B5181ZAFluoroscopy of Superior Vena Cava using Low Osmolar Contrast, Guidance

  • Billable / Specific Code
ICD-10-PCS B5181ZA
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

B5181ZA is a billable ICD-10-PCS procedure code for Fluoroscopy of Superior Vena Cava using Low Osmolar Contrast, Guidance. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). 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.

Code Identity

ICD-10-PCS Code
B5181ZA
Billable Status
Yes — Valid for Submission
Code Describes
Fluoroscopy of Superior Vena Cava using Low Osmolar Contrast, Guidance
Parent Code
Short Description
Fluoroscopy of Sup Vena Cava using L Osm Contrast, Guidance

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.

PositionDesignationValueMeaning
1SectionBImaging
2Body System5Veins
3Type1Fluoroscopy
4BodyPart8Superior Vena Cava
5Contrast1Low Osmolar
6QualifierZNone
7QualifierAGuidance

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for B5181ZA under the General Equivalence Mappings.

88.51
Approximate match.

Similar Procedure Codes

Questions About B5181ZA

Is B5181ZA a billable code?

Yes. B5181ZA is a complete seven-character ICD-10-PCS code, specific enough to report Fluoroscopy of Superior Vena Cava using Low Osmolar Contrast, Guidance on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in B5181ZA mean?

B5181ZA breaks down character by character: the 1st character B is the Section (Imaging); the 2nd character 5 is the Body System (Veins); the 3rd character 1 is the Type (Fluoroscopy); the 4th character 8 is the BodyPart (Superior Vena Cava); the 5th character 1 is the Contrast (Low Osmolar); the 6th character Z is the Qualifier (None); the 7th character A is the Qualifier (Guidance).

What is the ICD-9-PCS equivalent of B5181ZA?

Under the General Equivalence Mappings, Fluoroscopy of Superior Vena Cava using Low Osmolar Contrast, Guidance crosswalks to ICD-9-PCS 88.51. The mapping is approximate, so confirm it fits the documentation.