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Accurate professional-fee coding in urology requires careful alignment between clinical documentation, CPT®/ICD-10-CM code selection, payer rules, modifier use, and medical necessity. This webinar will provide a practical review of common urology services—including evaluation and management visits, diagnostic testing, cystoscopy and related endoscopic procedures, prostate procedures, stone management, and urodynamic studies—with emphasis on the documentation details needed to support correct coding and appropriate reimbursement.

Through coding tips and real-world case studies, attendees will learn how to identify common risk areas such as incomplete procedure notes, incorrect cystoscopy code selection, inappropriate modifier assignment, global-period errors, and insufficient support for diagnostic or therapeutic services. The session is designed to help coders, billers, auditors, and practice leaders improve claim accuracy, reduce avoidable denials, strengthen compliance, and apply urology-specific coding guidelines with greater confidence in day-to-day workflows.

Learning Objectives

• How do coders select the correct CPT® codes for common urology professional-fee services, including E/M visits, cystoscopy, prostate procedures, stone management, and urodynamic testing?
• What documentation elements are needed to support medical necessity, procedure specificity, laterality, diagnostic findings, and the level of service billed?
• When should common urology modifiers—such as 24, 25, 50, 57, 58, 59/XS, 78, and 79—be applied to support compliant billing and avoid inappropriate bundling?
• What are the most common urology coding and billing errors that lead to denials, underpayment, compliance risk, or avoidable appeals?
• How can real-world case studies be used to strengthen code selection, documentation review, modifier decision-making, and claim accuracy in day-to-day urology workflows?

Why is this topic timely/important?

This topic is timely because urology professional-fee coding continues to change rapidly, with 2026 updates affecting areas such as prostate biopsy coding, advanced prostate procedures, minimally invasive services, modifier use, and documentation expectations. As urology practices manage a high volume of procedure-based services—often combining E/M visits, diagnostic testing, endoscopic procedures, and surgical care—small coding or documentation errors can quickly lead to denials, delayed reimbursement, underpayment, or compliance exposure.

The topic is also important because payers and government programs continue to focus on improper payments tied to insufficient documentation, medical necessity, and incorrect coding. Strengthening urology-specific coding knowledge helps coders, billers, auditors, and practice leaders reduce avoidable claim errors, support accurate reimbursement, and ensure services are billed in a way that reflects both payer rules and the clinical care provided.

Who would benefit from this topic?

• Medical coders working with urology professional-fee services
• Medical billers and billing specialists responsible for urology claims
• Coding managers, billing managers, and revenue cycle leaders
• Auditors and compliance professionals reviewing urology documentation and claims
• Urology practice managers and administrators overseeing coding, billing, and reimbursement workflows
• Urology providers, APPs, and clinical documentation staff who support accurate procedure and E/M documentation