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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group BH40 includes procedures performed to image anatomical structures and flow information in the breast using ultrasonography. These ICD-10-PCS codes are used for inpatient documentation when patients undergo real time display of images of the right breast for diagnostic evaluation or procedural guidance. Accurate coding within the ICD-10-PCS BH40 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Breast Ultrasonography Procedure Overview

The procedures in this group involve real time display of images developed from reflected and attenuated high frequency sound waves targeted at the right breast and the skin, subcutaneous tissue, and breast body system. Ultrasonography captures imaging or flow information without surgical incision and is used to evaluate breast anatomy and pathology. Accurate ICD-10-PCS coding of these imaging procedures is important for inpatient documentation and reimbursement because it captures the procedure performed and supports appropriate case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
H	Body System	Skin, Subcutaneous Tissue and Breast
4	Operation	Ultrasonography
0	Body Part	Breast, Right

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Breast Ultrasonography Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
H	Body System	Skin, Subcutaneous Tissue and Breast
4	Operation	Ultrasonography
0	Body Part	Breast, Right

When to Use

Use a code from this group when ultrasonography is performed on the right breast for diagnostic imaging or to guide a procedure. These codes apply when the imaging captures real time anatomical or flow information of the right breast during an inpatient encounter.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
BH40ZZZ	Ultrasonography of Right Breast

Typical Clinical Scenarios

A middle-aged woman admitted for evaluation of a rapidly enlarging, painful palpable mass in the right breast with erythema and concern for abscess or inflammatory carcinoma; inpatient ultrasonography is performed to characterize the lesion, identify any fluid collection amenable to drainage, and guide potential percutaneous intervention. Typical codes: BH40ZZZ
An elderly patient hospitalized for biopsy-proven right breast malignancy scheduled for inpatient image-guided core needle biopsy or localization; a real-time right breast ultrasound is used to map the tumor, assess extent, and guide needle placement during the planned procedure. Typical codes: BH40ZZZ
A postpartum patient with high fever and worsening focal tenderness of the right breast admitted for IV antibiotics for suspected mastitis not responding to outpatient therapy; diagnostic right breast ultrasound is obtained to evaluate for developing abscess requiring drainage and to direct any bedside intervention. Typical codes: BH40ZZZ

Related Codes

BH41-LEFT-BREAST-ULTRASONOGRAPHY

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

BH42-BREASTS-ULTRASONOGRAPHY

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

BH47-UPPER-EXTREMITY-ULTRASONOGRAPHY

ICD-10-PCS Code For Upper Extremity: Procedure Code Group Overview

BH48-LOWER-EXTREMITY-ULTRASONOGRAPHY

ICD-10-PCS Code For Lower Extremity: Procedure Code Group Overview

BH49-ABDOMINAL-WALL-ULTRASONOGRAPHY

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

BH4B-CHEST-WALL-ULTRASONOGRAPHY

ICD-10-PCS Code For Chest Wall: Procedure Code Group Overview

BH4C-HEAD-AND-NECK-ULTRASONOGRAPHY

ICD-10-PCS Code For Head And Neck: 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
BH40ZZZ	Ultrasonography of Right Breast

Typical Clinical Scenarios

A middle-aged woman admitted for evaluation of a rapidly enlarging, painful palpable mass in the right breast with erythema and concern for abscess or inflammatory carcinoma; inpatient ultrasonography is performed to characterize the lesion, identify any fluid collection amenable to drainage, and guide potential percutaneous intervention. Typical codes: BH40ZZZ
An elderly patient hospitalized for biopsy-proven right breast malignancy scheduled for inpatient image-guided core needle biopsy or localization; a real-time right breast ultrasound is used to map the tumor, assess extent, and guide needle placement during the planned procedure. Typical codes: BH40ZZZ
A postpartum patient with high fever and worsening focal tenderness of the right breast admitted for IV antibiotics for suspected mastitis not responding to outpatient therapy; diagnostic right breast ultrasound is obtained to evaluate for developing abscess requiring drainage and to direct any bedside intervention. Typical codes: BH40ZZZ

Related Codes

BH41-LEFT-BREAST-ULTRASONOGRAPHY

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

BH42-BREASTS-ULTRASONOGRAPHY

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

BH47-UPPER-EXTREMITY-ULTRASONOGRAPHY

ICD-10-PCS Code For Upper Extremity: Procedure Code Group Overview

BH48-LOWER-EXTREMITY-ULTRASONOGRAPHY

ICD-10-PCS Code For Lower Extremity: Procedure Code Group Overview

BH49-ABDOMINAL-WALL-ULTRASONOGRAPHY

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

BH4B-CHEST-WALL-ULTRASONOGRAPHY

ICD-10-PCS Code For Chest Wall: Procedure Code Group Overview

BH4C-HEAD-AND-NECK-ULTRASONOGRAPHY

ICD-10-PCS Code For Head And Neck: 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 Breast Right: Procedure Code Group Overview

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

Breast Ultrasonography Procedure Overview

Code Attributes

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

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

Breast Ultrasonography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedure does ICD-10-PCS code group BH40 represent?

Which body system and body part are specified for BH40 codes?

How is `BH40ZZZ` described in this code group?

Why is accurate coding within the BH40 group important for inpatient settings?

Under which ICD-10-PCS section and operation is BH40 categorized?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedure does ICD-10-PCS code group BH40 represent?

Which body system and body part are specified for BH40 codes?

How is `BH40ZZZ` described in this code group?

Why is accurate coding within the BH40 group important for inpatient settings?

Under which ICD-10-PCS section and operation is BH40 categorized?

References