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 B244 includes procedures performed to image cardiac structures and blood flow in the right heart using ultrasonography. These ICD-10-PCS codes are used for inpatient documentation when real-time display of images or flow information of the right heart is captured for diagnostic or monitoring purposes. Accurate coding within the ICD-10-PCS B244 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Heart, Right Ultrasonography Procedure Overview

This procedure group includes real-time ultrasound imaging of the right side of the heart using high-frequency sound wave capture and display. These procedures target the heart within the cardiovascular system and provide anatomical and flow information about right-sided cardiac structures. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific ultrasonography procedure performed and supports correct case mix assignment.

Code Attributes

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

Code Attributes

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

When to Use

Use a code from this group when an ultrasonography procedure is performed specifically to image or assess structure or flow in the right heart during an inpatient encounter. Select the code that matches the documented right-heart ultrasonography procedure and imaging modality used.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
B244YZZ	Ultrasonography of Right Heart using Other Contrast
B244ZZ3	Ultrasonography of Right Heart, Intravascular
B244ZZ4	Ultrasonography of Right Heart, Transesophageal
B244ZZZ	Ultrasonography of Right Heart

Typical Clinical Scenarios

A patient is admitted through the emergency department with acute shortness of breath, hypoxia, and signs of right-sided heart strain after a suspected pulmonary embolism. Bedside transthoracic ultrasonography focused on the right heart is performed to assess right ventricular size and function and evaluate for acute pressure overload and tricuspid regurgitation. The study is done urgently to guide hemodynamic management and determine need for advanced therapies. Typical codes: B244ZZZ
A hospitalized patient with known complex congenital heart disease is scheduled for a planned intraoperative transesophageal echocardiographic assessment of right-sided cardiac structures prior to corrective surgery. The transesophageal approach provides higher-resolution real-time imaging of right atrial and right ventricular anatomy, intracardiac shunts, and valve function to guide the surgical procedure. This is part of the elective operative monitoring and diagnostic plan. Typical codes: B244ZZ4
A patient in the cardiac intensive care unit with a history of right-sided intracardiac device placement develops suspected device-related endocarditis and complex vegetations visualized poorly by transthoracic imaging. Intravascular ultrasonography targeting the right heart and device leads is performed to better delineate lead-adherent masses and flow disturbances prior to decision-making about lead extraction. The intravascular approach is chosen for enhanced visualization of intraluminal and lead-associated pathology. Typical codes: B244ZZ3

Related Codes

B240-CORONARY-ARTERY-ULTRASONOGRAPHY

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

B241-CORONARY-ARTERIES-ULTRASONOGRAPHY

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

B245-HEART-LEFT-ULTRASONOGRAPHY

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

B246-HEART-RIGHT-AND-LEFT-ULTRASONOGRAPHY

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

B24B-HEART-WITH-AORTA-ULTRASONOGRAPHY

ICD-10-PCS Code For Heart With Aorta: Procedure Code Group Overview

B24C-PERICARDIUM-ULTRASONOGRAPHY

ICD-10-PCS Code For Pericardium: Procedure Code Group Overview

B24D-PEDIATRIC-HEART-ULTRASONOGRAPHY

ICD-10-PCS Code For Pediatric Heart: 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

4 rows

ICD-10-PCS Code	Description
B244YZZ	Ultrasonography of Right Heart using Other Contrast
B244ZZ3	Ultrasonography of Right Heart, Intravascular
B244ZZ4	Ultrasonography of Right Heart, Transesophageal
B244ZZZ	Ultrasonography of Right Heart

Typical Clinical Scenarios

A patient is admitted through the emergency department with acute shortness of breath, hypoxia, and signs of right-sided heart strain after a suspected pulmonary embolism. Bedside transthoracic ultrasonography focused on the right heart is performed to assess right ventricular size and function and evaluate for acute pressure overload and tricuspid regurgitation. The study is done urgently to guide hemodynamic management and determine need for advanced therapies. Typical codes: B244ZZZ
A hospitalized patient with known complex congenital heart disease is scheduled for a planned intraoperative transesophageal echocardiographic assessment of right-sided cardiac structures prior to corrective surgery. The transesophageal approach provides higher-resolution real-time imaging of right atrial and right ventricular anatomy, intracardiac shunts, and valve function to guide the surgical procedure. This is part of the elective operative monitoring and diagnostic plan. Typical codes: B244ZZ4
A patient in the cardiac intensive care unit with a history of right-sided intracardiac device placement develops suspected device-related endocarditis and complex vegetations visualized poorly by transthoracic imaging. Intravascular ultrasonography targeting the right heart and device leads is performed to better delineate lead-adherent masses and flow disturbances prior to decision-making about lead extraction. The intravascular approach is chosen for enhanced visualization of intraluminal and lead-associated pathology. Typical codes: B244ZZ3

Related Codes

B240-CORONARY-ARTERY-ULTRASONOGRAPHY

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

B241-CORONARY-ARTERIES-ULTRASONOGRAPHY

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

B245-HEART-LEFT-ULTRASONOGRAPHY

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

B246-HEART-RIGHT-AND-LEFT-ULTRASONOGRAPHY

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

B24B-HEART-WITH-AORTA-ULTRASONOGRAPHY

ICD-10-PCS Code For Heart With Aorta: Procedure Code Group Overview

B24C-PERICARDIUM-ULTRASONOGRAPHY

ICD-10-PCS Code For Pericardium: Procedure Code Group Overview

B24D-PEDIATRIC-HEART-ULTRASONOGRAPHY

ICD-10-PCS Code For Pediatric Heart: 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 Ultrasonography 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 Ultrasonography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the B244 ICD-10-PCS code group?

What is the primary purpose of procedures coded to B244?

In which ICD-10-PCS section and body system are B244 codes classified?

How does accurate coding of B244 affect inpatient reimbursement?

Are there related DRGs listed for the B244 procedure group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the B244 ICD-10-PCS code group?

What is the primary purpose of procedures coded to B244?

In which ICD-10-PCS section and body system are B244 codes classified?

How does accurate coding of B244 affect inpatient reimbursement?

Are there related DRGs listed for the B244 procedure group?

References