Blog

Nitrous Oxide for Office Ureteral Stent Procedures (2026 CPT Guide)
The Doersch office series of 565 stent placements with nitrous oxide reported no anesthetic complications and better outcomes than the OR. This guide covers the evidence, patient selection, workflow, and 2026 CPT 52332, 52310, and 52315 reimbursement.

Nitrous Oxide as a Comfort Adjunct for Office Vasectomy
The AUA vasectomy guideline permits anesthesia adjuncts when local ± oral sedation is inadequate. This guide explains where nitrous oxide fits as a cash-pay comfort service, the CPT 55250 reimbursement structure, and how to frame the offering without unsupported efficacy claims.

Nitrous Oxide Analgesia in Office Urology: A Clinical and Operational Guide
How to run an office nitrous oxide analgesia program in urology within the ASA minimal-sedation boundary — clinical evidence, contraindications, scavenging, workflow, and the cash-pay reimbursement reality.

Offering Office Nitrous Oxide as a Cash-Pay Comfort Service: ASA Classification, Consent, and Practice Setup
How to set up a compliant cash-pay nitrous oxide comfort service in a urology office — ASA classification, Good Faith Estimate under the No Surprises Act, consent, staffing, and workflow.

Nitrous Oxide for Flexible Cystoscopy in the Office Urology Setting
Office flexible cystoscopy has the deepest peer-reviewed evidence base for nitrous oxide analgesia in urology. This guide covers the clinical case, RCT evidence, patient selection, room setup, workflow, and cash-pay reimbursement anchored to CPT 52000.

Nitrous Oxide for Prostate Biopsy in Office Urology (2026 CPT Update)
The 2026 CPT restructure deleted 55700 and created a new prostate biopsy code family (55705-55715) that bundles imaging guidance. This guide covers the current RCT evidence for office nitrous oxide, patient selection, workflow, and cash-pay reimbursement.

Bladder Scanners for Primary Care & Internal Medicine: BPH Triage, Retention Workup, and Scanner Selection
A clinical and purchasing guide for primary care and internal medicine physicians evaluating in-office bladder scanners for BPH/LUTS triage, urinary retention workup, and CPT 51798 billing — covering the Caresono HD2, HD3, and MDPro M4.

The Pessary Assistant Tool: Clinical Uses, Technique, and When to Reach for It
A practitioner-grade clinical guide to the Pessary Assistant tool — device anatomy, compatible ring-family pessary shapes, step-by-step insertion and removal technique, patient selection criteria, sterilization protocol, and a quick-reference decision table for common clinical scenarios.

