ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group B414 includes procedures performed to image arterial structures in the superior mesenteric artery. These ICD-10-PCS codes are used for inpatient documentation when real-time fluoroscopic imaging of the superior mesenteric artery is performed to evaluate or guide treatment. Accurate coding within the ICD-10-PCS B414 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Superior Mesenteric Artery Fluoroscopy Procedure Overview

This procedure group includes real-time fluoroscopic imaging of the superior mesenteric artery within the lower arterial system. Procedures in this group capture moving images developed from external ionizing radiation and may store images digitally or analogically. Accurate coding of these imaging procedures is important for inpatient reimbursement because it documents the specific vascular target and imaging modality used during patient care.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
4	Body System	Lower Arteries
1	Operation	Fluoroscopy
4	Body Part	Superior Mesenteric Artery

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ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

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Superior Mesenteric Artery Fluoroscopy Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
4	Body System	Lower Arteries
1	Operation	Fluoroscopy
4	Body Part	Superior Mesenteric Artery

When to Use

Use a code from this group when fluoroscopic imaging is performed specifically to visualize the superior mesenteric artery during diagnostic evaluation or image-guided intervention. These codes apply when external ionizing radiation is used to produce live images that may be recorded for inpatient documentation or procedural guidance.

ICD-10-PCS Codes

7 rows

ICD-10-PCS Code	Description
B414010	Fluoroscopy of Superior Mesenteric Artery using High Osmolar Contrast, Laser Intraoperative
B4140ZZ	Fluoroscopy of Superior Mesenteric Artery using High Osmolar Contrast
B414110	Fluoroscopy of Superior Mesenteric Artery using Low Osmolar Contrast, Laser Intraoperative
B4141ZZ	Fluoroscopy of Superior Mesenteric Artery using Low Osmolar Contrast
B414Y10	Fluoroscopy of Superior Mesenteric Artery using Other Contrast, Laser Intraoperative
B414YZZ	Fluoroscopy of Superior Mesenteric Artery using Other Contrast
B414ZZZ	Fluoroscopy of Superior Mesenteric Artery

Typical Clinical Scenarios

A 62-year-old man presents to the emergency department with sudden onset severe abdominal pain, hypotension, and lactic acidosis. Mesenteric ischemia is suspected due to embolic occlusion of the superior mesenteric artery; emergent real-time fluoroscopic imaging with contrast is performed to localize the occlusion and guide intra-arterial thrombolysis. High-osmolar iodinated contrast is used during the urgent fluoroscopic guidance to facilitate rapid visualization of the arterial lumen. Typical codes: B414010
A 54-year-old woman with chronic, postprandial abdominal pain and weight loss is admitted for elective diagnostic evaluation of suspected chronic mesenteric ischemia. Planned catheter-based fluoroscopic imaging of the superior mesenteric artery is performed with low-osmolar contrast to delineate stenosis prior to possible angioplasty during the same admission. Real-time imaging is recorded to document the arterial lesion and guide therapy. Typical codes: B414110
A 68-year-old patient had prior endovascular stent placement in the superior mesenteric artery and now presents with recurrent abdominal pain and an abnormal Doppler suggesting in-stent restenosis. Fluoroscopic imaging is obtained using other (nonstandard) contrast media to evaluate stent integrity and flow dynamics before deciding on repeat intervention or revision. The procedure captures real-time images to assess the complication and plan the appropriate endovascular revision. Typical codes: B414YZZ, B414ZZZ

Related Codes

B410-ABDOMINAL-AORTA-FLUOROSCOPY

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

B412-HEPATIC-ARTERY-REVISION-HEPATIC-ARTERY-FLUOROSCOPY

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

B413-SPLENIC-ARTERIES-FLUOROSCOPY

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

B415-INFERIOR-MESENTERIC-ARTERY-FLUOROSCOPY

ICD-10-PCS Code For Inferior Mesenteric Artery: Procedure Code Group Overview

B416-RENAL-ARTERY-RIGHT-FLUOROSCOPY

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

B417-RENAL-ARTERY-LEFT-FLUOROSCOPY

ICD-10-PCS Code For Renal Artery Left: Procedure Code Group Overview

B418-RENAL-ARTERIES-FLUOROSCOPY

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

B419-LUMBAR-ARTERIES-FLUOROSCOPY

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

B41B-INTRA-ABDOMINAL-ARTERIES-FLUOROSCOPY

ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview

B41C-PELVIC-ARTERIES-FLUOROSCOPY

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

Showing 1–10 of 14

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

7 rows

ICD-10-PCS Code	Description
B414010	Fluoroscopy of Superior Mesenteric Artery using High Osmolar Contrast, Laser Intraoperative
B4140ZZ	Fluoroscopy of Superior Mesenteric Artery using High Osmolar Contrast
B414110	Fluoroscopy of Superior Mesenteric Artery using Low Osmolar Contrast, Laser Intraoperative
B4141ZZ	Fluoroscopy of Superior Mesenteric Artery using Low Osmolar Contrast
B414Y10	Fluoroscopy of Superior Mesenteric Artery using Other Contrast, Laser Intraoperative
B414YZZ	Fluoroscopy of Superior Mesenteric Artery using Other Contrast
B414ZZZ	Fluoroscopy of Superior Mesenteric Artery

Typical Clinical Scenarios

A 62-year-old man presents to the emergency department with sudden onset severe abdominal pain, hypotension, and lactic acidosis. Mesenteric ischemia is suspected due to embolic occlusion of the superior mesenteric artery; emergent real-time fluoroscopic imaging with contrast is performed to localize the occlusion and guide intra-arterial thrombolysis. High-osmolar iodinated contrast is used during the urgent fluoroscopic guidance to facilitate rapid visualization of the arterial lumen. Typical codes: B414010
A 54-year-old woman with chronic, postprandial abdominal pain and weight loss is admitted for elective diagnostic evaluation of suspected chronic mesenteric ischemia. Planned catheter-based fluoroscopic imaging of the superior mesenteric artery is performed with low-osmolar contrast to delineate stenosis prior to possible angioplasty during the same admission. Real-time imaging is recorded to document the arterial lesion and guide therapy. Typical codes: B414110
A 68-year-old patient had prior endovascular stent placement in the superior mesenteric artery and now presents with recurrent abdominal pain and an abnormal Doppler suggesting in-stent restenosis. Fluoroscopic imaging is obtained using other (nonstandard) contrast media to evaluate stent integrity and flow dynamics before deciding on repeat intervention or revision. The procedure captures real-time images to assess the complication and plan the appropriate endovascular revision. Typical codes: B414YZZ, B414ZZZ

Related Codes

B410-ABDOMINAL-AORTA-FLUOROSCOPY

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

B412-HEPATIC-ARTERY-REVISION-HEPATIC-ARTERY-FLUOROSCOPY

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

B413-SPLENIC-ARTERIES-FLUOROSCOPY

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

B415-INFERIOR-MESENTERIC-ARTERY-FLUOROSCOPY

ICD-10-PCS Code For Inferior Mesenteric Artery: Procedure Code Group Overview

B416-RENAL-ARTERY-RIGHT-FLUOROSCOPY

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

B417-RENAL-ARTERY-LEFT-FLUOROSCOPY

ICD-10-PCS Code For Renal Artery Left: Procedure Code Group Overview

B418-RENAL-ARTERIES-FLUOROSCOPY

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

B419-LUMBAR-ARTERIES-FLUOROSCOPY

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

B41B-INTRA-ABDOMINAL-ARTERIES-FLUOROSCOPY

ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview

B41C-PELVIC-ARTERIES-FLUOROSCOPY

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

Showing 1–10 of 14

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 Superior Mesenteric Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview policy alerts

Superior Mesenteric Artery Fluoroscopy Procedure Overview

Code Attributes

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview policy alerts

Superior Mesenteric Artery Fluoroscopy Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation does the B414 ICD-10-PCS group describe?

When should a B414 code be used for inpatient documentation?

What code attributes define the B414 procedure group?

Which specific ICD-10-PCS codes are included in the B414 group?

Are there related DRGs listed for the B414 code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation does the B414 ICD-10-PCS group describe?

When should a B414 code be used for inpatient documentation?

What code attributes define the B414 procedure group?

Which specific ICD-10-PCS codes are included in the B414 group?

Are there related DRGs listed for the B414 code group?

References