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 CP2B includes procedures performed to capture three-dimensional tomographic nuclear medicine images of the musculoskeletal structures in the upper extremities, bilateral. These ICD-10-PCS codes are used for inpatient documentation when tomographic nuclear medicine imaging of both upper extremities is performed to assess bone or soft tissue metabolic activity or pathology. Accurate coding within the ICD-10-PCS CP2B group is essential for proper inpatient reimbursement, as it captures the specific imaging modality and anatomical focus performed.

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Upper Extremities, Bilateral Tomographic Nuclear Medicine Imaging Procedure Overview

This group includes tomographic nuclear medicine imaging procedures that capture and display three-dimensional images of both upper extremities by detecting radioactive emissions. These studies target the musculoskeletal system of the bilateral upper extremities and are used to evaluate bone and soft tissue physiology and pathology. Precise ICD-10-PCS coding of these procedures ensures inpatient records accurately reflect the imaging performed and supports appropriate reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
C	Section	Nuclear Medicine
P	Body System	Musculoskeletal System
2	Operation	Tomographic (Tomo) 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 Tomographic Nuclear Medicine Imaging Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
C	Section	Nuclear Medicine
P	Body System	Musculoskeletal System
2	Operation	Tomographic (Tomo) Nuclear Medicine Imaging
B	Body Part	Upper Extremities, Bilateral

When to Use

Use a code from this group when tomographic nuclear medicine imaging is performed on both upper extremities to investigate suspected metabolic bone disease, infection, or localized pathology. These codes apply when radioactive tracers are administered and three-dimensional capture of emissions is used for diagnosis or treatment planning in the inpatient setting.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
CP2B1ZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Bilateral Upper Extremities using Technetium 99m (Tc-99m)
CP2BYZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Bilateral Upper Extremities using Other Radionuclide

Typical Clinical Scenarios

A hospitalized elderly patient with known metastatic prostate cancer develops new, severe bilateral shoulder pain and limited range of motion after a recent fall; inpatient evaluation aims to differentiate acute metastatic bone involvement from traumatic fractures. A tomographic nuclear medicine study of both upper extremities is ordered to assess metabolic activity and identify multifocal osseous lesions versus fracture-related uptake. Typical codes: CP2B1ZZ, CP2BYZZ
A middle-aged patient admitted for fever of unknown origin with worsening bilateral forearm swelling and concern for osteomyelitis after failed outpatient antibiotics; clinicians require detailed three-dimensional imaging of bone metabolic activity to localize infection and guide surgical planning. Bilateral tomographic nuclear medicine imaging is performed after injection of a radiotracer to detect sites of active bone infection and inflammation. Typical codes: CP2B1ZZ, CP2BYZZ
A young athlete is admitted electively for evaluation of chronic bilateral wrist pain and suspected stress-related bone changes not visible on radiographs; inpatient workup includes advanced functional imaging to assess bone turnover and occult stress injuries before deciding on conservative versus operative management. A tomographic nuclear medicine scan of both upper extremities is performed using an appropriate radionuclide to visualize areas of increased osteoblastic activity. Typical codes: CP2B1ZZ, CP2BYZZ

Related Codes

CP21-SKULL-TOMOGRAPHIC-IMAGING

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

CP22-CERVICAL-SPINE-TOMOGRAPHIC-IMAGING

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

CP23-SKULL-AND-CERVICAL-SPINE-TOMOGRAPHIC

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

CP24-THORAX-TOMOGRAPHIC-NUCLEAR-MEDICINE

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

CP26-PELVIS-TOMOGRAPHIC-IMAGING

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

CP27-SPINE-PELVIS-TOMOGRAPHIC-IMAGING

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

CP28-UPPER-EXTREMITY-RIGHT-TOMOGRAPHIC

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

CP29-UPPER-EXTREMITY-LEFT-TOMOGRAPHIC

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

CP2C-LOWER-EXTREMITY-RIGHT-TOMOGRAPHIC

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

CP2D-LEFT-LOWER-EXTREMITY-TOMOGRAPHIC-IMAGING

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

Showing 1–10 of 15

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
CP2B1ZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Bilateral Upper Extremities using Technetium 99m (Tc-99m)
CP2BYZZ	Tomographic (Tomo) Nuclear Medicine Imaging of Bilateral Upper Extremities using Other Radionuclide

Typical Clinical Scenarios

A hospitalized elderly patient with known metastatic prostate cancer develops new, severe bilateral shoulder pain and limited range of motion after a recent fall; inpatient evaluation aims to differentiate acute metastatic bone involvement from traumatic fractures. A tomographic nuclear medicine study of both upper extremities is ordered to assess metabolic activity and identify multifocal osseous lesions versus fracture-related uptake. Typical codes: CP2B1ZZ, CP2BYZZ
A middle-aged patient admitted for fever of unknown origin with worsening bilateral forearm swelling and concern for osteomyelitis after failed outpatient antibiotics; clinicians require detailed three-dimensional imaging of bone metabolic activity to localize infection and guide surgical planning. Bilateral tomographic nuclear medicine imaging is performed after injection of a radiotracer to detect sites of active bone infection and inflammation. Typical codes: CP2B1ZZ, CP2BYZZ
A young athlete is admitted electively for evaluation of chronic bilateral wrist pain and suspected stress-related bone changes not visible on radiographs; inpatient workup includes advanced functional imaging to assess bone turnover and occult stress injuries before deciding on conservative versus operative management. A tomographic nuclear medicine scan of both upper extremities is performed using an appropriate radionuclide to visualize areas of increased osteoblastic activity. Typical codes: CP2B1ZZ, CP2BYZZ

Related Codes

CP21-SKULL-TOMOGRAPHIC-IMAGING

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

CP22-CERVICAL-SPINE-TOMOGRAPHIC-IMAGING

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

CP23-SKULL-AND-CERVICAL-SPINE-TOMOGRAPHIC

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

CP24-THORAX-TOMOGRAPHIC-NUCLEAR-MEDICINE

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

CP26-PELVIS-TOMOGRAPHIC-IMAGING

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

CP27-SPINE-PELVIS-TOMOGRAPHIC-IMAGING

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

CP28-UPPER-EXTREMITY-RIGHT-TOMOGRAPHIC

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

CP29-UPPER-EXTREMITY-LEFT-TOMOGRAPHIC

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

CP2C-LOWER-EXTREMITY-RIGHT-TOMOGRAPHIC

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

CP2D-LEFT-LOWER-EXTREMITY-TOMOGRAPHIC-IMAGING

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

Showing 1–10 of 15

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 Tomographic 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 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 CP2B ICD-10-PCS code group?

What is the clinical purpose of the CP2B tomographic nuclear medicine studies?

Under which ICD-10-PCS section and body system are CP2B codes classified?

How do `CP2B1ZZ` and `CP2BYZZ` differ?

Why is accurate coding within the CP2B group important for inpatient records?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the CP2B ICD-10-PCS code group?

What is the clinical purpose of the CP2B tomographic nuclear medicine studies?

Under which ICD-10-PCS section and body system are CP2B codes classified?

How do `CP2B1ZZ` and `CP2BYZZ` differ?

Why is accurate coding within the CP2B group important for inpatient records?

References