B4171ZZ – Fluoroscopy of Left Renal Artery using Low Osmolar Contrast
Coding Notes
Active
Billable, valid for HIPAA-covered transactions
PCS Table
Section
B
Imaging
|
|||
Body System
4
Lower Arteries
|
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Type
1
Fluoroscopy
|
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Body Part | Contrast | Qualifier | Qualifier |
0
Abdominal Aorta
2
Hepatic Artery
3
Splenic Arteries
4
Superior Mesenteric Artery
5
Inferior Mesenteric Artery
6
Renal Artery, Right
7
Renal Artery, Left
8
Renal Arteries, Bilateral
9
Lumbar Arteries
B
Intra-Abdominal Arteries, Other
C
Pelvic Arteries
D
Aorta and Bilateral Lower Extremity Arteries
F
Lower Extremity Arteries, Right
G
Lower Extremity Arteries, Left
J
Lower Arteries, Other
|
0
High Osmolar
1
Low Osmolar
Y
Other Contrast
|
1
Laser
|
0
Intraoperative
|
0
Abdominal Aorta
2
Hepatic Artery
3
Splenic Arteries
4
Superior Mesenteric Artery
5
Inferior Mesenteric Artery
6
Renal Artery, Right
7
Renal Artery, Left
8
Renal Arteries, Bilateral
9
Lumbar Arteries
B
Intra-Abdominal Arteries, Other
C
Pelvic Arteries
D
Aorta and Bilateral Lower Extremity Arteries
F
Lower Extremity Arteries, Right
G
Lower Extremity Arteries, Left
J
Lower Arteries, Other
|
0
High Osmolar
1
Low Osmolar
Y
Other Contrast
|
Z
None
|
Z
None
|
0
Abdominal Aorta
2
Hepatic Artery
3
Splenic Arteries
4
Superior Mesenteric Artery
5
Inferior Mesenteric Artery
6
Renal Artery, Right
7
Renal Artery, Left
8
Renal Arteries, Bilateral
9
Lumbar Arteries
B
Intra-Abdominal Arteries, Other
C
Pelvic Arteries
D
Aorta and Bilateral Lower Extremity Arteries
F
Lower Extremity Arteries, Right
G
Lower Extremity Arteries, Left
J
Lower Arteries, Other
|
Z
None
|
Z
None
|
Z
None
|
GEM Conversion to ICD-9 PCS
Fs: 10000
–
Arteriography of renal arteries