B30H0ZZ Plain Radiography of Right Upper Extremity Arteries using High Osmolar Contrast

Coding Notes

Active
Billable, valid for HIPAA-covered transactions

PCS Table

Section
B Imaging
Body System
3 Upper Arteries
Type
0 Plain Radiography
Body Part Contrast Qualifier Qualifier
0 Thoracic Aorta
1 Brachiocephalic-Subclavian Artery, Right
2 Subclavian Artery, Left
3 Common Carotid Artery, Right
4 Common Carotid Artery, Left
5 Common Carotid Arteries, Bilateral
6 Internal Carotid Artery, Right
7 Internal Carotid Artery, Left
8 Internal Carotid Arteries, Bilateral
9 External Carotid Artery, Right
B External Carotid Artery, Left
C External Carotid Arteries, Bilateral
D Vertebral Artery, Right
F Vertebral Artery, Left
G Vertebral Arteries, Bilateral
H Upper Extremity Arteries, Right
J Upper Extremity Arteries, Left
K Upper Extremity Arteries, Bilateral
L Intercostal and Bronchial Arteries
M Spinal Arteries
N Upper Arteries, Other
P Thoraco-Abdominal Aorta
Q Cervico-Cerebral Arch
R Intracranial Arteries
S Pulmonary Artery, Right
T Pulmonary Artery, Left
0 High Osmolar
1 Low Osmolar
Y Other Contrast
Z None
Z None
Z None

GEM Conversion to ICD-9 PCS


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