ICD-10-PCS Bladder and Urethra Coding & Reimbursement

ICD-10-PCS Code For Bladder And Urethra: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group BT1B includes procedures performed to image the bladder and urethra using real-time fluoroscopic display. These ICD-10-PCS codes are used for inpatient documentation when fluoroscopic imaging of the urinary bladder and urethra is performed for diagnostic or procedural guidance. Accurate coding within the ICD-10-PCS BT1B group is essential for proper inpatient reimbursement, as it captures the imaging procedure performed and supports clinical documentation accuracy.

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Bladder And Urethra Fluoroscopy Procedure Overview

This group includes real-time fluoroscopic imaging procedures that target the bladder and urethra within the urinary system. These procedures capture images from external ionizing radiation displayed on a fluorescent screen and may be stored digitally or on analog media. Accurate ICD-10-PCS coding of these imaging procedures ensures inpatient documentation reflects the services provided and supports appropriate reimbursement and case mix assignment.

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
T	Body System	Urinary System
1	Operation	Fluoroscopy
B	Body Part	Bladder and Urethra

Character

ICD-10-PCS Category

Code Group Details

Section

Imaging

Body System

Urinary System

Operation

Fluoroscopy

Body Part

Bladder and Urethra

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
T	Body System	Urinary System
1	Operation	Fluoroscopy
B	Body Part	Bladder and Urethra

ICD-10-PCS Code	Description
BT1B0ZZ	Fluoroscopy of Bladder and Urethra using High Osmolar Contrast
BT1B1ZZ	Fluoroscopy of Bladder and Urethra using Low Osmolar Contrast
BT1BYZZ	Fluoroscopy of Bladder and Urethra using Other Contrast
BT1BZZZ	Fluoroscopy of Bladder and Urethra

An elderly inpatient with acute urinary retention and suspected bladder outlet obstruction due to prostatic enlargement undergoes bedside evaluation followed by fluoroscopic cystourethrogram to assess bladder emptying and urethral patency before catheter management or surgical planning; real-time fluoroscopic imaging identifies obstruction level and any reflux or diverticula. Typical codes: BT1BZZZ
A hospitalized patient with recurrent hematuria and a planned diagnostic evaluation undergoes fluoroscopic cystography with contrast to visualize the bladder mucosa and urethra for vesicoureteral reflux or fistula prior to further urologic intervention; fluoroscopy is performed with contrast agent selection documented. Typical codes: BT1B1ZZ, BT1BYZZ
A trauma patient admitted after pelvic fracture with gross hematuria and concern for bladder rupture receives urgent fluoroscopic cystography to detect extravasation of contrast from the bladder and define injury extent to guide operative repair. Typical codes: BT1B0ZZ, BT1B1ZZ

When to Use

Use a code from this group when fluoroscopic imaging of the bladder and urethra is performed during an inpatient encounter for diagnostic evaluation or to guide a urinary procedure. Codes in this group apply whether the imaging is single plane or bi-plane and whether the images are stored digitally or on analog media.

ICD-10-PCS Code	Description
BT1B0ZZ	Fluoroscopy of Bladder and Urethra using High Osmolar Contrast
BT1B1ZZ	Fluoroscopy of Bladder and Urethra using Low Osmolar Contrast
BT1BYZZ	Fluoroscopy of Bladder and Urethra using Other Contrast
BT1BZZZ	Fluoroscopy of Bladder and Urethra

ICD-10-PCS Code

Description

BT1B0ZZ

Fluoroscopy of Bladder and Urethra using High Osmolar Contrast

BT1B1ZZ

Fluoroscopy of Bladder and Urethra using Low Osmolar Contrast

BT1BYZZ

Fluoroscopy of Bladder and Urethra using Other Contrast

BT1BZZZ

Fluoroscopy of Bladder and Urethra

Typical Clinical Scenarios

An elderly inpatient with acute urinary retention and suspected bladder outlet obstruction due to prostatic enlargement undergoes bedside evaluation followed by fluoroscopic cystourethrogram to assess bladder emptying and urethral patency before catheter management or surgical planning; real-time fluoroscopic imaging identifies obstruction level and any reflux or diverticula. Typical codes: BT1BZZZ
A hospitalized patient with recurrent hematuria and a planned diagnostic evaluation undergoes fluoroscopic cystography with contrast to visualize the bladder mucosa and urethra for vesicoureteral reflux or fistula prior to further urologic intervention; fluoroscopy is performed with contrast agent selection documented. Typical codes: BT1B1ZZ, BT1BYZZ
A trauma patient admitted after pelvic fracture with gross hematuria and concern for bladder rupture receives urgent fluoroscopic cystography to detect extravasation of contrast from the bladder and define injury extent to guide operative repair. Typical codes: BT1B0ZZ, BT1B1ZZ

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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ICD-10-PCS Code For Bladder And Urethra: Procedure Code Group Overview

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Bladder And Urethra Fluoroscopy Procedure Overview

Code Attributes

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ICD-10-PCS Code For Bladder And Urethra: Procedure Code Group Overview

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Bladder And Urethra Fluoroscopy 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 Bladder And Urethra: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Bladder And Urethra: Procedure Code Group Overview policy alerts

Bladder And Urethra Fluoroscopy Procedure Overview

Code Attributes

ICD-10-PCS Code For Bladder And Urethra: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Bladder And Urethra: Procedure Code Group Overview policy alerts

Bladder And Urethra Fluoroscopy Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS code group BT1B?

What is the primary purpose of documenting BT1B procedures in inpatient records?

Under which ICD-10-PCS section and body system do BT1B codes fall?

How do the individual BT1B codes differ from one another?

Why is accurate coding within the BT1B group important for reimbursement?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS code group BT1B?

What is the primary purpose of documenting BT1B procedures in inpatient records?

Under which ICD-10-PCS section and body system do BT1B codes fall?

How do the individual BT1B codes differ from one another?

Why is accurate coding within the BT1B group important for reimbursement?

References