Urology MSP billing codes


Referred Cases

Code Description Amount
08005 EMERGENCY VISIT - UROLOGY $120.35
08007 VISIT, OFFICE, UROLOGY $28.50
08008 VISIT, HOSPITAL, UROLOGY $29.50
08009 VISIT, HOME, UROLOGY $45.00
08010 CONSULTATION, UROLOGY $86.25
08012 CONSULTATION, REPEAT OR LIMITED, UROLOGY $45.00
08070 TELEHEALTH CONSULTATION - UROLOGY $85.83
08072 TELEHEALTH REPEAT OR LIMITED CONSULTATION/UROLOGY $45.00
08077 TELEHEALTH SUBSEQUENT OFFICE VISIT - UROLOGY $28.27
08078 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - UROLOGY $28.08

Surgical Assistance

Code Description Amount
81194 FIRST SURGICAL ASSIST OF THE DAY-UROLOGY $75.00

Kidney And Perinephrium

Code Description Amount
08100 PERINEPHRIC ABSCESS - DRAINAGE $475.00
08104 NEPHRECTOMY - PARTIAL $1,300.00
08105 NEPHRECTOMY $1,200.00
08106 NEPHRECTOMY - ECTOPIC KIDNEY $859.00
08108 NEPHRECTOMY - THORACO-ABDOMINAL $1,275.00
08109 NEPHRECTOMY - RADICAL WITH GLAND DISSECTION $1,225.00
08110 NEPHRO-URETERECTOMY TO INCLUDE BLADDER CUFF $1,475.00
08112 RENAL BIOPSY-OPEN (AS AN INDEPENDENT PROCEDURE) $310.13
08113 SYMPHYSIOTOMY AND NEPHROPEXY OR NEPHRECTOMY IN HOR $426.43
08114 PYELOPLASTY INCLUDES NEPHROPEXY & MGMT OF ABERRANT $800.00
08116 RUPTURED OR LACERATED KIDNEY-REPAIR OR REMOVAL $1,200.00
08117 NEPHROLITHOTOMY AND/OR PYELOLITHOTOMY $687.00
08118 NEPHROLITHOTOMY OR PYELOLITHOTOMY W X-RAY CONTROL $687.00
08119 NEPHROLITHOTOMY OR PYELOLITHOTOMY W RENAL COOLING $725.00
08123 EXTRA-CORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) $216.00
81104 LAPAROSCOPIC PARTIAL NEPHRECTOMY $1,912.50
81105 LAPAROSCOPIC RADICAL NEPHRECTOMY $1,500.00
81110 LAPAROSCOPIC NEPHROURECTERECTOMY $1,843.75

Endo Urology

Code Description Amount
08146 URETEROSCOPY BASKET MANIPULATION URETERAL CALCULUS $504.00
08155 URETERAL STENT-INTERNAL-INSERTION,INCLUDES C&P & $125.00
08168 NEPHROSCOPY & STONE REMOVAL-INCLUDES LITHOPAXY $607.00

Ureter

Code Description Amount
08145 SUBURETERIC ENDOSCOPIC INJECTION FOR (VUR) $174.45
08147 URETEROTOMY,URETERAL LITHOTOMY,UPPER & LOWER $387.66
08148 URETRO-VESICAL REANASTOMOSIS - BILATERAL $850.00
08151 URETEROTOMY OR REMOVAL OF STUMP $475.00
08152 URETRO-VESICAL REANASTOMOSIS - UNILATERAL $800.00
08153 URETERAL TAILORING-UNILATERAL,EXTRA TO 08152,08148 $210.00
08154 URETERAL TAILORING-BILATERAL,EXTRA TO 08148 $300.00
08156 URETERO-URETEROSTOMY $650.00
08157 URETERO-CUTANEOUS-ANASTOMOSIS, UNILATERAL $361.00
08158 URETERO-SIGMOID ANASTOMOSIS, BILATERAL $580.00
08159 URETEROLYSIS $540.00
08160 URETER RECONSTRUCTION LOWER SEGMNT BY BLADDER FLAP $900.00
08161 TRANSURETHRAL MANIPULATION OF URETERAL CALCULUS WI $213.21
08163 URETERO-VESICAL ANASTOMOSIS IF URETEROCELE OR URET $717.00

Urinary Diversion And Cystectomy

Code Description Amount
08170 PREPARATION OF INTESTINAL SEGMENT AND RE-ANASTOMOS $475.00
08173 RADICAL CYSTECTOMY WITH PELVIC LYMPHADENECTOMY $1,000.00
08174 PREP OF INTEST. SEG. REANASTOMOSIS & URETERAL TRAN $1,000.00
08177 CYSTECTOMY AND ILEAL LOOP DIVERSION (INCLUDES..) $1,600.00
08178 RADICAL CYSTECTOMY & ILEAL LOOP URINARY DIVERSION $2,000.00
08181 BLADDER AUGMENTATION WITH BOWEL SEGMENT $1,100.00
08182 CONTINENT URINARY DIVERSION $1,162.98
08183 CYSTECTOMY- RADICAL & CONTINENT URINARY DIVERSION $2,420.00
08184 CYSTECTOMY-ISOLATED PROCEDURE W OR WO URETHRECTOMY $503.96

Bladder

Code Description Amount
08200 BLADDER FULGURATION WITH CYSTOSCOPY $155.07
08201 CYSTOSTOMY-ISOLATED PROCEDURE $216.00
08202 CYSTOSTOMY BY TROCHAR-ISOLATED PROCEDURE $100.00
08203 CYSTOLITHOTOMY $300.00
08204 CYSTECTOMY - PARTIAL FOR TUMOR OR DIVERTICULUM $525.00
08250 TRANSURETHRAL RESECTION BLADDER, URETHRAL TUMOR $311.94
08251 TRANSURETHRAL RESECTION BLADDER NECK,FEMALE $155.07
08253 VY VESICAL NECK PLASTY $310.13
08254 LITHOLAPAXY AND REMOVAL OF FRAGMENTS $275.00
08255 FISTULA CLOSURE-SUPRAPUBIC,VESICO-(VAGINAL,RECTAL $700.00
08256 TRANSURETHRAL RESECTION EXTERNAL URINARY SPHINCTER $232.59
08257 TRANSURETHRAL REMOVAL OF FOREIGN BODY (NOT STENTS) $232.59

Urethra

Code Description Amount
08232 COLLAGEN INJECTIONS - PERIURETHRAL $174.45
08259 STRICTURE URETHRA-1ST STAGE PLASTIC W PEDICLE GRFT $1,000.00
08260 URETHROTOMY, EXTERNAL OR INTERNAL $201.00
08261 URETHROSTOMY $201.00
08262 MEATOTOMY AND PLASTIC REPAIR $75.22
08263 URETHRECTOMY, TOTAL $330.00
08264 STRICTURE OF URETHRA - OFFICE DILATION $19.38
08265 STRICTURE OF URETHRA - DILATION IN HOSPITAL $38.77
08266 STRICTURE OF URETHRA - FIRST STAGE PLASTIC REPAIR $1,050.00
08267 STRICTURE OF URETHRA - SECOND STAGE PLASTIC REPAIR $1,000.00
08268 URETHRAL DIVERTICULECTOMY, MALE OR FEMALE $430.00
08269 URETHRAL VALVES-TUR,POSTERIOR $319.00
08272 URETHRA FISTULA (PENILE EXCISION) $300.00
08274 HYPOSPADIAS-1ST STAGE CHORDEE,EXCLUDES URETHROSTOM $335.00
08275 HYPOSPADIAS-SECOND STAGE (PENILE) EXCLUDES URETHRO $440.00
08276 HYPOSPADIAS-PENOSCROTAL,EXCLUDES URETHROSTOMY $975.00
08277 HYPOSPADIAS-EPISPADIAS PLASTIC REPAIR,EXCLUDES URE $600.00
08278 SUPRAPUBIC CYSTOSTOMY & PRIMARY REPAIR OF URETHRA $310.13
08282 EXCISION PROLAPSE-URETHRA OR CARUNCLE -INCLUDES.. $116.30
08283 URINARY INCONTINENCE-RETROPUBIC OPERATION $325.64
81153 MALE SUBURETHRAL SLING, INCLUDING CYSTOSCOPY $700.00
81159 BUCCAL MUSCOSA GRAFT HARVEST, EXTRA $225.00

Penis

Code Description Amount
08296 PENILE PROSTH. INSERTION AFTER TRAUMATIC OR SURG $600.00
08297 DEEP DISSECTION OF INTERCRURAL REGION W LIGATION $387.66
08299 RADICAL AMPUTATION OF PENIS $575.00
08300 PRIAPISM: SAPHENO-CAVERNOUS SHUNT $500.00
08301 DORSAL SLIT, ISOLATED PROCEDURE $75.22
08305 SIMPLE AMPUTATION OF PENIS $430.00
08306 CLITORAL RECESSION $232.59
08307 PEYRONIES PLAQUE, EXCISION-WITH REPLACEMENT GRAFT $612.00
08308 FEMORAL AND INGUINAL GLANDS,EXCISION-UNILATERAL $900.00
08309 FEMORAL AND INGUINAL GLANDS,EXCISION-BILATERAL W O $1,300.00
08312 CIRCUMCISION-EXCLUDES CLAMP OR BELL TECHNIQUE $181.13
08363 PENILE PROSTHESIS-REVISION, INCLUDES REMOVAL,CORRE $800.00

Prostate

Code Description Amount
08311 PROSTATECTOMY, RETROPUBIC, SUPRAPUBIC, PERINEAL, T $465.20
08314 PROSTATECTOMY-RADICAL PERINEAL RETROPUBIC PROSTATE $1,275.00
08317 ANTI-INCONTINENCE PROCEDURE (ARTIFICIAL SPINCTER) $540.00
08318 PROSTATECTOMY, RADICAL, TO INCLUDE LYMPHADENECTOMY $1,350.00
08319 BALLOON DILATION OF PROSTATE-INCLUDES CYSTOSCOPY $222.89
81305 LAPAROSCOPIC RADICAL PROSTATECTOMY $2,040.00
81310 LAPAROSCOPIC RADICAL PROSTATECTOMY WITH PLND $2,350.00
81311 HOLMIUM LASER ENUCLEATION OF PROSTATE (HOLEP) $930.40

Testis

Code Description Amount
08322 ORCHIDOPEXY - ONE OR TWO STAGES $382.00
08323 EXPLORATION SCROTAL CONTENTS - UNILATERAL $200.00
08324 EXPLORE UNDESCENDED TESTICLE, WITHOUT ORCHIDOPEXY $232.59
08325 TESTIS-REDUCE TORSION & REPAIR SPERMATIC CORD-BILA $400.00
08326 TESTICLE - RUPTURED -REPAIR $251.98
08327 TESTIS-BIOPSY $100.00
08328 TESTIS - RECURRENT UNDESCENDED $348.89
08329 ORCHIDECTOMY - SIMPLE $217.00
08330 ORCHIDECTOMY - INGUINAL APPROACH $335.00
08349 RETROPERITONEAL LYMPHADENECTOMY FOR CA OF TESTIS $2,000.00
08354 LYMPHADENECTOMY-RETROPERITONEAL, POST CHEMOTHERAPY $2,275.00

Epididymis

Code Description Amount
08340 EPIDIDYMIS-ABSCESS,INCISION,COMPLETE CARE $175.00
08341 SPERMATOCELE OR HYDROCELE - EXCISION $240.00
08342 EPIDIDYMECTOMY - UNILATERAL $250.00
08343 EPIDIDYMOVASOSTOMY OR RE-ANASTOMOSIS OF VAS,UNILAT $451.31
08344 VAS CANNULATION, UNILATERAL OR BILATERAL $116.30
08345 VASECTOMY, BILATERAL $98.91
08346 VARICOCELE RESECTION $265.00
08347 AVULSION PENILE SKIN AND SCROTUM - REPAIR $310.13
08350 URETHRO-VESICAL NECK PLASTY FOR CONGENITAL INCONTI $465.20
08353 PLASTIC REPAIR OF EXOTROPHY & OF BLADDER WITH SKIN $581.50

Diagnostic Procedures

Code Description Amount
00866 DYNAMIC CAVERNOSOMETRY AND CAVERNOSOGRAPHY $77.53

Diagnostic Ultrasound

Code Description Amount
08399 PENILE BLOOD FLOW-DOPPLER EVALUATION $46.52

Other

Code Description Amount
81114 LAPAROSCOPIC PYELOPLASTY WITH/WITHOUT URETER STENT $1,281.00
08207 RUPTURED BLADDER REPAIR $700.00