PRS CodeMatrixĀ©: Axis II Clerixā„¢
Practical coding, documentation, billing, and reimbursement guidance for the Dornier Axis II Clerixā„¢.
Download the Axis II Clerixā„¢ CodeMatrixĀ©
Access a practical PRS reimbursement tool designed to help physicians, facilities, coding teams, and revenue cycle professionals understand the coding, documentation, billing, and payer considerations associated with the Dornier Axis II Clerixā„¢.
Current Version: Q3 2026
Whatā€™s Included
- Physician coding guidance for ureteroscopy and lithotripsy procedures
- Facility coding guidance for HOPD and ASC claims
- C9761 reporting requirements for qualifying Axis II Clerixā„¢ cases
- Guidance for cases using Axis II Clerixā„¢ with HOOVER FANS
- Medicare and commercial-payer device-code considerations
- ICD-10-CM examples for kidney and ureter stones
- Documentation language supporting suction and vacuum aspiration
- Charge-capture, authorization, and denial-risk considerations
Designed For
- Urologists
- Advanced Practice Providers
- Professional coding and billing teams
- Facility coding and charge-capture teams
- Practice administrators
- Revenue cycle leadership
- ASC and hospital outpatient department stakeholders
Key Q3 2026 Coding Takeaways
Physician Reporting
Physicians report the applicable CPTĀ® ureteroscopy and lithotripsy service, commonly 52353 or 52356, based on the work documented. C9761 is not reported on the physician professional claim.
Facility Reporting
HOPDs and ASCs may report C9761 when the Axis II Clerixā„¢ is used during ureteral lithotripsy and the documentation supports the full code requirements, including use of a suction-integrated ureteroscope or steerable ureteral catheter with vacuum aspiration.
Axis II Clerixā„¢ Used With HOOVER FANS
When Axis II Clerixā„¢ and the HOOVER FANS suction-enabled ureteral access sheath are used during the same case, the facility reports C9761 as the procedure code. C9761 and C8014 should not be reported together on the same claim.
Device Reporting
- Medicare HOPD: Report C1747 for the single-use Clerix scope. Add C1889 when the HOOVER FANS sheath is also used. Device payment is packaged for 2026, but the device charge should still be reported.
- Medicare ASC: C1747 and C1889 are not required.
- Commercial payers: C1747, C1889, and revenue code 0278 may be required depending on payer policy and site of service.
Documentation Matters
The operative record should clearly identify:
- The Axis II Clerixā„¢ by its full device name
- The ureteroscopy, pyeloscopy, and lithotripsy services performed
- Use of the suction-integrated ureteroscope or steerable ureteral catheter
- Vacuum aspiration of stone fragments, dust, debris, or fluid
- Laterality, stone location, stone burden, treatment performed, and outcome
- Use of HOOVER FANS, when applicable
Procedure performed using the Dornier Axis II Clerix suction-integrated single-use ureteroscope with lithotripsy, suction/irrigation capabilities, and steerable ureteral catheterization for vacuum aspiration of stone fragments and dust.
PRS Perspective
The Dornier Axis II Clerixā„¢ is a suction-integrated, single-use ureteroscope that may also function as a steerable ureteral catheter, establishing a conduit for irrigation and aspiration during ureteral lithotripsy. It may be used alone or together with the Dornier HOOVER FANS suction ureteral access sheath.
Successful reimbursement depends on matching the physician documentation, facility record, supply log, charge capture, authorization, and claim coding. Practices and facilities should verify payer-specific requirements before implementing a broad billing process.
PRS CodeMatrixĀ© resources are educational tools and do not guarantee coverage, payment, or payer acceptance. Always confirm current payer policies, contract requirements, claim edits, authorization rules, and site-of-service guidance.
