device trial from a permanent implant correctly, and tracking state-specific drug authorization requirements is a different, more current kind of attention. Outsourcing urology billing services puts people on this who are already working from this year’s rules, not last year’s.

The question	One in-house biller	TruCare
Prostate biopsy coding	Still using the retired generic code	Built around the current approach-specific family
Aquablation and BPH coding	Guidance sometimes billed separately	Billed correctly under the current bundled code
Neuromodulation trial vs. implant	Sometimes billed the same way	Billed as two distinct, correctly documented events
Buy-and-bill authorization	Filed close to the injection date	Confirmed in advance, state by state
Code transitions	Discovered through a denial pattern	Tracked and applied from the effective date
Same-day visit documentation	Inconsistent	Checked against the note every time
Cost shape	Salary, benefits, training, software	A percentage of collections, so it scales with volume
Staff absence	Billing slows across the practice	Coverage is handled without disruption
Regulatory change	Discovered through a denial	Tracked and built into process ahead of time
Visibility	A report assembled on request	Live, by procedure type and code status

Compare against your numbersCurious where your practice actually stands? Send us 90 days of denials and aging A/R.

Hover a state to see coverage

Where we serve

Urology billing in every state

We work with solo urology practices, multi-provider groups, and practices offering both diagnostic and device-based treatment. As a urologic billing and coding services provider, we track code transitions and state-specific authorization requirements the same way everywhere, since both reshape what a claim actually needs regardless of location.

2026 code transition tracking

Aquablation and BPH billing

Neuromodulation trial and implant billing

Buy-and-bill authorization

Multi-state enrollment

A named account contact

Who we bill every day

Medicare Part B

Diagnostic testing, procedures, and the 2026 code family changes

Medicare Advantage

Authorization rules that differ plan by plan, including for neuromodulation procedures

Medicaid and managed Medicaid

State programs with their own code adoption timelines

BCBS and Anthem

State-specific authorization requirements for certain injectable treatments

Centene family

Molina, WellCare, Amerigroup

Direct-pay patients

Erectile dysfunction treatment and other non-covered services

We bill whatever plans your practice is contracted with. If you are not contracted yet, TruCred handles the enrollment.

Urology billing saver guide

A practice collecting $1.23 million saves up to $42,433 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
TruCare fee (from 2.49% of collections)	—	$30,627	—
Total annual cost	$73,060	$30,627	$42,433

Example: a practice collecting $1.23 million a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation. Software and training costs vary by practice and are not counted. We do not replace your front desk, we take the claims work off it. Larger practices are quoted on volume rather than at the starting rate, so a bigger practice should not scale this example up.

Want this run on your own numbers?

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What a practice gains once the current code set is actually in place

“We had no idea our most-billed procedure code had been retired until the denials started piling up, and even then it took a while to connect the pattern to the actual cause. Once our templates were rebuilt around what is actually current, the difference was not subtle.”

Dr. Harlan Vossberg

Urologist, multi-provider urology practice

UrologyMedical Billing Services