Urology Coding and Reimbursement Podcast

UCR 289: Live from the AUA – Innovation, New Technology, and the Reimbursement Challenge

May 15, 2026 In this special live episode from the AUA Annual Meeting in Washington, D.C., Scott, Mark, and Ray Painter share highlights from the AUA Innovation Nexus program, where emerging companies, investors, and industry leaders are working to bring new urology technologies to market  . The discussion focuses on the growing importance of reimbursement strategy early in product development, the operational and financial realities practices must consider before adopting new technology, and why collaboration between innovators, physicians, and practice teams is critical for success. The episode also explores how efficiency, workflow, and return on investment increasingly drive whether promising technologies ultimately make it into everyday urology practice.  PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub] Botox LCD Alert Download the Alert [https://prs.mykajabi.com/resource_redirect/downloads/file-uploads/sites/87385/themes/2165170340/downloads/eed805-b468-e746-8bc-06d8c676416_PRSAlert_Botulinum_Toxin_Injections_Bladder_2-24-26_Final_1.docx] Free In-Office Prostate Biopsy Calculator (Suppoted by UC-Care) Download Now [https://www.prsnetwork.com/prscm-uccare] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info]   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp [https://www.prsnetwork.com/joinuptp] http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]

UCR 288: New Technology in Urology – Don’t Let Reimbursement Be an Afterthought

May 8, 2026 In this episode, Scott, Mark, and Dr. Ray Painter discuss the growing wave of innovation in urology and why reimbursement strategy must be part of the conversation from day one. Ahead of the AUA Innovation Nexus meeting in Washington, D.C., the team explores how new technologies move from concept to clinical adoption—and the reimbursement hurdles that can slow that process down. The discussion covers coding, coverage, payer adoption, workflow planning, AI-driven practice tools, and the importance of building a realistic business plan before introducing new technology into a practice. The key takeaway: exciting technology alone is not enough—successful adoption requires clinical value, operational readiness, and a clear reimbursement strategy.  PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub] Botox LCD Alert Download the Alert [https://prs.mykajabi.com/resource_redirect/downloads/file-uploads/sites/87385/themes/2165170340/downloads/eed805-b468-e746-8bc-06d8c676416_PRSAlert_Botulinum_Toxin_Injections_Bladder_2-24-26_Final_1.docx] Free In-Office Prostate Biopsy Calculator (Suppoted by UC-Care) Download Now [https://www.prsnetwork.com/prscm-uccare] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info]   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp [https://www.prsnetwork.com/joinuptp] http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]

UCR 287: Stent Removal & Replacement Codes and Bladder Cancer Maintenance ICD-10 Codes

May 1, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down key differences between ureteral stent removal and replacement codes—50385, 50387, and 50688—highlighting how anatomy, access (internal vs. external), and the requirement for radiologic supervision drive proper code selection. They also tackle a growing issue with ICD-10 coding for bladder cancer, where the correct use of “history of” codes during BCG maintenance therapy is leading to unexpected payer denials. The discussion explores when to follow strict coding guidelines versus when payer-specific rules may require strategic adjustments. The takeaway: understanding both the technical details of coding and the realities of payer behavior is essential to avoiding denials and protecting revenue.  PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub] Botox LCD Alert Download the Alert [https://prs.mykajabi.com/resource_redirect/downloads/file-uploads/sites/87385/themes/2165170340/downloads/eed805-b468-e746-8bc-06d8c676416_PRSAlert_Botulinum_Toxin_Injections_Bladder_2-24-26_Final_1.docx] Free In-Office Prostate Biopsy Calculator (Suppoted by UC-Care) Download Now [https://www.prsnetwork.com/prscm-uccare] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info]   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp [https://www.prsnetwork.com/joinuptp] http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]

UCR 286: C9761 Clarified – What Actually Qualifies and What’s at Risk

April 24, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the latest guidance on HCPCS code C9761 and the growing confusion around what qualifies for payment under this new technology APC. They walk through key interpretations from the AHA, AMA, and MACs, highlighting the critical distinction between steerable ureteral catheters, scopes, and access sheaths—and why that difference can determine whether a case is paid or denied. The discussion emphasizes the importance of precise physician documentation, understanding device labeling, and verifying payer-specific policies before billing. The takeaway: while new technology offers higher reimbursement potential, it also introduces real risk—making clarity, compliance, and payer alignment essential.  PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub] Botox LCD Alert Download the Alert [https://prs.mykajabi.com/resource_redirect/downloads/file-uploads/sites/87385/themes/2165170340/downloads/eed805-b468-e746-8bc-06d8c676416_PRSAlert_Botulinum_Toxin_Injections_Bladder_2-24-26_Final_1.docx] Free In-Office Prostate Biopsy Calculator (Suppoted by UC-Care) Download Now [https://www.prsnetwork.com/prscm-uccare] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info]   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp [https://www.prsnetwork.com/joinuptp] http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]

UCR 285: Bringing More Complex Procedures Into the Office – Is It Worth It?

April 17, 2026 In this episode, Scott, Mark, and Dr. John Lin tackle a deceptively simple question: does it make sense to perform more complex procedures—like Optilume and other minimally invasive treatments—in the office setting? The discussion breaks down the three critical pillars every practice must evaluate—clinical fit, financial viability, and operational execution—while highlighting key factors such as reimbursement, equipment costs, anesthesia logistics, staffing, and workflow efficiency. They also explore opportunity cost, geographic variability, and how in-office procedures can improve both patient experience and physician productivity when done right. The takeaway: success requires a fully developed plan—because bringing procedures in-house is never just a simple yes or no decision.  PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub] Botox LCD Alert Download the Alert [https://prs.mykajabi.com/resource_redirect/downloads/file-uploads/sites/87385/themes/2165170340/downloads/eed805-b468-e746-8bc-06d8c676416_PRSAlert_Botulinum_Toxin_Injections_Bladder_2-24-26_Final_1.docx] Free In-Office Prostate Biopsy Calculator (Suppoted by UC-Care) Download Now [https://www.prsnetwork.com/prscm-uccare] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info]   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp [https://www.prsnetwork.com/joinuptp] http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]