Urology MSP billing codes


Referred Cases

Code Description Amount
08005 EMERGENCY VISIT - UROLOGY $122.90
08007 VISIT, OFFICE, UROLOGY $38.67
08008 VISIT, HOSPITAL, UROLOGY $42.86
08009 VISIT, HOME, UROLOGY $59.66
08010 CONSULTATION, UROLOGY $89.01
08012 CONSULTATION, REPEAT OR LIMITED, UROLOGY $54.44
08070 TELEHEALTH CONSULTATION - UROLOGY $89.01
08072 TELEHEALTH REPEAT OR LIMITED CONSULTATION/UROLOGY $54.44
08077 TELEHEALTH SUBSEQUENT OFFICE VISIT - UROLOGY $38.67
08078 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - UROLOGY $42.86

Surgical Assistance

Code Description Amount
81194 FIRST SURGICAL ASSIST OF THE DAY-UROLOGY $76.47

Kidney And Perinephrium

Code Description Amount
08100 PERINEPHRIC ABSCESS - DRAINAGE $484.34
08104 NEPHRECTOMY - PARTIAL $1,350.91
08105 NEPHRECTOMY $1,248.95
08106 NEPHRECTOMY - ECTOPIC KIDNEY $875.87
08108 NEPHRECTOMY - THORACO-ABDOMINAL $1,325.42
08109 NEPHRECTOMY - RADICAL WITH GLAND DISSECTION $1,274.43
08110 NEPHRO-URETERECTOMY TO INCLUDE BLADDER CUFF $1,503.98
08112 Open renal biopsy (as an independent procedure) $316.22
08113 SYMPHYSIOTOMY AND NEPHROPEXY OR NEPHRECTOMY IN HORSESHOE KIDNEY $434.81
08114 PYELOPLASTY INCLUDES NEPHROPEXY & MGMT OF ABERRANT VESSELS & NEPHROPEXY $866.47
08116 RUPTURED OR LACERATED KIDNEY-REPAIR OR REMOVAL $1,264.25
08117 NEPHROLITHOTOMY AND/OR PYELOLITHOTOMY $758.42
08118 NEPHROLITHOTOMY OR PYELOLITHOTOMY W X-RAY CONTROL with or without nephroscopy $768.15
08119 NEPHROLITHOTOMY OR PYELOLITHOTOMY W RENAL COOLING with or without X-ray control with or without nephroscopy $739.23
08123 EXTRA-CORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) $222.55
81104 LAPAROSCOPIC PARTIAL NEPHRECTOMY $1,950.06
81105 LAPAROSCOPIC RADICAL NEPHRECTOMY $1,529.46
81110 LAPAROSCOPIC NEPHROURECTERECTOMY $1,879.95

Endo Urology

Code Description Amount
08146 URETEROSCOPY BASKET MANIPULATION URETERAL CALCULUS $513.90
08155 URETERAL STENT-INTERNAL-INSERTION,INCLUDES C&P & $128.48
08168 NEPHROSCOPY & STONE REMOVAL-INCLUDES LITHOPAXY $618.92

Ureter

Code Description Amount
08145 SUBURETERIC ENDOSCOPIC INJECTION FOR (VUR) $177.87
08147 URETEROTOMY,URETERAL LITHOTOMY,UPPER & LOWER $409.61
08148 URETRO-VESICAL REANASTOMOSIS - BILATERAL $1,011.34
08151 URETEROTOMY OR REMOVAL OF STUMP $530.87
08152 URETRO-VESICAL REANASTOMOSIS - UNILATERAL $866.47
08153 URETERAL TAILORING-UNILATERAL,EXTRA TO 08152,08148 $232.58
08154 URETERAL TAILORING-BILATERAL,EXTRA TO 08148 $328.66
08156 URETERO-URETEROSTOMY $662.77
08157 URETERO-CUTANEOUS-ANASTOMOSIS, UNILATERAL $368.09
08158 URETERO-SIGMOID ANASTOMOSIS, BILATERAL $632.05
08159 URETEROLYSIS $550.61
08160 URETER RECONSTRUCTION LOWER SEGMNT BY BLADDER FLAP $917.67
08161 TRANSURETHRAL MANIPULATION OF URETERAL CALCULUS WITH RECOVERY OF CALCULUS $217.40
08163 URETERO-VESICAL ANASTOMOSIS IF URETEROCELE OR URETERAL DUPLICATION $783.72

Urinary Diversion And Cystectomy

Code Description Amount
08170 PREPARATION OF INTESTINAL SEGMENT AND RE-ANASTOMOS $515.76
08173 RADICAL CYSTECTOMY WITH PELVIC LYMPHADENECTOMY $1,906.51
08174 PREP OF INTEST. SEG. REANASTOMOSIS & URETERAL TRANSPLANTATION $1,061.94
08177 CYSTECTOMY AND ILEAL LOOP DIVERSION (includes preparation of intestinal segment and ureteral transplantation - same surgeon) $1,985.38
08178 RADICAL CYSTECTOMY & ILEAL LOOP URINARY DIVERSION $2,391.99
08181 BLADDER AUGMENTATION WITH BOWEL SEGMENT $1,213.49
08182 CONTINENT URINARY DIVERSION $1,481.31
08183 CYSTECTOMY- RADICAL & CONTINENT URINARY DIVERSION $2,790.74
08184 CYSTECTOMY-ISOLATED PROCEDURE W OR WO URETHRECTOMY $1,212.48

Bladder

Code Description Amount
08200 BLADDER FULGURATION WITH CYSTOSCOPY $158.13
08201 CYSTOSTOMY-ISOLATED PROCEDURE $220.24
08202 CYSTOSTOMY BY TROCHAR-ISOLATED PROCEDURE $101.96
08203 CYSTOLITHOTOMY $305.89
08204 CYSTECTOMY - PARTIAL FOR TUMOR OR DIVERTICULUM $711.34
08250 TRANSURETHRAL RESECTION BLADDER, URETHRAL TUMOR & ADJACENT MUSCLE & ELECTROCOAGULATION, AS NESCESSARY $321.78
08251 TRANSURETHRAL RESECTION BLADDER NECK,FEMALE $201.30
08253 Y-V VESICAL NECK PLASTY $343.81
08254 LITHOLAPAXY AND REMOVAL OF FRAGMENTS $280.41
08255 Closure of fistula - suprapubic, vesico-vaginal, vesico-rectal, or vesico-sigmoid $713.74
08256 TRANSURETHRAL RESECTION EXTERNAL URINARY SPHINCTER $278.07
08257 TRANSURETHRAL REMOVAL OF FOREIGN BODY (excluding ureteric stents) $242.75

Urethra

Code Description Amount
08232 Periurethral collagen injections $187.30
08259 STRICTURE URETHRA-1ST STAGE PLASTIC W PEDICLE GRFT $1,019.64
08260 URETHROTOMY, EXTERNAL OR INTERNAL $204.95
08261 URETHROSTOMY $251.70
08262 MEATOTOMY AND PLASTIC REPAIR $106.37
08263 URETHRECTOMY, TOTAL $353.96
08264 STRICTURE OF URETHRA - OFFICE DILATION $19.77
08265 STRICTURE OF URETHRA - DILATION IN HOSPITAL, ISOLATED PROCEDURE, W OR WO ANESTHESIOLOGY $49.38
08266 STRICTURE OF URETHRA - FIRST STAGE PLASTIC REPAIR $1,070.62
08267 STRICTURE OF URETHRA - SECOND STAGE PLASTIC REPAIR $1,019.64
08268 URETHRAL DIVERTICULECTOMY, MALE OR FEMALE $467.02
08269 URETHRAL VALVES-TUR,POSTERIOR $353.92
08272 URETHRA FISTULA (PENILE EXCISION) $305.89
08274 HYPOSPADIAS-1ST STAGE CHORDEE,EXCLUDES URETHROSTOM $374.14
08275 HYPOSPADIAS-SECOND STAGE (PENILE) EXCLUDES URETHRO $480.35
08276 HYPOSPADIAS-PENOSCROTAL,EXCLUDES URETHROSTOMY $1,011.46
08277 HYPOSPADIAS-EPISPADIAS PLASTIC REPAIR,EXCLUDES URE $657.31
08278 SUPRAPUBIC CYSTOSTOMY & PRIMARY REPAIR OF URETHRA $316.22
08282 EXCISION PROLAPSE-URETHRA OR CARUNCLE -INCLUDES CYSTOSCOPY $168.07
08283 Retropubic or transvaginal tape (TVT) or transobturator tape (TOT) operation for urinary incontinence $332.03
81153 MALE SUBURETHRAL SLING, INCLUDING CYSTOSCOPY $713.74
81159 BUCCAL MUSCOSA GRAFT HARVEST, EXTRA $229.42

Penis

Code Description Amount
08296 Insertion of semi rigid or self contained inflatable prosthesis following traumatic or surgical injury $611.78
08297 Deep dissection of intercrural region, with ligation of deep dorsal and cavernosal veins with or without ligation of crural veins (“venous ligation for impotence”) $404.57
08299 RADICAL AMPUTATION OF PENIS $606.84
08300 PRIAPISM: SAPHENO-CAVERNOUS SHUNT $569.16
08301 DORSAL SLIT, ISOLATED PROCEDURE $76.69
08305 SIMPLE AMPUTATION OF PENIS $462.03
08306 CLITORAL RECESSION $252.82
08307 PEYRONIES PLAQUE, EXCISION-WITH REPLACEMENT GRAFT $796.60
08308 FEMORAL AND INGUINAL GLANDS,EXCISION-UNILATERAL $917.67
08309 FEMORAL AND INGUINAL GLANDS,EXCISION-BILATERAL $1,325.53
08312 CIRCUMCISION-EXCLUDES CLAMP OR BELL TECHNIQUE $204.77
08363 Revision of penile prosthesis (includes removal, correction of any mechanical failure, and replacement) $862.64

Prostate

Code Description Amount
08311 PROSTATECTOMY- perineal, suprapubic, retropubic and transurethral approaches $474.92
08314 PROSTATECTOMY- radical perineal retropubic prostate seminal vesiculectomy $1,380.84
08317 ANTI-INCONTINENCE PROCEDURE (ARTIFICIAL SPINCTER) $771.28
08318 PROSTATECTOMY, RADICAL, TO INCLUDE LYMPHADENECTOMY $1,410.23
08319 BALLOON DILATION OF PROSTATE-INCLUDES CYSTOSCOPY $227.26
81305 LAPAROSCOPIC RADICAL PROSTATECTOMY $2,080.06
81310 LAPAROSCOPIC RADICAL PROSTATECTOMY WITH PLND $2,396.16
81311 HOLMIUM LASER ENUCLEATION OF PROSTATE (HOLEP) $948.67

Testis

Code Description Amount
08322 ORCHIDOPEXY - ONE OR TWO STAGES $389.50
08323 EXPLORATION SCROTAL CONTENTS - UNILATERAL $223.25
08324 EXPLORE UNDESCENDED TESTICLE, WITHOUT ORCHIDOPEXY $237.17
08325 Reduction of torsion of testis and spermatic cord repair - bilateral $407.86
08326 TESTICLE - RUPTURED -REPAIR $406.85
08327 TESTIS-BIOPSY $151.50
08328 TESTIS - RECURRENT UNDESCENDED $379.23
08329 ORCHIDECTOMY - SIMPLE $242.52
08330 ORCHIDECTOMY - INGUINAL APPROACH $341.58
08349 RETROPERITONEAL LYMPHADENECTOMY FOR CA OF TESTIS $2,039.27
08354 LYMPHADENECTOMY-RETROPERITONEAL, POST CHEMOTHERAPY $2,319.68

Epididymis

Code Description Amount
08340 EPIDIDYMIS-ABSCESS,INCISION,COMPLETE CARE $195.36
08341 SPERMATOCELE OR HYDROCELE - EXCISION $252.90
08342 EPIDIDYMECTOMY - UNILATERAL $279.07
08343 EPIDIDYMOVASOSTOMY OR RE-ANASTOMOSIS OF VAS,UNILATERAL $778.03
08344 VAS CANNULATION, UNILATERAL OR BILATERAL $126.41
08345 VASECTOMY, BILATERAL $101.51
08346 VARICOCELE RESECTION $392.06
08347 AVULSION PENILE SKIN AND SCROTUM - REPAIR $365.11
08350 URETHRO-VESICAL NECK PLASTY FOR CONGENITAL INCONTINENCE $517.76
08353 PLASTIC REPAIR OF EXOTROPHY & OF BLADDER WITH SKIN $689.95

Diagnostic Procedures

Code Description Amount
00866 DYNAMIC CAVERNOSOMETRY AND AVERNOSOGRAPHY $79.05

Diagnostic Ultrasound

Code Description Amount
08399 Doppler evaluation of penile blood flow wave from evaluation of dorsal and cavernosal arteries. Blood pressure recordings and calculation of penile brachial index $47.43

Other

Code Description Amount
08207 RUPTURED BLADDER REPAIR $713.74
81114 Laparoscopic pyeloplasty, with or without insertion of ureteral stent, includes management of aberrant vessels and nephropexy, cystoscopy or retrograde pyelogram $1,352.04