B424Z2Z – Computerized Tomography (CT Scan) of Superior Mesenteric Artery using Intravascular Optical Coherence
Coding Notes
					
					Active				
			
					
					Billable, valid for HIPAA-covered transactions				
			PCS Table
| 
					 Section 
					B
					Imaging
				 | 
			|||
| 
					 Body System 
					4
					Lower Arteries
				 | 
			|||
| 
					 Type 
					2
					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
				 
			 |