B2151ZZFluoroscopy of Left Heart using Low Osmolar Contrast
- Billable / Specific Code
B2151ZZ is a billable ICD-10-PCS procedure code for Fluoroscopy of Left Heart using Low Osmolar Contrast. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 9 MS-DRGs. The root operation Fluoroscopy involves single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Cardiac and coronary fluoroscopy.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | B | Imaging |
| 2 | Body System | 2 | Heart |
| 3 | Type | 1 | Fluoroscopy |
| 4 | BodyPart | 5 | Heart, Left |
| 5 | Contrast | 1 | Low Osmolar |
| 6 | Qualifier | Z | None |
| 7 | Qualifier | Z | None |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code fluoroscopy of the left heart, open the FY 2027 ICD-10-PCS Alphabetic Index at Fluoroscopy, then the subterms Heart, Left. The index leads to table B21, where the contrast, qualifier and qualifier values shown in the breakdown above complete the seven-character code B2151ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About B2151ZZ
Is B2151ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fluoroscopy of Left Heart using Low Osmolar Contrast on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in B2151ZZ mean?
The code breaks down character by character: the 1st character B is the Section (Imaging); the 2nd character 2 is the Body System (Heart); the 3rd character 1 is the Type (Fluoroscopy); the 4th character 5 is the BodyPart (Heart, Left); the 5th character 1 is the Contrast (Low Osmolar); the 6th character Z is the Qualifier (None); the 7th character Z is the Qualifier (None).
What MS-DRG does B2151ZZ group to?
On an inpatient stay, Fluoroscopy of Left Heart using Low Osmolar Contrast maps to MS-DRGs 212, 216, 217, 218, 233, 234, 275, 286, 287, with relative weights from 1.0786 to 11.4416. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of B2151ZZ?
Under the General Equivalence Mappings, Fluoroscopy of Left Heart using Low Osmolar Contrast crosswalks to ICD-9-PCS 88.53 (Angiocardiography of left heart structures). The mapping is approximate, so confirm it fits the documentation.
