PRS CodeMatrix© DISS® Series Payment Guide
Download the DISS® Series Payment Guide
Use this PRS CodeMatrix© guide for physician CPT® codes, payments, and RVUs; ASC and HOPD coding and Medicare payment rates; device-code reporting; and operative note documentation for cases involving Pusen DISS® Series single-use ureteroscopes.
Current Version: Q4 2026
Download DISS® Series Payment GuideWhat’s Included
- What changed for Q4 2026 (effective October 1, 2026)
- Physician CPT® codes, Medicare payments, and RVUs, including 52353 and 52356
- ASC coding and payment for C9761 (device-intensive, payment indicator J8)
- HOPD coding and payment for C9761 (comprehensive APC, status indicator J1)
- Device code reporting: C1747 (single-use scope) and C1889 (suction-enabled sheath, when used)
- C9761 vs C8014: why they are never reported together
- Operative note documentation: naming the exact PUSEN DISS® scope used
- Facility denial workflow
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 (52353 or 52356) and do not report facility codes (C9761, C8014, C1747, or C1889). Facilities report C9761 for DISS® cases in the ASC and HOPD; C8014 is not used with a DISS® scope. For Medicare HOPD claims, report C1747 (and C1889 if a suction-enabled sheath is used) with device charges; these are packaged and paid $0. Medicare does not require these device codes in the ASC. Commercial payer rules may differ.
