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Artwork for Urology Coding and Reimbursement Podcast

Urology Coding and Reimbursement Podcast

Mark Painter, Scott Painter and Dr. Ray Painter
Urology
Medicare
Telehealth
Modmed
Revenue Cycle Management
Medicare Advantage
Government Shutdown
G2211
Cystoscopy
Incident Two Billing
Urology Coding
Urology Practices
Medicaid
Reimbursement
Documentation
2025 CMS Final Rule
C9761
CPT Coding
CPT Codes
Downcoding

The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We ... more

PublishesWeeklyEpisodes291Founded6 years ago
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Health & Fitness

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Artwork for Urology Coding and Reimbursement Podcast

Latest Episodes

June 12, 2026

In this episode, Scott, Mark, Dr. Ray Painter, and special guest Marianne DeSciose discuss the growing wave of payer scrutiny impacting urology practices, including automatic E/M downcoding, stealth denials, medical record requests, ta... more

June 5, 2026

In this episode, Scott, Mark, and Dr. Ray Painter provide an important update on the evolving C9761 reimbursement landscape, including CMS’s decision to revise the code description and introduce a new HCPCS code for suction-enabled uret... more

May 22, 2026

In this episode, Scott, Mark, and Dr. Ray Painter revisit ureteral stent removal and replacement coding after listener feedback highlighted the need for additional clarification on when cystoscopic codes versus fluoroscopic exchange cod... more

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 ... more

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.... more

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 r... more

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... more

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 bre... more

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Recent Guests

Tyler Hamik
Co-founder, Chief Revenue Officer at Docology Health
Docology Health
Episode: UCR 274: Reducing Physician Burnout with AI – The docology Story
Sida Niu
Co-founder and Chief Medical Officer at Docology Health
Docology Health
Episode: UCR 274: Reducing Physician Burnout with AI – The docology Story
Ken Mitchell
A nationally recognized expert in men's health and sexual dysfunction with nearly 30 years of clinical experience.
Pizona MD
Episode: UCR 264: The Future of Urology: Addressing Workforce Challenges and APP Utilization with Ken Mitchell, PA-C
Dr. John Lin
Solo practitioner in Gilbert, Arizona, and founder of the Thriving Urology Practice Facebook Group.
Thriving Urology Practice Facebook Group
Episode: UCR 255: Medicare’s WISeR Program – Prior Auth Comes to Traditional Medicare and Facility Payments for Catheters That Suck
John Lin
Solo practitioner in Gilbert, Arizona and founder of the Thriving Urology Practice Facebook group.
Thriving Urology Practice
Episode: UCR 257: Clearing the Field — Catheters That Suck and Understanding C9761
Dr. Marc Rose
Practicing urologist in Vero Beach, Florida, with a hybrid urology practice combining insurance and concierge models.
Rose Urology
Episode: UCR 256: A Hybrid Urology Practice—Dr. Marc Rose’s Concierge Model Journey
Dr. Peter Bretan
President of the American Association of Clinical Urologists, former president of the California Medical Association
American Association of Clinical Urologists
Episode: UCR 250: Advocacy, Policy, and the Future of Urology with Dr. Peter Bretan
Marianne Descoise
COO of PRS Managed Services
PRS Managed Services
Episode: UCR 229: Takeaways from the Urology Advanced Coding and Reimbursement Seminar in New Orleans
Marianne Desois
COO of PRS Managed Services
PRS Managed Services
Episode: UCR 227: Understanding Recoupments – How to Protect Your Practice’s Revenue

Hosts

Scott Painter
Host of the show
Mark Painter
Co-host of the show
Dr. Ray Painter
Co-host/medical advisor

Top Health & Fitness Podcasts

Talking Points

Recent interactions between the hosts and their guests.

UCR 291: C9761 Update, Intraoperative Consults, and Office-Based Procedure Challenges
Q: Can interoperative consultations be billed when the patient is under general anesthesia?
It depends on the circumstances: if the physician is called to the operating room to provide an opinion at another physician's request and documents a history, limited physical exam, medical decision-making, and a plan, then it can be billed as an E&M code; if the call is for a procedural repair without a consultation, it would be a pure procedure rather than E&M.
UCR 287: Stent Removal & Replacement Codes and Bladder Cancer Maintenance ICD-10 Codes
Q: What should be done when a denial occurs during BCG maintenance therapy treatment, and how should ICD-10 codes be used?
For active bladder cancer treatment you should use bladder cancer codes (C67x family) and avoid unspecific codes like C679; for maintenance, use Z85.51 to indicate personal history if payer accepts it, but some payers require C67x initially due to denial patterns; in such cases, appeal with documentation first, and consider using C67x in the first position if persistent denial occurs, while adding Z codes later to reflect ongoing history; payer-specific rules vary and may necessitate navigation coding rather than strict ICD-10 coding.
UCR 287: Stent Removal & Replacement Codes and Bladder Cancer Maintenance ICD-10 Codes
Q: Can you explain the difference between 50385 and 50387 and when each should be used?
50385 covers removal and replacement of an internally dwelling ureteral stent with radiologic supervision, while 50387 covers removal and replacement of an externally accessible nephro-ureteral catheter, also with radiologic supervision; the key distinction is internal vs external dwelling and access route, which guides code selection.
UCR 285: Bringing More Complex Procedures Into the Office – Is It Worth It?
Q: John, thoughts, comments?
John emphasizes evaluating office-based procedures holistically across clinical, financial, and operational dimensions, ensuring patient selection is appropriate and that the cost and logistics are feasible before implementation.
UCR 277: The New Economics of In-Office Prostate Biopsies
Q: What are the dominant cost drivers when moving to transperineal biopsies in the office?
The major cost drivers are the higher disposable and equipment costs, the need for a transperineal guide, local anesthesia, and the associated workflow changes, rather than large shifts in work RVUs, all of which must be weighed against potential reimbursement gains.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

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Frequently Asked Questions About Urology Coding and Reimbursement Podcast

What is Urology Coding and Reimbursement Podcast about and what kind of topics does it cover?

The show focuses on urology coding, billing, and revenue cycle management with a practical, business-minded angle. Episodes routinely dissect CPT coding changes, payer policies, and implementation strategies for office-based procedures, telehealth, and documentation workflows. Hosts compare different approaches, share real-world experiences, and provide actionable guidance for practices navigating denials, audits, and changing reimbursement landscapes. A notable strength is the consistent inclusion of clinicians and industry experts who translate complex rules into executable steps for practice teams, often supplemented by sponsor-supported tooling that targets EHR/PM and revenue-cycle improvements. Potential listeners who want clearer path... more

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3. Money Meets Medicine
4. AUAUniversity
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How many episodes of Urology Coding and Reimbursement Podcast are there?

Urology Coding and Reimbursement Podcast launched 6 years ago and published 291 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Urology Coding and Reimbursement Podcast?

Recent guests on Urology Coding and Reimbursement Podcast include:

1. Tyler Hamik
2. Sida Niu
3. Ken Mitchell
4. Dr. John Lin
5. John Lin
6. Dr. Marc Rose
7. Dr. Peter Bretan
8. Marianne Descoise

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