ICD-10-PCS Code For Tracheobronchial Trees: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group BB19 includes procedures performed to image the tracheobronchial trees in the respiratory system. These ICD-10-PCS codes are used for inpatient documentation when real-time fluoroscopic imaging of the bilateral tracheobronchial trees is performed, typically with contrast to evaluate airway anatomy or function. Accurate coding within the ICD-10-PCS BB19 group is essential for proper inpatient reimbursement, as it captures the specific imaging procedure performed and supports clinical documentation accuracy.

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Tracheobronchial Trees Fluoroscopy Procedure Overview

This procedure group includes fluoroscopic imaging of the bilateral tracheobronchial trees and targets the respiratory system. Procedures involve real-time single-plane or bi-plane display of X-ray images, often with contrast, to visualize the airway anatomy and function. Accurate coding matters for inpatient reimbursement because it documents the imaging modality and anatomic target, which affects case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
B	Body System	Respiratory System
1	Operation	Fluoroscopy
9	Body Part	Tracheobronchial Trees, Bilateral

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ICD-10-PCS Code For Tracheobronchial Trees: Procedure Code Group Overview

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Tracheobronchial Trees Fluoroscopy Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
B	Body System	Respiratory System
1	Operation	Fluoroscopy
9	Body Part	Tracheobronchial Trees, Bilateral

When to Use

Use a code from this group when fluoroscopic imaging is performed on both sides of the tracheobronchial tree to evaluate airway structure or function, often with contrast. These codes apply when the procedure is performed in an inpatient setting and the imaging modality and anatomic target must be documented for coding and billing.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
BB19YZZ	Fluoroscopy of Bilateral Tracheobronchial Trees using Other Contrast

Typical Clinical Scenarios

An adult patient is admitted from the emergency department with acute onset severe stridor and progressive respiratory distress after inhalation injury. Bedside evaluation including chest radiographs is inconclusive for dynamic airway collapse and foreign body; real-time fluoroscopic imaging of both tracheobronchial trees with contrast is performed to assess airway patency, detect occult obstruction, and guide urgent airway management decisions. The study documents dynamic narrowing and helps determine need for advanced airway intervention. Typical codes: BB19YZZ
A patient with a history of recurrent unexplained cough and suspected tracheomalacia is admitted for elective inpatient diagnostic evaluation. To characterize airway anatomy and dynamic collapse during respiration, bilateral tracheobronchial trees are imaged under fluoroscopy using contrast in a controlled setting to inform potential therapeutic planning such as airway stenting or surgical intervention. The procedure provides real-time assessment of both central airways and documents the degree and location of collapse. Typical codes: BB19YZZ
A hospitalized patient with recent tracheal stent placement presents with new onset wheeze and worsening dyspnea; concern exists for stent migration or granulation tissue causing airway compromise. Fluoroscopic imaging of the bilateral tracheobronchial trees with contrast is performed to evaluate stent position, patency of the tracheobronchial lumen, and to plan any necessary endoscopic revision. The study aids in determining whether interventional bronchoscopy is required. Typical codes: BB19YZZ

Related Codes

BB12-RIGHT-LUNG-FLUOROSCOPY

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

BB13-LEFT-LUNG-FLUOROSCOPY

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

BB14-LUNGS-FLUOROSCOPY

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

BB16-DIAPHRAGM-FLUOROSCOPY

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

BB17-RIGHT-TRACHEOBRONCHIAL-FLUOROSCOPY

ICD-10-PCS Code For Right Tracheobronchial Tree: Procedure Code Group Overview

BB18-LEFT-TRACHEOBRONCHIAL-FLUOROSCOPY

ICD-10-PCS Code For Left Tracheobronchial Tree: Procedure Code Group Overview

BB1C-MEDIASTINUM-FLUOROSCOPY

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

BB1D-UPPER-AIRWAYS-FLUOROSCOPY

ICD-10-PCS Code For Upper Airways: 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

1 rows

ICD-10-PCS Code	Description
BB19YZZ	Fluoroscopy of Bilateral Tracheobronchial Trees using Other Contrast

Typical Clinical Scenarios

An adult patient is admitted from the emergency department with acute onset severe stridor and progressive respiratory distress after inhalation injury. Bedside evaluation including chest radiographs is inconclusive for dynamic airway collapse and foreign body; real-time fluoroscopic imaging of both tracheobronchial trees with contrast is performed to assess airway patency, detect occult obstruction, and guide urgent airway management decisions. The study documents dynamic narrowing and helps determine need for advanced airway intervention. Typical codes: BB19YZZ
A patient with a history of recurrent unexplained cough and suspected tracheomalacia is admitted for elective inpatient diagnostic evaluation. To characterize airway anatomy and dynamic collapse during respiration, bilateral tracheobronchial trees are imaged under fluoroscopy using contrast in a controlled setting to inform potential therapeutic planning such as airway stenting or surgical intervention. The procedure provides real-time assessment of both central airways and documents the degree and location of collapse. Typical codes: BB19YZZ
A hospitalized patient with recent tracheal stent placement presents with new onset wheeze and worsening dyspnea; concern exists for stent migration or granulation tissue causing airway compromise. Fluoroscopic imaging of the bilateral tracheobronchial trees with contrast is performed to evaluate stent position, patency of the tracheobronchial lumen, and to plan any necessary endoscopic revision. The study aids in determining whether interventional bronchoscopy is required. Typical codes: BB19YZZ

Related Codes

BB12-RIGHT-LUNG-FLUOROSCOPY

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

BB13-LEFT-LUNG-FLUOROSCOPY

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

BB14-LUNGS-FLUOROSCOPY

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

BB16-DIAPHRAGM-FLUOROSCOPY

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

BB17-RIGHT-TRACHEOBRONCHIAL-FLUOROSCOPY

ICD-10-PCS Code For Right Tracheobronchial Tree: Procedure Code Group Overview

BB18-LEFT-TRACHEOBRONCHIAL-FLUOROSCOPY

ICD-10-PCS Code For Left Tracheobronchial Tree: Procedure Code Group Overview

BB1C-MEDIASTINUM-FLUOROSCOPY

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

BB1D-UPPER-AIRWAYS-FLUOROSCOPY

ICD-10-PCS Code For Upper Airways: 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 Tracheobronchial Trees: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Tracheobronchial Trees: Procedure Code Group Overview policy alerts

Tracheobronchial Trees Fluoroscopy Procedure Overview

Code Attributes

ICD-10-PCS Code For Tracheobronchial Trees: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Tracheobronchial Trees: Procedure Code Group Overview policy alerts

Tracheobronchial Trees Fluoroscopy Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the BB19 ICD-10-PCS code group?

Which specific ICD-10-PCS code represents fluoroscopy of the bilateral tracheobronchial trees using other contrast?

What are the key code attributes for the BB19 procedure group?

Why is accurate coding within the BB19 group important for inpatient settings?

Are there related DRGs listed for the BB19 code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the BB19 ICD-10-PCS code group?

Which specific ICD-10-PCS code represents fluoroscopy of the bilateral tracheobronchial trees using other contrast?

What are the key code attributes for the BB19 procedure group?

Why is accurate coding within the BB19 group important for inpatient settings?

Are there related DRGs listed for the BB19 code group?

References