B4200ZZ – Computerized Tomography (CT Scan) of Abdominal Aorta using High Osmolar Contrast
Coding Notes
					
					Active				
			
					
					Billable, valid for HIPAA-covered transactions				
			PCS Table
| SectionB
					Imaging | |||
| Body System4
					Lower Arteries | |||
| Type2
					Computerized Tomography (CT Scan) | |||
| Body Part | Contrast | Qualifier | Qualifier | 
| 
					0
					Abdominal Aorta
				 
					1
					Celiac Artery
				 
					4
					Superior Mesenteric Artery
				 
					8
					Renal Arteries, Bilateral
				 
					C
					Pelvic Arteries
				 
					F
					Lower Extremity Arteries, Right
				 
					G
					Lower Extremity Arteries, Left
				 
					H
					Lower Extremity Arteries, Bilateral
				 
					M
					Renal Artery Transplant
				 | 
					0
					High Osmolar
				 
					1
					Low Osmolar
				 
					Y
					Other Contrast
				 | 
					Z
					None
				 | 
					Z
					None
				 | 
| 
					0
					Abdominal Aorta
				 
					1
					Celiac Artery
				 
					4
					Superior Mesenteric Artery
				 
					8
					Renal Arteries, Bilateral
				 
					C
					Pelvic Arteries
				 
					F
					Lower Extremity Arteries, Right
				 
					G
					Lower Extremity Arteries, Left
				 
					H
					Lower Extremity Arteries, Bilateral
				 
					M
					Renal Artery Transplant
				 | 
					Z
					None
				 | 
					2
					Intravascular Optical Coherence
				 
					Z
					None
				 | 
					Z
					None
				 | 
GEM Conversion to ICD-9 PCS
								Fs: 10000
								–
								
									Other computerized axial tomography