ICD-10-PCS Code For Heart Right And Left: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group C226 includes procedures performed to image cardiac structures in the heart using tomographic nuclear medicine techniques. These ICD-10-PCS codes are used for inpatient documentation when three-dimensional nuclear medicine imaging of the right and left heart is performed to evaluate cardiac function or structure. Accurate coding within the ICD-10-PCS C226 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Heart Tomographic Nuclear Medicine Imaging Procedure Overview

This group includes tomographic nuclear medicine imaging procedures that introduce radioactive materials to image the right and left heart. These procedures target the heart within the nuclear medicine section and produce three-dimensional images from captured radioactive emissions. Accurate ICD-10-PCS coding ensures inpatient records reflect the specific imaging performed and supports correct case classification and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
C	Section	Nuclear Medicine
2	Body System	Heart
2	Operation	Tomographic (Tomo) Nuclear Medicine Imaging
6	Body Part	Heart, Right and Left

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ICD-10-PCS Code For Heart Right And Left: Procedure Code Group Overview

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Heart Tomographic Nuclear Medicine Imaging Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
C	Section	Nuclear Medicine
2	Body System	Heart
2	Operation	Tomographic (Tomo) Nuclear Medicine Imaging
6	Body Part	Heart, Right and Left

When to Use

Use a code from this group when a patient undergoes tomographic nuclear medicine imaging that involves introducing radioactive materials specifically to image the right and left heart. These codes apply when three-dimensional images derived from radioactive emissions are obtained to assess cardiac anatomy or function.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
C2261ZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Right and Left Heart using Technetium 99m (Tc-99m)
C226YZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Right and Left Heart using Other Radionuclide

Typical Clinical Scenarios

An elderly patient is admitted with new-onset exertional dyspnea and equivocal echocardiographic findings for suspected ischemic cardiomyopathy; inpatient evaluation aims to quantify regional ventricular function and perfusion to guide immediate medical management and potential revascularization planning. A tomographic nuclear medicine study introducing a radiotracer to produce three-dimensional images of the right and left heart is performed to assess ventricular perfusion and wall motion. Typical codes: C2261ZZ, C226YZZ
A middle-aged patient undergoing preoperative risk stratification for noncardiac major surgery after a recent abnormal stress test is admitted electively for comprehensive cardiac imaging to refine perioperative planning. The team obtains tomographic nuclear imaging of the right and left heart with a radionuclide tracer to evaluate myocardial perfusion and left ventricular function in a controlled inpatient setting. Typical codes: C2261ZZ, C226YZZ
A patient hospitalized for acute chest pain with nondiagnostic ECG and inconclusive biomarkers undergoes urgent inpatient tomographic nuclear imaging to clarify suspected acute ischemia when coronary angiography is deferred; three-dimensional radionuclide imaging of the right and left heart helps determine ongoing ischemia versus alternative diagnoses. Typical codes: C2261ZZ, C226YZZ

Related Codes

C22G-MYOCARDIUM-TOMOGRAPHIC-IMAGING

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

C22Y-HEART-TOMOGRAPHIC-IMAGING

ICD-10-PCS Code For Heart: 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

2 rows

ICD-10-PCS Code	Description
C2261ZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Right and Left Heart using Technetium 99m (Tc-99m)
C226YZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Right and Left Heart using Other Radionuclide

Typical Clinical Scenarios

An elderly patient is admitted with new-onset exertional dyspnea and equivocal echocardiographic findings for suspected ischemic cardiomyopathy; inpatient evaluation aims to quantify regional ventricular function and perfusion to guide immediate medical management and potential revascularization planning. A tomographic nuclear medicine study introducing a radiotracer to produce three-dimensional images of the right and left heart is performed to assess ventricular perfusion and wall motion. Typical codes: C2261ZZ, C226YZZ
A middle-aged patient undergoing preoperative risk stratification for noncardiac major surgery after a recent abnormal stress test is admitted electively for comprehensive cardiac imaging to refine perioperative planning. The team obtains tomographic nuclear imaging of the right and left heart with a radionuclide tracer to evaluate myocardial perfusion and left ventricular function in a controlled inpatient setting. Typical codes: C2261ZZ, C226YZZ
A patient hospitalized for acute chest pain with nondiagnostic ECG and inconclusive biomarkers undergoes urgent inpatient tomographic nuclear imaging to clarify suspected acute ischemia when coronary angiography is deferred; three-dimensional radionuclide imaging of the right and left heart helps determine ongoing ischemia versus alternative diagnoses. Typical codes: C2261ZZ, C226YZZ

Related Codes

C22G-MYOCARDIUM-TOMOGRAPHIC-IMAGING

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

C22Y-HEART-TOMOGRAPHIC-IMAGING

ICD-10-PCS Code For Heart: 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 Heart Right And Left: Procedure Code Group Overview

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

Heart Tomographic Nuclear Medicine Imaging Procedure Overview

Code Attributes

ICD-10-PCS Code For Heart Right And Left: Procedure Code Group Overview

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

Heart Tomographic Nuclear Medicine Imaging 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 C226?

What are the specific codes in the C226 group and how do they differ?

Under which ICD-10-PCS attributes is C226 classified?

When should coders use C226 codes in inpatient documentation?

How does accurate coding of C226 affect reimbursement and records?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS code group C226?

What are the specific codes in the C226 group and how do they differ?

Under which ICD-10-PCS attributes is C226 classified?

When should coders use C226 codes in inpatient documentation?

How does accurate coding of C226 affect reimbursement and records?

References