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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group B246 includes procedures performed to image cardiac structures and blood flow in the heart, right and left. These ICD-10-PCS codes are used for inpatient documentation when real-time ultrasonography is performed to evaluate cardiac anatomy or hemodynamics. Accurate coding within the ICD-10-PCS B246 group is essential for proper inpatient reimbursement, as it captures the imaging procedure performed and supports clinical documentation accuracy.

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Heart Right And Left Ultrasonography Procedure Overview

This procedure group includes ultrasonography imaging of the right and left heart, using high-frequency sound waves to create real-time images of cardiac anatomy and blood flow. These procedures target the heart within the cardiovascular system and are performed to evaluate structure and function. 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
4	Operation	Ultrasonography
6	Body Part	Heart, Right and Left

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

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Heart Right And Left Ultrasonography Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when inpatient real-time cardiac ultrasonography of the right and left heart is performed to assess anatomy or blood flow. These codes apply when the imaging study is documented as conducted during the inpatient encounter and is used to guide diagnosis or treatment.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
B246YZZ	Ultrasonography of Right and Left Heart using Other Contrast
B246ZZ3	Ultrasonography of Right and Left Heart, Intravascular
B246ZZ4	Ultrasonography of Right and Left Heart, Transesophageal
B246ZZZ	Ultrasonography of Right and Left Heart

Typical Clinical Scenarios

An elderly patient is admitted through the emergency department with acute onset shortness of breath, hypotension, and suspected cardiogenic shock after an inferior myocardial infarction. Bedside real-time ultrasonography of the right and left heart is performed to evaluate global and regional ventricular function, estimate filling pressures, and assess for pericardial effusion that could explain hemodynamic instability. This study is done transthoracically at the bedside to guide urgent medical management. Typical codes: B246ZZZ
A middle-aged patient is scheduled for elective evaluation of suspected valvular disease after an abnormal outpatient echocardiogram noted possible mitral regurgitation. Inpatient real-time ultrasonography of the right and left heart is performed transesophageally to provide higher-resolution images of the valves and to quantify regurgitant severity prior to planned valve repair surgery. Typical codes: B246ZZ4
A postoperative cardiac surgery patient develops unexplained hypotension and worsening oxygenation in the intensive care unit. To evaluate for suspected intracardiac thrombus or localized flow abnormalities not well seen on transthoracic windows, intravascular ultrasonography of the right and left heart structures is performed during the inpatient stay to clarify the cause and guide further intervention. Typical codes: B246ZZ3

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

B244-HEART-RIGHT-ULTRASONOGRAPHY

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

B245-HEART-LEFT-ULTRASONOGRAPHY

ICD-10-PCS Code For Heart 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
B246YZZ	Ultrasonography of Right and Left Heart using Other Contrast
B246ZZ3	Ultrasonography of Right and Left Heart, Intravascular
B246ZZ4	Ultrasonography of Right and Left Heart, Transesophageal
B246ZZZ	Ultrasonography of Right and Left Heart

Typical Clinical Scenarios

An elderly patient is admitted through the emergency department with acute onset shortness of breath, hypotension, and suspected cardiogenic shock after an inferior myocardial infarction. Bedside real-time ultrasonography of the right and left heart is performed to evaluate global and regional ventricular function, estimate filling pressures, and assess for pericardial effusion that could explain hemodynamic instability. This study is done transthoracically at the bedside to guide urgent medical management. Typical codes: B246ZZZ
A middle-aged patient is scheduled for elective evaluation of suspected valvular disease after an abnormal outpatient echocardiogram noted possible mitral regurgitation. Inpatient real-time ultrasonography of the right and left heart is performed transesophageally to provide higher-resolution images of the valves and to quantify regurgitant severity prior to planned valve repair surgery. Typical codes: B246ZZ4
A postoperative cardiac surgery patient develops unexplained hypotension and worsening oxygenation in the intensive care unit. To evaluate for suspected intracardiac thrombus or localized flow abnormalities not well seen on transthoracic windows, intravascular ultrasonography of the right and left heart structures is performed during the inpatient stay to clarify the cause and guide further intervention. Typical codes: B246ZZ3

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

B244-HEART-RIGHT-ULTRASONOGRAPHY

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

B245-HEART-LEFT-ULTRASONOGRAPHY

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

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

Heart Right And Left Ultrasonography Procedure Overview

Code Attributes

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

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

Heart Right And Left Ultrasonography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS B246 group?

What is the primary purpose of procedures coded to B246?

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

How do accurate B246 code assignments affect inpatient documentation and reimbursement?

What code variants indicate different approaches or contrast use for right and left heart ultrasonography?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS B246 group?

What is the primary purpose of procedures coded to B246?

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

How do accurate B246 code assignments affect inpatient documentation and reimbursement?

What code variants indicate different approaches or contrast use for right and left heart ultrasonography?

References