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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group BQ42 includes procedures performed to image the hips using ultrasonography in the bilateral anatomical location. These ICD-10-PCS codes are used for inpatient documentation when real-time diagnostic or procedural imaging of both hips is performed. Accurate coding within the ICD-10-PCS BQ42 group is essential for proper inpatient reimbursement, as it captures the imaging procedure performed and supports clinical documentation accuracy.

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Hips Ultrasonography Procedure Overview

This code group includes procedures that use real-time ultrasonography to image the bilateral hips and surrounding non-axial lower bone structures. These procedures target the hips and use high-frequency sound waves to produce dynamic images for diagnosis and guidance. Accurate coding of these imaging procedures is important for inpatient reimbursement because it documents the service provided and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
Q	Body System	Non-Axial Lower Bones
4	Operation	Ultrasonography
2	Body Part	Hips, Bilateral

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

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Hips Ultrasonography Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
Q	Body System	Non-Axial Lower Bones
4	Operation	Ultrasonography
2	Body Part	Hips, Bilateral

When to Use

Use a code from this group when real-time ultrasonographic imaging of both hips is performed during an inpatient encounter for diagnostic assessment or procedural guidance. These codes apply when the service specifically documents bilateral hip ultrasonography of the non-axial lower bones.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
BQ42ZZZ	Ultrasonography of Bilateral Hips

Typical Clinical Scenarios

An elderly patient admitted after a fall with acute hip pain and decreased range of motion on both sides. The inpatient team orders real-time ultrasound imaging of both hips to evaluate for occult fractures, joint effusions, and surrounding soft-tissue hematomas given anticoagulation use and equivocal radiographs. Ultrasonography is performed bilaterally to guide diagnostic evaluation and to help determine need for further intervention. Typical codes: BQ42ZZZ
A middle-aged patient scheduled for bilateral hip aspiration and intra-articular steroid injections during the same inpatient admission for inflammatory arthropathy. Real-time ultrasound of both hips is performed to map joint anatomy, confirm effusion locations, and provide image guidance for safe needle placement during the planned procedures. The bilateral study documents anatomy and flow information used to guide the interventions. Typical codes: BQ42ZZZ
A young adult hospitalized for worsening bilateral hip pain and limited ambulation after recent bilateral hip-sparing trauma with persistent swelling. Follow-up inpatient ultrasonography of both hips is obtained to assess for developing septic arthritis, synovial thickening, or persistent collections not resolved by initial outpatient imaging. The bilateral real-time study aids clinicians in deciding on surgical drainage versus continued medical management. Typical codes: BQ42ZZZ

Related Codes

BQ40-RIGHT-HIP-ULTRASONOGRAPHY

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

BQ41-LEFT-HIP-ULTRASONOGRAPHY

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

BQ47-RIGHT-KNEE-ULTRASONOGRAPHY

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

BQ48-LEFT-KNEE-ULTRASONOGRAPHY

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

BQ49-KNEES-ULTRASONOGRAPHY

ICD-10-PCS Code For Knees: 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
BQ42ZZZ	Ultrasonography of Bilateral Hips

Typical Clinical Scenarios

An elderly patient admitted after a fall with acute hip pain and decreased range of motion on both sides. The inpatient team orders real-time ultrasound imaging of both hips to evaluate for occult fractures, joint effusions, and surrounding soft-tissue hematomas given anticoagulation use and equivocal radiographs. Ultrasonography is performed bilaterally to guide diagnostic evaluation and to help determine need for further intervention. Typical codes: BQ42ZZZ
A middle-aged patient scheduled for bilateral hip aspiration and intra-articular steroid injections during the same inpatient admission for inflammatory arthropathy. Real-time ultrasound of both hips is performed to map joint anatomy, confirm effusion locations, and provide image guidance for safe needle placement during the planned procedures. The bilateral study documents anatomy and flow information used to guide the interventions. Typical codes: BQ42ZZZ
A young adult hospitalized for worsening bilateral hip pain and limited ambulation after recent bilateral hip-sparing trauma with persistent swelling. Follow-up inpatient ultrasonography of both hips is obtained to assess for developing septic arthritis, synovial thickening, or persistent collections not resolved by initial outpatient imaging. The bilateral real-time study aids clinicians in deciding on surgical drainage versus continued medical management. Typical codes: BQ42ZZZ

Related Codes

BQ40-RIGHT-HIP-ULTRASONOGRAPHY

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

BQ41-LEFT-HIP-ULTRASONOGRAPHY

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

BQ47-RIGHT-KNEE-ULTRASONOGRAPHY

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

BQ48-LEFT-KNEE-ULTRASONOGRAPHY

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

BQ49-KNEES-ULTRASONOGRAPHY

ICD-10-PCS Code For Knees: 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 Hips: Procedure Code Group Overview

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

Hips Ultrasonography Procedure Overview

Code Attributes

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

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

Hips Ultrasonography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group BQ42 represent?

Which specific procedure code is included in this group?

In which ICD-10-PCS section and body system is BQ42 classified?

How does accurate coding of `BQ42ZZZ` affect inpatient documentation?

Are there any related DRGs listed for the BQ42 code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group BQ42 represent?

Which specific procedure code is included in this group?

In which ICD-10-PCS section and body system is BQ42 classified?

How does accurate coding of `BQ42ZZZ` affect inpatient documentation?

Are there any related DRGs listed for the BQ42 code group?

References