B518ZZAFluoroscopy of Superior Vena Cava, Guidance

  • Billable / Specific Code
ICD-10-PCS B518ZZA
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

B518ZZA is a billable ICD-10-PCS procedure code for Fluoroscopy of Superior Vena Cava, Guidance. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027). 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 Fluoroscopic guidance for circulatory system procedures.

Code Identity

ICD-10-PCS Code
B518ZZA
Billable Status
Yes — Valid for Submission
Code Describes
Fluoroscopy of Superior Vena Cava, Guidance
Short Description
Fluoroscopy of Superior Vena Cava, Guidance
Same as the full description in the CMS dataset.
Parent Code

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
5ContrastZNone
6QualifierZNone
7QualifierAGuidance

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Fluoroscopy, Vena Cava, Superior
Leads to this code's table
Guidance, catheter placement, Fluoroscopy
Leads to this code's table

To code fluoroscopy of the superior vena cava, open the FY 2027 ICD-10-PCS Alphabetic Index at Fluoroscopy, then the subterms Vena Cava, Superior. The index leads to table B51, where the contrast, qualifier and qualifier values shown in the breakdown above complete the seven-character code B518ZZA.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

IMG003
Fluoroscopic guidance for circulatory system procedures
Clinical domain: Imaging

Convert to ICD-9-PCS

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

88.51
Angiocardiography of venae cavae
Approximate match.

Similar Procedure Codes

Questions About B518ZZA

Is B518ZZA a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fluoroscopy of Superior Vena Cava, Guidance on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in B518ZZA mean?

The code 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 Z is the Contrast (None); the 6th character Z is the Qualifier (None); the 7th character A is the Qualifier (Guidance).

What is the ICD-9-PCS equivalent of B518ZZA?

Under the General Equivalence Mappings, Fluoroscopy of Superior Vena Cava, Guidance crosswalks to ICD-9-PCS 88.51 (Angiocardiography of venae cavae). The mapping is approximate, so confirm it fits the documentation.