ICD-10-PCS Code For Upper Extremities, Bilateral: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group CP1B includes procedures performed to introduce radioactive materials for planar nuclear medicine imaging in the upper extremities, bilateral. These ICD-10-PCS codes are used for inpatient documentation when single-plane nuclear medicine imaging of both upper extremities is performed to assess bone or soft tissue pathology. Accurate coding within the ICD-10-PCS CP1B 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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Upper Extremities, Bilateral Planar Nuclear Medicine Imaging Procedure Overview

This group includes planar nuclear medicine imaging procedures of the musculoskeletal system targeting both upper extremities. These procedures involve introduction of radioactive materials and capture of single-plane images from emitted radiation to evaluate bones and soft tissues. Accurate ICD-10-PCS coding of these procedures ensures inpatient records reflect the imaging performed and supports appropriate case mix assignment and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
C	Section	Nuclear Medicine
P	Body System	Musculoskeletal System
1	Operation	Planar Nuclear Medicine Imaging
B	Body Part	Upper Extremities, Bilateral

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ICD-10-PCS Code For Upper Extremities, Bilateral: Procedure Code Group Overview

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Upper Extremities, Bilateral Planar Nuclear Medicine Imaging Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
C	Section	Nuclear Medicine
P	Body System	Musculoskeletal System
1	Operation	Planar Nuclear Medicine Imaging
B	Body Part	Upper Extremities, Bilateral

When to Use

Use a code from this group when radioactive tracer is administered and single-plane nuclear medicine imaging is performed on both upper extremities during an inpatient stay. These codes apply when the clinical intent is to evaluate musculoskeletal structures of the bilateral upper extremities using planar imaging.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
CP1B1ZZ	Planar Nuclear Medicine Imaging of Bilateral Upper Extremities using Technetium 99m (Tc-99m)
CP1BYZZ	Planar Nuclear Medicine Imaging of Bilateral Upper Extremities using Other Radionuclide

Typical Clinical Scenarios

A 68-year-old patient with a history of metastatic breast cancer is admitted for evaluation of new, progressive bilateral shoulder and forearm bone pain with concern for osseous metastases. To assess for multifocal skeletal involvement in both upper extremities, planar nuclear medicine imaging after administration of a technetium-based radiotracer is performed to localize areas of increased osteoblastic activity. The study provides single-plane images of both upper extremities to guide further management and potential targeted therapy. Typical codes: CP1B1ZZ
A 45-year-old diabetic patient presents after a fall with persistent, unexplained bilateral wrist and hand pain and suspected occult fractures or focal osteomyelitis not evident on plain radiographs. During the inpatient workup, planar nuclear medicine imaging using a non-technetium radionuclide agent is obtained to evaluate for bone turnover or infection in both upper extremities when rapid bedside radiotracer administration and single-plane imaging are indicated. The results help determine need for orthopedic intervention or further advanced imaging. Typical codes: CP1BYZZ
A 58-year-old patient with a chronic, bilateral wrist prosthetic infection suspicion is admitted for reassessment after inconclusive prior studies; clinicians need comparison of current bilateral upper extremity bone activity to prior imaging to evaluate persistent infection versus postoperative changes. Planar nuclear medicine imaging is performed with a technetium-based tracer to obtain single-plane images of both upper extremities to assist in distinguishing infection-related increased uptake from chronic post-surgical changes and to guide further management. Typical codes: CP1B1ZZ

Related Codes

CP11-SKULL-PLANAR-IMAGING

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

CP14-THORAX-PLANAR-IMAGING

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

CP15-SPINE-PLANAR-IMAGING

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

CP16-PELVIS-PLANAR-IMAGING

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

CP17-SPINE-AND-PELVIS-PLANAR-IMAGING

ICD-10-PCS Code For Spine And Pelvis: Procedure Code Group Overview

CP18-UPPER-EXTREMITY-RIGHT-INTRODUCTION-UPPER-EXTREMITY-RIGHT-PLANAR

ICD-10-PCS Code For Upper Extremity Right: Procedure Code Group Overview

CP19-UPPER-EXTREMITY-LEFT-PLANAR-IMAGING

ICD-10-PCS Code For Upper Extremity Left: Procedure Code Group Overview

CP1C-LOWER-EXTREMITY-RIGHT-PLANAR-IMAGING

ICD-10-PCS Code For Lower Extremity, Right: Procedure Code Group Overview

CP1D-LEFT-LOWER-EXTREMITY-PLANAR-IMAGING

ICD-10-PCS Code For Lower Extremity, Left: Procedure Code Group Overview

CP1F-LOWER-EXTREMITIES-PLANAR-IMAGING

ICD-10-PCS Code For Lower Extremities: Procedure Code Group Overview

Showing 1–10 of 12

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
CP1B1ZZ	Planar Nuclear Medicine Imaging of Bilateral Upper Extremities using Technetium 99m (Tc-99m)
CP1BYZZ	Planar Nuclear Medicine Imaging of Bilateral Upper Extremities using Other Radionuclide

Typical Clinical Scenarios

A 68-year-old patient with a history of metastatic breast cancer is admitted for evaluation of new, progressive bilateral shoulder and forearm bone pain with concern for osseous metastases. To assess for multifocal skeletal involvement in both upper extremities, planar nuclear medicine imaging after administration of a technetium-based radiotracer is performed to localize areas of increased osteoblastic activity. The study provides single-plane images of both upper extremities to guide further management and potential targeted therapy. Typical codes: CP1B1ZZ
A 45-year-old diabetic patient presents after a fall with persistent, unexplained bilateral wrist and hand pain and suspected occult fractures or focal osteomyelitis not evident on plain radiographs. During the inpatient workup, planar nuclear medicine imaging using a non-technetium radionuclide agent is obtained to evaluate for bone turnover or infection in both upper extremities when rapid bedside radiotracer administration and single-plane imaging are indicated. The results help determine need for orthopedic intervention or further advanced imaging. Typical codes: CP1BYZZ
A 58-year-old patient with a chronic, bilateral wrist prosthetic infection suspicion is admitted for reassessment after inconclusive prior studies; clinicians need comparison of current bilateral upper extremity bone activity to prior imaging to evaluate persistent infection versus postoperative changes. Planar nuclear medicine imaging is performed with a technetium-based tracer to obtain single-plane images of both upper extremities to assist in distinguishing infection-related increased uptake from chronic post-surgical changes and to guide further management. Typical codes: CP1B1ZZ

Related Codes

CP11-SKULL-PLANAR-IMAGING

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

CP14-THORAX-PLANAR-IMAGING

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

CP15-SPINE-PLANAR-IMAGING

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

CP16-PELVIS-PLANAR-IMAGING

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

CP17-SPINE-AND-PELVIS-PLANAR-IMAGING

ICD-10-PCS Code For Spine And Pelvis: Procedure Code Group Overview

CP18-UPPER-EXTREMITY-RIGHT-INTRODUCTION-UPPER-EXTREMITY-RIGHT-PLANAR

ICD-10-PCS Code For Upper Extremity Right: Procedure Code Group Overview

CP19-UPPER-EXTREMITY-LEFT-PLANAR-IMAGING

ICD-10-PCS Code For Upper Extremity Left: Procedure Code Group Overview

CP1C-LOWER-EXTREMITY-RIGHT-PLANAR-IMAGING

ICD-10-PCS Code For Lower Extremity, Right: Procedure Code Group Overview

CP1D-LEFT-LOWER-EXTREMITY-PLANAR-IMAGING

ICD-10-PCS Code For Lower Extremity, Left: Procedure Code Group Overview

CP1F-LOWER-EXTREMITIES-PLANAR-IMAGING

ICD-10-PCS Code For Lower Extremities: Procedure Code Group Overview

Showing 1–10 of 12

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 Upper Extremities, Bilateral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Extremities, Bilateral: Procedure Code Group Overview policy alerts

Upper Extremities, Bilateral Planar Nuclear Medicine Imaging Procedure Overview

Code Attributes

ICD-10-PCS Code For Upper Extremities, Bilateral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Extremities, Bilateral: Procedure Code Group Overview policy alerts

Upper Extremities, Bilateral Planar Nuclear Medicine Imaging Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group CP1B?

What are the specific ICD-10-PCS codes in the CP1B group?

What is the operation and body system specified for CP1B codes?

How does accurate coding within CP1B affect inpatient records and payment?

Are there related DRGs listed for the CP1B code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group CP1B?

What are the specific ICD-10-PCS codes in the CP1B group?

What is the operation and body system specified for CP1B codes?

How does accurate coding within CP1B affect inpatient records and payment?

Are there related DRGs listed for the CP1B code group?

References