Urology EHR and AI Medical Billing Software

Urology practices do clinic visits, in-office procedures and surgery, often with their own imaging and lab. XEHR connects every step to the claim.

Book an urology demo See pricing

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Waking three times a night to urinate.

N40.1 BPH with urinary symptoms

ReviewSign note

Diagnosis carried to the claimN40.1

THE HARD PARTS

What makes urology billing hard

Procedures and visits on one day

In-office procedures need documentation that separates them from the visit.

Office-administered drugs

Injected drugs need exact dose records to be paid.

Results that need follow-up

Pathology and imaging results must be reviewed and acted on.

WHERE THE WORK HAPPENS

How urology care is delivered and billed

Urologists run busy clinics with many in-office procedures and tests, and operate in hospitals and surgery centers. Office cystoscopy, ultrasound, urodynamics and drug injections for prostate cancer are billed on the professional claim, often with drug lines. Surgery for stones, prostate and cancer is billed with the facility place of service, and lab work for prostate screening follows Medicare preventive rules.

What payers check on urology claims

Office cystoscopy has a 0-day global period; a same-day visit needs a separately documented problem.
Prostate cancer screening blood tests are covered once a year under Medicare for eligible men.
Hormone therapy drugs are billed in their defined units and often require prior authorization.
Urodynamic studies are billed by component, and each component performed must be documented.
Stone and prostate surgery in a facility carries the facility place of service.

Common urology diagnoses ICD-10-CM

N40.1	Benign prostatic hyperplasia with lower urinary tract symptoms
N20.0	Calculus of kidney
C61	Malignant neoplasm of prostate
N39.0	Urinary tract infection, site not specified
N52.9	Male erectile dysfunction, unspecified
R31.9	Hematuria, unspecified

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

An urology visit, start to payment

1
Test in the office

Urinalysis, ultrasound and cystoscopy are documented with findings and billed as their own services.
2
Treat and inject

Hormone injections for prostate cancer record drug, dose and units, with approvals tracked.
3
Book surgery

Stone, prostate and cancer operations are booked with coverage checked and approvals prepared.
4
Bill the day

Visit, tests, procedures and drugs go out on one checked claim with the supporting diagnoses.

How XEHR helps

From the urology visit to the payment

Visit and procedure documented apartThe note supports billing both when appropriate.
Drug details for billingDrug and dose carry onto the claim.
Results in the chartResults are reviewed and follow-up is tracked.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for urology

AI medical billing for urology practices

XEHR is an agentic EHR: AI agents do the administrative work around every urology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Office cystoscopy has a 0-day global period; a same-day visit needs a separately documented problem.
Prostate cancer screening blood tests are covered once a year under Medicare for eligible men.
Hormone therapy drugs are billed in their defined units and often require prior authorization.
Urodynamic studies are billed by component, and each component performed must be documented.

Around the visit

Agents run on their own

Coverage checked before each urology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose an urology EHR

Ask every vendor, including us. The answers show whether a system was built for urology work or only adapted to it.

Ask us on a demo

Can office cystoscopy and a same-day visit both be billed when they qualify?
Are hormone injections billed in units with approvals tracked?
Are urodynamic components documented and billed separately?
Is prostate screening tracked against Medicare’s yearly limit?
Can stone and cancer surgery be booked with approvals prepared?

QUESTIONS

Urology practices ask us

Does XEHR support in-office urology procedures?

Yes. Procedures are documented in the note and billed with the visit when supported.

Can XEHR bill office-administered drugs?

Yes. Drug and dose documented in the note carry onto the claim.

Does XEHR handle in-office urology procedures?

Yes. Procedures and visits are documented separately so each can be billed when it qualifies.

Can XEHR bill prostate cancer injections?

Yes. Drug, dose and units are recorded and carried to the claim, with approvals tracked.

Does XEHR support urology practices with advanced practice providers?

Yes. Each provider documents and bills under their own credentials.

Can lab results be filed to the urology chart?

Yes. Results are filed to the patient record and trended.

How much does XEHR cost for an urology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an urology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for urology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing