Summary & Overview
HCPCS C1747: Disposable Urinary Tract Endoscope, Imaging/Illumination
HCPCS Level II code C1747 designates a single-use, insertable urinary tract endoscope with imaging and illumination. As a device-oriented HCPCS Level II code, C1747 is used when the disposable endoscope itself is billed separate from professional or facility services. Single-use endoscopes are increasingly relevant for infection control, workflow efficiency, and supply-chain considerations across national care settings.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of how C1747 is classified and used in billing, practical benchmarks when available, common billing constructs and modifiers that appear in claims, and the clinical contexts in which a disposable urinary tract endoscope would be employed. The publication also outlines typical sites of service — ambulatory surgery centers, hospital outpatient departments, and office-based urology procedures — and notes where additional coding or documentation commonly appears alongside device charges.
Data not available in the input: associated taxonomies, ICD-10 diagnoses, related codes, payer-specific rates, and service-line reimbursement details. The piece focuses on national-level coding interpretation and operational context for C1747 rather than state-level policy or provider recommendations.
Billing Code Overview
HCPCS Level II code C1747 describes a single-use (disposable) endoscope for the urinary tract with imaging and illumination capability, intended as an insertable device for visualizing the urinary tract. This code represents a medical device product rather than a discrete physician service; it covers the device itself when billed separately from associated procedural or facility services.
Service type: Disposable urinary tract endoscopic imaging/illumination device
Typical site of service: Ambulatory surgery centers, hospital outpatient departments, and office-based urology procedures
Clinical & Coding Specifications
Clinical Context
A 62-year-old male with recurrent hematuria and suspected bladder tumor presents to the outpatient urology clinic. After evaluation with urine cytology and noninvasive imaging, the urologist recommends direct visualization of the urinary tract using a disposable, insertable single-use endoscope for diagnostic cystoscopy and limited inspection of the urethra and bladder. The patient is scheduled for the procedure in an ambulatory surgery center (ASC) or hospital outpatient department when additional facility resources or anesthesia oversight are required. Local anesthesia with or without moderate sedation is commonly used; general anesthesia may be used when combined with transurethral resection. The disposable imaging/illumination endoscope C1747 is used to reduce infection risk and avoid reprocessing. Typical workflow: pre-procedure evaluation and consent, medication reconciliation, topical/local anesthesia, insertion of the single-use urinary tract endoscope, inspection and imaging/illumination of urethra and bladder, possible biopsy or targeted intervention if indicated (separately coded), device removal, recovery, and discharge with post-procedure instructions.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work required to provide the service is substantially greater than typically required |