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 B214 includes procedures performed to display real-time fluoroscopic images of the right heart. These ICD-10-PCS codes are used for inpatient documentation when real-time fluoroscopic imaging of the right heart is performed for diagnostic evaluation or to guide an interventional procedure. Accurate coding within the ICD-10-PCS B214 group is essential for proper inpatient reimbursement, as it captures the imaging performed and supports clinical documentation accuracy.

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Heart Right Fluoroscopy Procedure Overview

This procedure group includes single plane or bi-plane real-time display of images of the right heart produced by capture of external ionizing radiation on a fluorescent screen, with optional storage by digital or analog means. These procedures target the heart within the cardiovascular body system and provide live visualization to guide diagnosis or interventions. Accurate ICD-10-PCS coding ensures inpatient records reflect the imaging performed and supports appropriate reimbursement and clinical documentation integrity.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
2	Body System	Heart
1	Operation	Fluoroscopy
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 Fluoroscopy Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when real-time fluoroscopic imaging of the right heart is performed during inpatient care for diagnostic assessment or to guide a cardiac procedure. Do not use these codes for non-fluoroscopic imaging modalities or for imaging of other cardiac regions.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
B2140ZZ	Fluoroscopy of Right Heart using High Osmolar Contrast
B2141ZZ	Fluoroscopy of Right Heart using Low Osmolar Contrast
B214YZZ	Fluoroscopy 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 elderly patient is admitted with acute right-sided heart failure symptoms and hemodynamic instability after rapid atrial fibrillation; clinicians need real-time visualization of the right heart chambers and catheter position while performing diagnostic hemodynamic assessment and guiding right-sided catheter placement or aspiration. Fluoroscopic imaging of the right heart is used intra-procedurally to guide catheter navigation and confirm device placement while contrast may be required to outline cardiac structures. Typical codes: B2140ZZ, B2141ZZ
A middle-aged patient scheduled for elective percutaneous transcatheter biopsy of a right atrial mass is brought to the cardiac catheterization lab as an inpatient for image-guided tissue sampling; live fluoroscopic visualization of the right heart is needed to direct the biopsy instrument and minimize cardiac injury. Contrast injection is often used to delineate mass borders and vascular anatomy during the planned procedure. Typical codes: B2141ZZ, B214YZZ
A young adult presents with worsening hypoxemia and suspected paradoxical embolism after device closure of a septal defect; during the urgent return to the cath lab for evaluation and possible intervention, fluoroscopy of the right heart is performed to assess device position, thrombus, and to guide retrieval or revision maneuvers under real-time imaging. Contrast may be administered to better visualize intracardiac structures and device relationships. Typical codes: B2140ZZ, B214YZZ

Related Codes

B210-CORONARY-ARTERY-FLUOROSCOPY

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

B211-CORONARY-ARTERIES-FLUOROSCOPY

ICD-10-PCS Code For Coronary Arteries: 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

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

3 rows

ICD-10-PCS Code	Description
B2140ZZ	Fluoroscopy of Right Heart using High Osmolar Contrast
B2141ZZ	Fluoroscopy of Right Heart using Low Osmolar Contrast
B214YZZ	Fluoroscopy 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 elderly patient is admitted with acute right-sided heart failure symptoms and hemodynamic instability after rapid atrial fibrillation; clinicians need real-time visualization of the right heart chambers and catheter position while performing diagnostic hemodynamic assessment and guiding right-sided catheter placement or aspiration. Fluoroscopic imaging of the right heart is used intra-procedurally to guide catheter navigation and confirm device placement while contrast may be required to outline cardiac structures. Typical codes: B2140ZZ, B2141ZZ
A middle-aged patient scheduled for elective percutaneous transcatheter biopsy of a right atrial mass is brought to the cardiac catheterization lab as an inpatient for image-guided tissue sampling; live fluoroscopic visualization of the right heart is needed to direct the biopsy instrument and minimize cardiac injury. Contrast injection is often used to delineate mass borders and vascular anatomy during the planned procedure. Typical codes: B2141ZZ, B214YZZ
A young adult presents with worsening hypoxemia and suspected paradoxical embolism after device closure of a septal defect; during the urgent return to the cath lab for evaluation and possible intervention, fluoroscopy of the right heart is performed to assess device position, thrombus, and to guide retrieval or revision maneuvers under real-time imaging. Contrast may be administered to better visualize intracardiac structures and device relationships. Typical codes: B2140ZZ, B214YZZ

Related Codes

B210-CORONARY-ARTERY-FLUOROSCOPY

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

B211-CORONARY-ARTERIES-FLUOROSCOPY

ICD-10-PCS Code For Coronary Arteries: 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

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 Heart Right: Procedure Code Group Overview

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

Heart Right Fluoroscopy 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 Fluoroscopy Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Heart Right fluoroscopy group B214?

What procedure does ICD-10-PCS code group B214 represent?

In what clinical documentation context should codes from B214 be used?

What are the code attributes for the B214 procedure group?

Which related DRGs may be associated with procedures that include B214 fluoroscopy coding?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Heart Right fluoroscopy group B214?

What procedure does ICD-10-PCS code group B214 represent?

In what clinical documentation context should codes from B214 be used?

What are the code attributes for the B214 procedure group?

Which related DRGs may be associated with procedures that include B214 fluoroscopy coding?

References