ICD-10-PCS Scapula Right Coding & Reimbursement

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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group BP26 includes procedures performed to image the scapula, right using computerized tomography. These ICD-10-PCS codes are used for inpatient documentation when multiplanar reformatted digital imaging of the right scapula is performed to evaluate bony injury, disease, or for preoperative assessment. Accurate coding within the ICD-10-PCS BP26 group is essential for proper inpatient reimbursement, as it captures the specific imaging procedure performed and determines appropriate case mix and payment.

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Scapula Right Computerized Tomography Procedure Overview

Procedures in this group involve computerized tomography imaging of the right scapula, using reformatted multiplanar digital displays derived from multiple exposures of external ionizing radiation. These procedures target the non-axial upper bones and produce detailed cross-sectional and multiplanar images to evaluate fractures, lesions, infection, or preoperative planning. Accurate ICD-10-PCS coding of these imaging procedures matters for inpatient reimbursement because it documents the precise imaging service performed and supports appropriate case mix and payment.

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
P	Body System	Non-Axial Upper Bones
2	Operation	Computerized Tomography (CT Scan)
6	Body Part	Scapula, Right

Character

ICD-10-PCS Category

Code Group Details

Section

Imaging

Body System

Non-Axial Upper Bones

Operation

Computerized Tomography (CT Scan)

Body Part

Scapula, Right

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

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Scapula Right Computerized Tomography Procedure Overview

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
P	Body System	Non-Axial Upper Bones
2	Operation	Computerized Tomography (CT Scan)
6	Body Part	Scapula, Right

Character

ICD-10-PCS Category

Code Group Details

Section

Imaging

Body System

Non-Axial Upper Bones

Operation

Computerized Tomography (CT Scan)

Body Part

Scapula, Right

When to Use

Use a code from this group when inpatient care includes a computerized tomography scan of the right scapula with reformatted multiplanar digital display as part of diagnosis or treatment planning. Typical clinical scenarios include assessment of suspected fracture, evaluation of bone lesion or infection, or preoperative imaging for surgical planning.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
BP260ZZ	Computerized Tomography (CT Scan) of Right Scapula using High Osmolar Contrast
BP261ZZ	Computerized Tomography (CT Scan) of Right Scapula using Low Osmolar Contrast
BP26YZZ	Computerized Tomography (CT Scan) of Right Scapula using Other Contrast
BP26ZZZ	Computerized Tomography (CT Scan) of Right Scapula

Typical Clinical Scenarios

A 68-year-old patient is admitted after a fall onto the right shoulder with focal posterior scapular pain, swelling, and limited shoulder motion; concern for displaced scapular fracture with possible comminution prompts inpatient imaging to define fracture morphology and plan surgical fixation if needed. A CT with reformatted multiplanar images of the right scapula is obtained to characterize fracture lines and fragment displacement. Typical codes: BP26ZZZ
A 52-year-old diabetic patient is hospitalized for spreading cellulitis and suspected osteomyelitis of the right scapular region after a chronic pressure area fails to respond to antibiotics; advanced imaging is required to assess bone involvement and guide surgical debridement. A CT scan with multiplanar reformatted images of the right scapula is performed to evaluate cortical destruction and sequestra. Typical codes: BP26ZZZ
A 45-year-old patient presents for preoperative planning prior to elective right scapular tumor resection after outpatient biopsy suggested a lytic osseous lesion; inpatient imaging is obtained to map lesion extent and relation to adjacent structures for surgical navigation. Contrast-enhanced CT with high- or low-osmolar contrast may be used to better delineate tumor vascularity and margins. Typical codes: BP260ZZ, BP261ZZ

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.

A 68-year-old patient is admitted after a fall onto the right shoulder with focal posterior scapular pain, swelling, and limited shoulder motion; concern for displaced scapular fracture with possible comminution prompts inpatient imaging to define fracture morphology and plan surgical fixation if needed. A CT with reformatted multiplanar images of the right scapula is obtained to characterize fracture lines and fragment displacement. Typical codes: BP26ZZZ
A 52-year-old diabetic patient is hospitalized for spreading cellulitis and suspected osteomyelitis of the right scapular region after a chronic pressure area fails to respond to antibiotics; advanced imaging is required to assess bone involvement and guide surgical debridement. A CT scan with multiplanar reformatted images of the right scapula is performed to evaluate cortical destruction and sequestra. Typical codes: BP26ZZZ
A 45-year-old patient presents for preoperative planning prior to elective right scapular tumor resection after outpatient biopsy suggested a lytic osseous lesion; inpatient imaging is obtained to map lesion extent and relation to adjacent structures for surgical navigation. Contrast-enhanced CT with high- or low-osmolar contrast may be used to better delineate tumor vascularity and margins. Typical codes: BP260ZZ, BP261ZZ

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Scapula Right Computerized Tomography Procedure Overview

Code Attributes

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Scapula Right Computerized Tomography 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 Scapula Right: Procedure Code Group Overview

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

Scapula Right Computerized Tomography Procedure Overview

Code Attributes

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

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

Scapula Right Computerized Tomography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the BP26 ICD-10-PCS code group?

What is the clinical purpose of performing a CT scan coded in BP26?

What are the individual ICD-10-PCS codes in this group and how are they distinguished?

Why is accurate coding within BP26 important for inpatient documentation?

What code attributes define the BP26 procedure group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the BP26 ICD-10-PCS code group?

What is the clinical purpose of performing a CT scan coded in BP26?

What are the individual ICD-10-PCS codes in this group and how are they distinguished?

Why is accurate coding within BP26 important for inpatient documentation?

What code attributes define the BP26 procedure group?

References