I agree, this doesn't sound like preventive medicine and I would not change it just to make the patient happy.
I don't know why a urologist couldn't bill those codes but I have never really seen a service provided by a urologist that qualified. It may be a yearly follow-up, but it was due to a problem.
I am guessing this is going towards a deductible or something to that effect and the patient doesn't want to pay for it, but if you bill it as a well check it would be paid.
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