Attention: Restrictions on use of AUA, AUAER, and UCF content in third party applications, including artificial intelligence technologies, such as large language models and generative AI.
You are prohibited from using or uploading content you accessed through this website into external applications, bots, software, or websites, including those using artificial intelligence technologies and infrastructure, including deep learning, machine learning and large language models and generative AI.
Reimbursement
The information on this page provides resources for reimbursement of urologic treatments.
Understanding the Reimbursement Process
National Provider Identifier Application
Don't Forget Your NPI. National Provider Identifier (NPI) compliance will go into effect in May 2007, and the Centers for Medicare & Medicaid Services are encouraging all physicians to apply sooner rather than later. The NPI is free and can be applied for online.
Sample Forms
- Consultation Verification Form [pdf]
- Consultation Versus Transfer of Care Flowchart [pdf]
- Transrectal Prostate Ultrasound and Prostate Biopsy Report [pdf]
- Smoking Cessation Worksheet [pdf]
Common Urology Drug Payment
- What is the Average Sales Price (ASP) for Drugs and How does CMS Calculate the ASP Based Payment Limit? [pdf]
- Quarterly ASP Drug Payments Chart [pdf]
Medical Coding
Current Procedural Terminology (CPT)
- New CPT handout [pdf]
International Classification of Diseases Diagnosis Coding
Resources
Coverage Policies
- Botox [xls]
- Coverage for Administration Codes – Part B Drugs [xls]
- MAC/Carrier XIAFLEX Coverage [xls]
- PTNS Coverage [xls]
- Urolift [xls]
advertisement
advertisement