PRS CodeMatrixĀ© DISS® Series Scopes Facility Billing Guide
Download the DISS® Series Scopes Facility Billing Guide
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: Q4 2026
Download DISS® Series Scopes Facility Billing GuideA free PRS Network account is required to access this download. If you are already logged in, the hub will open immediately. If not, you may be asked to log in or create a free account.
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
- Operative note documentation: naming the exact PUSEN DISS® scope used
- 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 — PUSEN DISS® 6.3, PUSEN DISS® 7.5, and PUSEN DISS® 9.2 — are suction-integrated ureteroscopes used for ureteroscopy and stone treatment. Documentation is the hinge: the surgeon’s operative note should name the exact PUSEN DISS® scope used, not merely state that “suction was used.” This language belongs in the operative note only; it does not need to be added to Box 19 of the CMS-1500 or FL 80 of the UB-04.
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.
