PRS CodeMatrixĀ© Pusen DISS™ 2026 Payment Guide
Download the DISS™ Series CodeMatrix©
Use this PRS reimbursement hub to understand professional CPT® reporting logic, facility C-code considerations, documentation language, payer considerations, and common billing pitfalls for cases involving Pusen DISS™ Series single-use ureteroscopes.
Current Version: 03 2026
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What’s Included
- Overview of physician-versus-facility coding logic
- Professional CPT® coding considerations, including 52353 and 52356
- Facility coding guidance for C9761 when supported by documentation and payer policy
- C1747 device reporting considerations for Medicare HOPD claims
- ICD-10-CM diagnosis coding examples for kidney and ureteral calculi
- Documentation language to support suction/vacuum aspiration workflows
- Common physician-side and facility-side billing pitfalls
- Facility denial workflow considerations
Designed For
- Urologists
- Advanced Practice Providers
- Hospital outpatient departments
- Ambulatory surgery centers
- Billing and coding teams
- Practice administrators
- Revenue cycle leadership
PRS Perspective
Pusen DISS™ Series single-use ureteroscopes, including PRO V-1 and PRO 7.5, support ureteroscopy workflows that use direct in-scope suction with irrigation/suction capability and steerable access for vacuum aspiration during stone treatment. Documentation is the hinge: records should identify the exact Pusen DISS™ scope used and state that steerable suction/vacuum aspiration was performed.
Key Coding Takeaway
Physicians report the applicable CPT® ureteroscopy/lithotripsy code based on the professional service performed. Facilities may report C9761 for qualifying HOPD or ASC cases when the procedure and documentation support the full descriptor. For Medicare HOPD claims, C1747 may be reported with the device cost for tracking purposes; Medicare payment for C1747 is expected to be $0. Do not report C1747 on Medicare ASC claims. Commercial payer rules may differ.
