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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group BU19 includes procedures performed to image the vagina using real-time fluoroscopic display. These ICD-10-PCS codes are used for inpatient documentation when fluoroscopic visualization of the vagina is required for diagnosis, guidance, or assessment during a procedure. Accurate coding within the ICD-10-PCS BU19 group is essential for proper inpatient reimbursement, as it captures the imaging procedure performed and supports clinical documentation accuracy.

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Vagina Fluoroscopy Procedure Overview

This group includes procedures that use real-time fluoroscopic imaging targeting the vagina within the female reproductive system. These procedures involve capturing and displaying images from external ionizing radiation on a fluorescent screen, with optional digital or analog storage. Accurate ICD-10-PCS coding of these fluoroscopic procedures supports correct inpatient reimbursement and reflects the imaging services performed on the female reproductive system.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
U	Body System	Female Reproductive System
1	Operation	Fluoroscopy
9	Body Part	Vagina

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

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Vagina Fluoroscopy Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
U	Body System	Female Reproductive System
1	Operation	Fluoroscopy
9	Body Part	Vagina

When to Use

Use codes from this group when fluoroscopic imaging is performed specifically on the vagina to visualize anatomy, guide an intervention, or assess device placement. These codes apply when external ionizing radiation is used to generate a real-time display that may be recorded during an inpatient encounter.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
BU190ZZ	Fluoroscopy of Vagina using High Osmolar Contrast
BU191ZZ	Fluoroscopy of Vagina using Low Osmolar Contrast
BU19YZZ	Fluoroscopy of Vagina using Other Contrast
BU19ZZZ	Fluoroscopy of Vagina

Typical Clinical Scenarios

A postpartum patient develops persistent vaginal bleeding and suspected retained products of conception after a complicated vaginal delivery; she is admitted for evaluation and possible surgical management. Fluoroscopic visualization of the vagina is performed to delineate retained material, assess bleeding source, and guide any potential instrument placement or evacuation under real-time imaging. Typical codes: BU19ZZZ.
A patient with recurrent vaginal fistula and prior radiation therapy presents for planned preoperative assessment to map the fistulous tract and evaluate anatomy before reconstructive surgery. During the inpatient preoperative workup, fluoroscopy of the vagina with contrast is used to outline the tract and establish communication with adjacent structures to guide surgical planning. Typical codes: BU190ZZ, BU191ZZ.
An inpatient with acute pelvic trauma after a motor vehicle collision is hemodynamically stable but has suspected vaginal laceration and possible foreign body; fluoroscopic evaluation is ordered to localize retained fragments and assess the extent of injury in real time while preparing for operative repair. Fluoroscopy may be performed with or without contrast to visualize the vaginal lumen and guide removal or further intervention. Typical codes: BU19YZZ, BU19ZZZ.

Related Codes

BU10-FALLOPIAN-TUBE-RIGHT-FLUOROSCOPY

ICD-10-PCS Code For Fallopian Tube Right: Procedure Code Group Overview

BU11-LEFT-FALLOPIAN-TUBE-FLUOROSCOPY

ICD-10-PCS Code For Fallopian Tube, Left: Procedure Code Group Overview

BU12-FALLOPIAN-TUBES-REVISION-FALLOPIAN-TUBES-FLUOROSCOPY

ICD-10-PCS Code For Fallopian Tubes: Procedure Code Group Overview

BU16-UTERUS-FLUOROSCOPY

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

BU18-UTERUS-AND-FALLOPIAN-TUBES-FLUOROSCOPY

ICD-10-PCS Code For Uterus And Fallopian Tubes: 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

4 rows

ICD-10-PCS Code	Description
BU190ZZ	Fluoroscopy of Vagina using High Osmolar Contrast
BU191ZZ	Fluoroscopy of Vagina using Low Osmolar Contrast
BU19YZZ	Fluoroscopy of Vagina using Other Contrast
BU19ZZZ	Fluoroscopy of Vagina

Typical Clinical Scenarios

A postpartum patient develops persistent vaginal bleeding and suspected retained products of conception after a complicated vaginal delivery; she is admitted for evaluation and possible surgical management. Fluoroscopic visualization of the vagina is performed to delineate retained material, assess bleeding source, and guide any potential instrument placement or evacuation under real-time imaging. Typical codes: BU19ZZZ.
A patient with recurrent vaginal fistula and prior radiation therapy presents for planned preoperative assessment to map the fistulous tract and evaluate anatomy before reconstructive surgery. During the inpatient preoperative workup, fluoroscopy of the vagina with contrast is used to outline the tract and establish communication with adjacent structures to guide surgical planning. Typical codes: BU190ZZ, BU191ZZ.
An inpatient with acute pelvic trauma after a motor vehicle collision is hemodynamically stable but has suspected vaginal laceration and possible foreign body; fluoroscopic evaluation is ordered to localize retained fragments and assess the extent of injury in real time while preparing for operative repair. Fluoroscopy may be performed with or without contrast to visualize the vaginal lumen and guide removal or further intervention. Typical codes: BU19YZZ, BU19ZZZ.

Related Codes

BU10-FALLOPIAN-TUBE-RIGHT-FLUOROSCOPY

ICD-10-PCS Code For Fallopian Tube Right: Procedure Code Group Overview

BU11-LEFT-FALLOPIAN-TUBE-FLUOROSCOPY

ICD-10-PCS Code For Fallopian Tube, Left: Procedure Code Group Overview

BU12-FALLOPIAN-TUBES-REVISION-FALLOPIAN-TUBES-FLUOROSCOPY

ICD-10-PCS Code For Fallopian Tubes: Procedure Code Group Overview

BU16-UTERUS-FLUOROSCOPY

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

BU18-UTERUS-AND-FALLOPIAN-TUBES-FLUOROSCOPY

ICD-10-PCS Code For Uterus And Fallopian Tubes: 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 Vagina: Procedure Code Group Overview

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

Vagina Fluoroscopy Procedure Overview

Code Attributes

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

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

Vagina 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 BU19 code group?

What is the primary operation and body system represented by BU19 codes?

When should a BU19 ICD-10-PCS code be used in inpatient documentation?

How do the BU19 codes differentiate based on contrast usage?

What is the reimbursement relevance of accurate BU19 coding?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS BU19 code group?

What is the primary operation and body system represented by BU19 codes?

When should a BU19 ICD-10-PCS code be used in inpatient documentation?

How do the BU19 codes differentiate based on contrast usage?

What is the reimbursement relevance of accurate BU19 coding?

References