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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group B211 includes procedures performed to image coronary arteries using fluoroscopy. These ICD-10-PCS codes are used for inpatient documentation when real-time fluoroscopic imaging of multiple coronary arteries is performed for diagnostic evaluation or guidance during interventions. Accurate coding within the ICD-10-PCS B211 group is essential for proper inpatient reimbursement, as it captures the imaging procedure performed and supports clinical documentation accuracy.

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Coronary Arteries Fluoroscopy Procedure Overview

This group covers real-time imaging procedures of the coronary arteries using external ionizing radiation displayed on a fluorescent screen, often with images stored digitally or analogically. Procedures target the heart and use fluoroscopy to visualize multiple coronary arteries for diagnostic or procedural guidance. Accurate ICD-10-PCS coding ensures inpatient records reflect the imaging performed and supports correct reimbursement and clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
2	Body System	Heart
1	Operation	Fluoroscopy
1	Body Part	Coronary Arteries, Multiple

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

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Coronary Arteries Fluoroscopy Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
2	Body System	Heart
1	Operation	Fluoroscopy
1	Body Part	Coronary Arteries, Multiple

When to Use

Use a code from this group when inpatient care includes fluoroscopic imaging specifically targeting multiple coronary arteries for diagnosis or to guide a cardiac procedure. These codes apply whether the fluoroscopy is performed alone for diagnostic purposes or as part of an interventional procedure requiring real-time coronary visualization.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
B211010	Fluoroscopy of Multiple Coronary Arteries using High Osmolar Contrast, Laser Intraoperative
B2110ZZ	Fluoroscopy of Multiple Coronary Arteries using High Osmolar Contrast
B211110	Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast, Laser Intraoperative
B2111ZZ	Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast
B211Y10	Fluoroscopy of Multiple Coronary Arteries using Other Contrast, Laser Intraoperative
B211YZZ	Fluoroscopy of Multiple Coronary Arteries 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

A 62-year-old man presents to the hospital with new-onset exertional chest pain and abnormal noninvasive stress testing suggesting ischemia in multiple coronary territories. During an inpatient diagnostic coronary angiography, real-time fluoroscopic imaging of multiple coronary arteries is performed with low osmolar contrast to delineate anatomy and identify obstructive lesions. The fluoroscopy images are used to guide decision-making for revascularization versus medical management. Typical codes: B211110, B2111ZZ
A 54-year-old woman is admitted emergently with ongoing chest pain and ST-segment changes concerning for acute coronary syndrome. She is taken to the cath lab for urgent coronary evaluation; fluoroscopic imaging of multiple coronary arteries is performed during the procedure using high osmolar contrast to rapidly visualize occlusions and guide immediate intervention. The real-time images assist the interventional cardiology team in locating culprit lesions for prompt treatment. Typical codes: B211010, B2110ZZ
A 68-year-old man previously treated with percutaneous coronary intervention returns with recurrent angina and suspected in-stent restenosis demonstrated on outpatient testing. He is admitted for repeat invasive assessment; fluoroscopy of multiple coronary arteries is performed using other contrast agents and images are recorded to evaluate stent patency and plan possible repeat intervention or adjunctive imaging. The procedure is done to assess prior treatment and guide targeted therapy. Typical codes: B211Y10, B211YZZ

Related Codes

B210-CORONARY-ARTERY-FLUOROSCOPY

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

B212-CORONARY-ARTERY-BYPASS-GRAFT-FLUOROSCOPY

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

B213-CORONARY-ARTERY-BYPASS-GRAFTS-FLUOROSCOPY

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

B214-HEART-RIGHT-FLUOROSCOPY

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

B215-HEART-LEFT-FLUOROSCOPY

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

B216-HEART-RIGHT-AND-LEFT-FLUOROSCOPY

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

B217-INTERNAL-MAMMARY-FLUOROSCOPY

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

B218-INTERNAL-MAMMARY-BYPASS-GRAFT-LEFT-FLUOROSCOPY

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

B21F-BYPASS-GRAFT-OTHER-FLUOROSCOPY

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

6 rows

ICD-10-PCS Code	Description
B211010	Fluoroscopy of Multiple Coronary Arteries using High Osmolar Contrast, Laser Intraoperative
B2110ZZ	Fluoroscopy of Multiple Coronary Arteries using High Osmolar Contrast
B211110	Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast, Laser Intraoperative
B2111ZZ	Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast
B211Y10	Fluoroscopy of Multiple Coronary Arteries using Other Contrast, Laser Intraoperative
B211YZZ	Fluoroscopy of Multiple Coronary Arteries 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

A 62-year-old man presents to the hospital with new-onset exertional chest pain and abnormal noninvasive stress testing suggesting ischemia in multiple coronary territories. During an inpatient diagnostic coronary angiography, real-time fluoroscopic imaging of multiple coronary arteries is performed with low osmolar contrast to delineate anatomy and identify obstructive lesions. The fluoroscopy images are used to guide decision-making for revascularization versus medical management. Typical codes: B211110, B2111ZZ
A 54-year-old woman is admitted emergently with ongoing chest pain and ST-segment changes concerning for acute coronary syndrome. She is taken to the cath lab for urgent coronary evaluation; fluoroscopic imaging of multiple coronary arteries is performed during the procedure using high osmolar contrast to rapidly visualize occlusions and guide immediate intervention. The real-time images assist the interventional cardiology team in locating culprit lesions for prompt treatment. Typical codes: B211010, B2110ZZ
A 68-year-old man previously treated with percutaneous coronary intervention returns with recurrent angina and suspected in-stent restenosis demonstrated on outpatient testing. He is admitted for repeat invasive assessment; fluoroscopy of multiple coronary arteries is performed using other contrast agents and images are recorded to evaluate stent patency and plan possible repeat intervention or adjunctive imaging. The procedure is done to assess prior treatment and guide targeted therapy. Typical codes: B211Y10, B211YZZ

Related Codes

B210-CORONARY-ARTERY-FLUOROSCOPY

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

B212-CORONARY-ARTERY-BYPASS-GRAFT-FLUOROSCOPY

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

B213-CORONARY-ARTERY-BYPASS-GRAFTS-FLUOROSCOPY

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

B214-HEART-RIGHT-FLUOROSCOPY

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

B215-HEART-LEFT-FLUOROSCOPY

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

B216-HEART-RIGHT-AND-LEFT-FLUOROSCOPY

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

B217-INTERNAL-MAMMARY-FLUOROSCOPY

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

B218-INTERNAL-MAMMARY-BYPASS-GRAFT-LEFT-FLUOROSCOPY

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

B21F-BYPASS-GRAFT-OTHER-FLUOROSCOPY

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 Coronary Arteries: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Coronary Arteries: Procedure Code Group Overview policy alerts

Coronary Arteries Fluoroscopy Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Coronary Arteries: Procedure Code Group Overview policy alerts

Coronary Arteries Fluoroscopy Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fluoroscopic imaging of multiple coronary arteries?

What section, body system, and operation attributes define this code group?

What specific codes are included in the B211 group and how do they differ?

Why is accurate coding within the B211 group important for inpatient records?

Which related DRGs might be impacted by procedures coded from the B211 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fluoroscopic imaging of multiple coronary arteries?

What section, body system, and operation attributes define this code group?

What specific codes are included in the B211 group and how do they differ?

Why is accurate coding within the B211 group important for inpatient records?

Which related DRGs might be impacted by procedures coded from the B211 group?

References