Urology CPT Codes for 2023 + Modifiers

Medical practice billing and accuracy is important. If your urology practice’s codes are not accurate, claims could be delayed or even denied. The more accurate your codes, the more collections you can receive.

Urology CPT Code Ranges in 2023

See the urology CPT code updates for 2023:

• 50080 – percutaneous nephrolithotomy, up to 2 cm stone in kidney or renal pelvis
• 50081 – percutaneous nephrolithotomy, larger than 2 cm stone in kidney or renal pelvis
• 55821 – prostatectomy, suprapubic subtotal
• 55831 – prostatectomy, retropubic subtotal
• 55866 – radical prostatectomy, laparoscopic
• 55867 – simple subtotal prostatectomy, laparoscopic
• 50010 – renal exploration
• 51784 – 26 EMG
• 54240 – (TC) plethysmography
• 51741 – (TC) uroflow
• 51736 – (TC) CMG

Urology Modifiers

In medical billing, using modifiers alongside the original CPT code improves accuracy. The more accurate a claim is, the less likely there will be claim denials. Below are the recent additions to the list of modifiers for urology departments:

• -25 – separately identifiable E/M service by the same physician
• 95 – telehealth service
• 93 – synchronous telehealth service
• JW – drug discarded, not administered to any patient
• JZ – no amount of drug is discarded
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

For informational purposes only.