ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group B01B includes procedures performed to visualize the spinal cord using fluoroscopic imaging. These ICD-10-PCS codes are used for inpatient documentation when fluoroscopic guidance or real-time imaging of the spinal cord is required for diagnosis or procedural guidance. Accurate coding within the ICD-10-PCS B01B group is essential for proper inpatient reimbursement, as it captures the imaging procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Spinal Cord Fluoroscopy Procedure Overview

This group includes single-plane or bi-plane real-time display procedures using external ionizing radiation to visualize the spinal cord. These procedures target the central nervous system and may store images digitally or analogically for review. Accurate ICD-10-PCS coding of these fluoroscopy procedures is important for inpatient reimbursement because it documents the imaging performed and supports correct case assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
0	Body System	Central Nervous System
1	Operation	Fluoroscopy
B	Body Part	Spinal Cord

Explore openpayer tools

View all tools

ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Spinal Cord Fluoroscopy Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
0	Body System	Central Nervous System
1	Operation	Fluoroscopy
B	Body Part	Spinal Cord

When to Use

Use a code from this group when real-time fluoroscopic imaging of the spinal cord is performed as part of diagnostic evaluation or to guide an intervention. These codes apply when external ionizing radiation is used to generate and display images of the spinal cord during the inpatient encounter.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
B01B0ZZ	Fluoroscopy of Spinal Cord using High Osmolar Contrast
B01B1ZZ	Fluoroscopy of Spinal Cord using Low Osmolar Contrast
B01BYZZ	Fluoroscopy of Spinal Cord using Other Contrast
B01BZZZ	Fluoroscopy of Spinal Cord

Typical Clinical Scenarios

An adult patient presents to the emergency department after a motor vehicle collision with progressive lower extremity weakness and signs of spinal cord compression on neurologic exam. Urgent real-time fluoroscopic imaging of the spinal cord is performed during diagnostic evaluation and to guide placement of contrast material to better delineate cord anatomy and potential compression. The imaging is performed with a high osmolar contrast agent to optimize visualization in the acute trauma setting. Typical codes: B01B0ZZ
A middle-aged patient admitted electively for evaluation of chronic progressive myelopathy related to degenerative cervical spondylotic changes. During the planned inpatient workup, fluoroscopic imaging of the spinal cord is performed with a low osmolar contrast agent to reduce the risk of adverse reactions while obtaining detailed real-time images to assist clinical decision-making and surgical planning. Typical codes: B01B1ZZ
A patient with prior spinal surgery develops new, unexplained neurologic deficits and concern for postoperative scar tissue or intradural adhesions. Inpatient fluoroscopic imaging of the spinal cord is performed using an alternative contrast medium (neither high nor low osmolar categories) to characterize abnormal flow or filling defects and guide potential revision intervention. Typical codes: B01BYZZ

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
B01B0ZZ	Fluoroscopy of Spinal Cord using High Osmolar Contrast
B01B1ZZ	Fluoroscopy of Spinal Cord using Low Osmolar Contrast
B01BYZZ	Fluoroscopy of Spinal Cord using Other Contrast
B01BZZZ	Fluoroscopy of Spinal Cord

Typical Clinical Scenarios

An adult patient presents to the emergency department after a motor vehicle collision with progressive lower extremity weakness and signs of spinal cord compression on neurologic exam. Urgent real-time fluoroscopic imaging of the spinal cord is performed during diagnostic evaluation and to guide placement of contrast material to better delineate cord anatomy and potential compression. The imaging is performed with a high osmolar contrast agent to optimize visualization in the acute trauma setting. Typical codes: B01B0ZZ
A middle-aged patient admitted electively for evaluation of chronic progressive myelopathy related to degenerative cervical spondylotic changes. During the planned inpatient workup, fluoroscopic imaging of the spinal cord is performed with a low osmolar contrast agent to reduce the risk of adverse reactions while obtaining detailed real-time images to assist clinical decision-making and surgical planning. Typical codes: B01B1ZZ
A patient with prior spinal surgery develops new, unexplained neurologic deficits and concern for postoperative scar tissue or intradural adhesions. Inpatient fluoroscopic imaging of the spinal cord is performed using an alternative contrast medium (neither high nor low osmolar categories) to characterize abnormal flow or filling defects and guide potential revision intervention. Typical codes: B01BYZZ

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview policy alerts

Spinal Cord Fluoroscopy Procedure Overview

Code Attributes

ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview policy alerts

Spinal Cord Fluoroscopy Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

What procedures are included in the B01B ICD-10-PCS code group?

Which specific ICD-10-PCS codes are in this spinal cord fluoroscopy group?

What are the code attributes for the B01B group?

How does accurate coding within B01B affect reimbursement?

Are there DRGs associated with the B01B code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

What procedures are included in the B01B ICD-10-PCS code group?

Which specific ICD-10-PCS codes are in this spinal cord fluoroscopy group?

What are the code attributes for the B01B group?

How does accurate coding within B01B affect reimbursement?

Are there DRGs associated with the B01B code group?

References