ICD-10-PCS Code For Heart Right: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group B204 includes procedures performed to capture planar radiographic images of the heart, right using external ionizing radiation on photographic or photoconductive plates. These ICD-10-PCS codes are used for inpatient documentation when plain radiography of the right heart is performed for diagnostic evaluation, monitoring, or procedural guidance. Accurate coding within the ICD-10-PCS B204 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy and appropriate case mix and payment.

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Heart Right Plain Radiography Procedure Overview

This procedure group covers plain radiography imaging of the right side of the heart using external ionizing radiation captured on photographic or photoconductive plates. These procedures target the heart within the cardiovascular system and produce planar two-dimensional diagnostic images. Accurate ICD-10-PCS coding ensures the inpatient record reflects the imaging performed and supports appropriate case mix classification and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
2	Body System	Heart
0	Operation	Plain Radiography
4	Body Part	Heart, Right

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ICD-10-PCS Code For Heart Right: Procedure Code Group Overview

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Heart Right Plain Radiography Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
2	Body System	Heart
0	Operation	Plain Radiography
4	Body Part	Heart, Right

When to Use

Use a code from this group when a plain radiographic image of the right heart is obtained using external ionizing radiation for diagnostic purposes or monitoring. These codes apply to inpatient encounters where the radiography of the heart, right is performed and documented in the medical record.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
B2040ZZ	Plain Radiography of Right Heart using High Osmolar Contrast
B2041ZZ	Plain Radiography of Right Heart using Low Osmolar Contrast
B204YZZ	Plain Radiography of Right Heart using Other Contrast

DRG Codes

9 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
233	Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC
234	Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC
275	Cardiac Defibrillator Implant with Cardiac Catheterization and MCC
286	Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC
287	Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC

Typical Clinical Scenarios

An older patient is admitted with acute chest pain and shortness of breath after recent pacemaker lead placement; clinicians need a quick, planar radiographic evaluation to assess right-sided cardiac silhouette size and lead position to rule out lead malposition or acute cardiopulmonary changes. A plain radiograph of the right heart is obtained using contrast to improve visualization of structures when indicated. Typical codes: B2040ZZ, B2041ZZ
A hospitalized patient with known right-sided heart failure and chronic volume overload undergoes scheduled inpatient imaging to document baseline right heart contour and evaluate for progression or complications such as pleural effusion; the study is performed as a planned diagnostic radiograph during the admission to guide medical management. Typical codes: B2041ZZ, B204YZZ
A patient in the postoperative period following right-sided cardiac catheterization develops new hemodynamic instability and concern for right heart structural change; a bedside plain radiograph of the right heart is performed urgently with contrast when necessary to rapidly detect acute anatomical changes or complications. Typical codes: B2040ZZ, B204YZZ

Related Codes

B200-CORONARY-ARTERY-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

B201-CORONARY-ARTERIES-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Arteries: Procedure Code Group Overview

B202-CORONARY-ARTERY-BYPASS-GRAFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Artery Bypass Graft: Procedure Code Group Overview

B203-CORONARY-ARTERY-BYPASS-GRAFTS-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Artery Bypass Grafts, Multiple: Procedure Code Group Overview

B205-HEART-LEFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Heart Left: Procedure Code Group Overview

B206-HEART-RIGHT-AND-LEFT-REVISION-HEART-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Heart Right And Left: Procedure Code Group Overview

B207-INTERNAL-MAMMARY-BYPASS-GRAFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Internal Mammary Bypass Graft: Procedure Code Group Overview

B208-INTERNAL-MAMMARY-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Internal Mammary Bypass Graft Left: Procedure Code Group Overview

B20F-BYPASS-GRAFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Bypass Graft, Other: Procedure Code Group Overview

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.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
B2040ZZ	Plain Radiography of Right Heart using High Osmolar Contrast
B2041ZZ	Plain Radiography of Right Heart using Low Osmolar Contrast
B204YZZ	Plain Radiography of Right Heart using Other Contrast

DRG Codes

9 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
233	Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC
234	Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC
275	Cardiac Defibrillator Implant with Cardiac Catheterization and MCC
286	Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC
287	Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC

Typical Clinical Scenarios

An older patient is admitted with acute chest pain and shortness of breath after recent pacemaker lead placement; clinicians need a quick, planar radiographic evaluation to assess right-sided cardiac silhouette size and lead position to rule out lead malposition or acute cardiopulmonary changes. A plain radiograph of the right heart is obtained using contrast to improve visualization of structures when indicated. Typical codes: B2040ZZ, B2041ZZ
A hospitalized patient with known right-sided heart failure and chronic volume overload undergoes scheduled inpatient imaging to document baseline right heart contour and evaluate for progression or complications such as pleural effusion; the study is performed as a planned diagnostic radiograph during the admission to guide medical management. Typical codes: B2041ZZ, B204YZZ
A patient in the postoperative period following right-sided cardiac catheterization develops new hemodynamic instability and concern for right heart structural change; a bedside plain radiograph of the right heart is performed urgently with contrast when necessary to rapidly detect acute anatomical changes or complications. Typical codes: B2040ZZ, B204YZZ

Related Codes

B200-CORONARY-ARTERY-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

B201-CORONARY-ARTERIES-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Arteries: Procedure Code Group Overview

B202-CORONARY-ARTERY-BYPASS-GRAFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Artery Bypass Graft: Procedure Code Group Overview

B203-CORONARY-ARTERY-BYPASS-GRAFTS-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Coronary Artery Bypass Grafts, Multiple: Procedure Code Group Overview

B205-HEART-LEFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Heart Left: Procedure Code Group Overview

B206-HEART-RIGHT-AND-LEFT-REVISION-HEART-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Heart Right And Left: Procedure Code Group Overview

B207-INTERNAL-MAMMARY-BYPASS-GRAFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Internal Mammary Bypass Graft: Procedure Code Group Overview

B208-INTERNAL-MAMMARY-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Internal Mammary Bypass Graft Left: Procedure Code Group Overview

B20F-BYPASS-GRAFT-PLAIN-RADIOGRAPHY

ICD-10-PCS Code For Bypass Graft, Other: Procedure Code Group Overview

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 Heart Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Heart Right: Procedure Code Group Overview policy alerts

Heart Right Plain Radiography Procedure Overview

Code Attributes

ICD-10-PCS Code For Heart Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Heart Right: Procedure Code Group Overview policy alerts

Heart Right Plain Radiography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS B204 code group?

What is the primary purpose of coding procedures in the B204 group?

How do B204 codes affect inpatient reimbursement and case mix?

What are the code attributes for the B204 procedure group?

Which related DRGs might be associated with procedures coded from the B204 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS B204 code group?

What is the primary purpose of coding procedures in the B204 group?

How do B204 codes affect inpatient reimbursement and case mix?

What are the code attributes for the B204 procedure group?

Which related DRGs might be associated with procedures coded from the B204 group?

References