UCR 286: C9761 Clarified – What Actually Qualifies and What’s at Risk
About this episode
The episode discusses the latest guidance on HCPCS code C9761 and clarifies payment qualifications under the new technology APC.
April 24, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the latest guidance on HCPCS code C9761 and the growing confusion around what qualifies for payment under this new technology APC. They walk through key interpretations from the AHA, AMA, and MACs, highlighting the critical distinction between steerable ureteral catheters, scopes, and access sheaths—and why that difference can determine whether a case is paid or denied. The discussion emphasizes the importance of pr...
People in this episode
Hosts: Scott Painter, Mark Painter, Dr. Ray Painter
Topics covered
- HCPCS code C9761
- payment qualifications
- urology coding
- medical reimbursement
- technology APC
- healthcare guidelines
Keywords
- C9761
- urology
- payment
- HCPCS
- medical coding
- reimbursement
- AHA
- AMA
- MACs
Mentioned in this episode
Organizations: AHA, AMA, MACs
Products: C9761, steerable ureteral catheters, scopes, access sheaths
More episodes of Urology Coding and Reimbursement Podcast
- UCR 288: New Technology in Urology – Don’t Let Reimbursement Be an Afterthought
- UCR 285: Bringing More Complex Procedures Into the Office – Is It Worth It?
- UCR 284: UTI PCR Under Fire – OIG Scrutiny, Denials, and What to Do Next
- UCR 283: Saturation Biopsy Confusion and Cystoscopy Risk—Where Interpretation Matters
- UCR 282: Playing the Surgical Lottery – Medicare Advantage and Out-of-Network Strategy
- UCR 281: UnitedHealthcare’s New Documentation Rule and MDM Data Clarifications
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