Urology CPT Codes and Modifiers for 2025
May 29, 2025
Urology billing involves a mix of office visits, diagnostic procedures, surgeries, and preventive care—making precision critical. Using the correct Urology CPT codes and modifiers for 2025 ensures accurate reimbursement for everything from prostate exams to complex stone removals.
Evaluation & Management (E/M) Codes
| CPT Code | Description |
|---|---|
| 99202–99205 | New patient office visits (levels 2–5) |
| 99212–99215 | Established patient office visits (levels 2–5) |
| 99221–99223 | Initial hospital care |
| 99231–99233 | Subsequent hospital care |
Common Urology Office Procedures
| CPT Code | Description |
|---|---|
| 51701 | Insertion of non-indwelling bladder catheter |
| 51702 | Insertion of temporary indwelling catheter (simple) |
| 51703 | Insertion of temporary indwelling catheter (complicated) |
| 52000 | Cystoscopy (diagnostic) |
| 52204 | Cystoscopy with biopsy |
| 52224 | Cystoscopy with fulguration of bladder lesion |
| 51798 | Post-void residual measurement |
| 54150 | Circumcision using clamp or device |
Urology Diagnostic Testing
| CPT Code | Description |
|---|---|
| 81002 | Urinalysis, non-automated |
| 81003 | Urinalysis, automated |
| 51741 | Complex uroflowmetry |
| 51784 | EMG studies of anal or urethral sphincter |
| 76856 | Pelvic ultrasound, complete |
| 76857 | Pelvic ultrasound, limited or follow-up |
| 51727 | Complex cystometrogram |
Common Surgical Procedures in Urology
| CPT Code | Description |
|---|---|
| 50590 | Lithotripsy, extracorporeal shock wave |
| 52332 | Cystoscopy with ureteral stent placement |
| 52601 | Transurethral resection of prostate (TURP) |
| 54161 | Repair of incomplete circumcision |
| 55250 | Vasectomy |
| 50700 | Ureterostomy |
Urology Billing Modifiers
| Modifier | Description |
|---|---|
| -25 | Significant, separately identifiable E/M service |
| -59 | Distinct procedural service |
| -76 | Repeat procedure by same provider |
| -LT / -RT | Left side / Right side |
| -52 | Reduced service |
| -GC | Resident under supervision |
Common ICD-10 Codes for Urology
| ICD-10 Code | Description |
|---|---|
| N40.0 | Benign prostatic hyperplasia |
| N20.0 | Kidney stone |
| R32 | Unspecified urinary incontinence |
| N39.0 | Urinary tract infection |
| C61 | Prostate cancer |
| R31.9 | Hematuria, unspecified |
| Z12.5 | Prostate cancer screening |
Urology Billing Tips for 2025
- Use -25 when E/M visit and procedure are both separately documented.
- Apply -59 carefully to distinguish separately reportable procedures.
- Use -LT and -RT for procedures involving paired organs (kidneys, ureters, testes).
- Document medical necessity clearly for all diagnostic tests and procedures.
Final Thoughts
With frequent office procedures, diagnostic testing, and complex surgical care, urology billing demands precision. Mastering Urology CPT codes and modifiers for 2025 will help your practice maximize reimbursement, prevent denials, and remain audit-ready.
For informational purposes only.
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