ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group BG32 includes procedures performed to image endocrine system structures in the adrenal glands, bilateral. These ICD-10-PCS codes are used for inpatient documentation when magnetic resonance imaging is performed to evaluate bilateral adrenal anatomy or pathology. Accurate coding within the ICD-10-PCS BG32 group is essential for proper inpatient reimbursement, as it captures the imaging procedure performed and supports clinical documentation accuracy.

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Adrenal Glands Magnetic Resonance Imaging Procedure Overview

This procedure group includes magnetic resonance imaging studies of the adrenal glands and targets the endocrine system. These procedures capture multiplanar images developed from radiofrequency signals to evaluate adrenal anatomy and pathology. Accurate ICD-10-PCS coding ensures inpatient records reflect the diagnostic imaging performed and supports correct case mix assignment and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
G	Body System	Endocrine System
3	Operation	Magnetic Resonance Imaging (MRI)
2	Body Part	Adrenal Glands, Bilateral

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ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview

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Adrenal Glands Magnetic Resonance Imaging Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
G	Body System	Endocrine System
3	Operation	Magnetic Resonance Imaging (MRI)
2	Body Part	Adrenal Glands, Bilateral

When to Use

Use a code from this group when an inpatient magnetic resonance imaging study is performed specifically to image both adrenal glands. Select the code when the MRI is documented as targeting the adrenal glands, bilateral, for diagnostic assessment or treatment planning.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
BG32Y0Z	Magnetic Resonance Imaging (MRI) of Bilateral Adrenal Glands using Other Contrast, Unenhanced and Enhanced
BG32YZZ	Magnetic Resonance Imaging (MRI) of Bilateral Adrenal Glands using Other Contrast
BG32ZZZ	Magnetic Resonance Imaging (MRI) of Bilateral Adrenal Glands

Typical Clinical Scenarios

An adult inpatient is admitted with new-onset severe hypertension and suspected primary hyperaldosteronism after laboratory evaluation shows hypokalemia and elevated aldosterone-to-renin ratio. The endocrinology team requests a bilateral adrenal MRI to characterize adrenal morphology, identify bilateral adrenal hyperplasia versus adenoma, and guide further management. The study includes both unenhanced and contrast-enhanced sequences using a non-standard (other) contrast agent as documented in the imaging order. Typical codes: BG32Y0Z
A hospitalized trauma patient develops an incidental adrenal lesion on CT during evaluation for multiple injuries; the lesion involves both adrenal glands and characterization is required to determine hemorrhage versus neoplasm. The patient cannot be discharged and is scheduled for an inpatient MRI of the bilateral adrenal glands, performed with contrast sequences using an other contrast agent to better delineate tissue characteristics. Typical codes: BG32Y0Z
A patient admitted for workup of metastatic cancer has known bilateral adrenal masses documented on prior imaging; an inpatient MRI is performed without administration of contrast to assess interval change in size and signal characteristics while avoiding contrast due to recent renal function concerns. The MRI targets the bilateral adrenal glands to guide oncologic staging and treatment planning. Typical codes: BG32ZZZ

ICD-10-PCS Code For Parathyroid Glands: Procedure Code Group Overview

BG34-THYROID-GLAND-MAGNETIC-RESONANCE-IMAGING

ICD-10-PCS Code For Thyroid Gland: 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
BG32Y0Z	Magnetic Resonance Imaging (MRI) of Bilateral Adrenal Glands using Other Contrast, Unenhanced and Enhanced
BG32YZZ	Magnetic Resonance Imaging (MRI) of Bilateral Adrenal Glands using Other Contrast
BG32ZZZ	Magnetic Resonance Imaging (MRI) of Bilateral Adrenal Glands

Typical Clinical Scenarios

An adult inpatient is admitted with new-onset severe hypertension and suspected primary hyperaldosteronism after laboratory evaluation shows hypokalemia and elevated aldosterone-to-renin ratio. The endocrinology team requests a bilateral adrenal MRI to characterize adrenal morphology, identify bilateral adrenal hyperplasia versus adenoma, and guide further management. The study includes both unenhanced and contrast-enhanced sequences using a non-standard (other) contrast agent as documented in the imaging order. Typical codes: BG32Y0Z
A hospitalized trauma patient develops an incidental adrenal lesion on CT during evaluation for multiple injuries; the lesion involves both adrenal glands and characterization is required to determine hemorrhage versus neoplasm. The patient cannot be discharged and is scheduled for an inpatient MRI of the bilateral adrenal glands, performed with contrast sequences using an other contrast agent to better delineate tissue characteristics. Typical codes: BG32Y0Z
A patient admitted for workup of metastatic cancer has known bilateral adrenal masses documented on prior imaging; an inpatient MRI is performed without administration of contrast to assess interval change in size and signal characteristics while avoiding contrast due to recent renal function concerns. The MRI targets the bilateral adrenal glands to guide oncologic staging and treatment planning. Typical codes: BG32ZZZ

ICD-10-PCS Code For Parathyroid Glands: Procedure Code Group Overview

BG34-THYROID-GLAND-MAGNETIC-RESONANCE-IMAGING

ICD-10-PCS Code For Thyroid Gland: 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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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview

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Adrenal Glands Magnetic Resonance Imaging Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview

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Adrenal Glands Magnetic Resonance Imaging Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview policy alerts

Adrenal Glands Magnetic Resonance Imaging Procedure Overview

Code Attributes

ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Adrenal Glands, Bilateral: Procedure Code Group Overview policy alerts

Adrenal Glands Magnetic Resonance Imaging Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the BG32 code group for adrenal glands, bilateral?

What is the primary purpose of using BG32 ICD-10-PCS codes in inpatient documentation?

What are the code attributes for the BG32 procedure group?

How do the specific BG32 codes differ in terms of contrast usage as listed?

Are there related DRGs available for the BG32 code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the BG32 code group for adrenal glands, bilateral?

What is the primary purpose of using BG32 ICD-10-PCS codes in inpatient documentation?

What are the code attributes for the BG32 procedure group?

How do the specific BG32 codes differ in terms of contrast usage as listed?

Are there related DRGs available for the BG32 code group?

References