BR190ZZFluoroscopy of Lumbar Spine using High Osmolar Contrast
- Billable / Specific Code
BR190ZZ is a billable ICD-10-PCS procedure code for Fluoroscopy of Lumbar Spine using High Osmolar Contrast. 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 Fluoroscopy of non-circulatory organs.
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 | R | Axial Skeleton, Except Skull and Facial Bones |
| 3 | Type | 1 | Fluoroscopy |
| 4 | BodyPart | 9 | Lumbar Spine |
| 5 | Contrast | 0 | High 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 lumbar spine, open the FY 2027 ICD-10-PCS Alphabetic Index at Fluoroscopy, then the subterms Spine, Lumbar. The index leads to table BR1, where the contrast, qualifier and qualifier values shown in the breakdown above complete the seven-character code BR190ZZ.
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 BR190ZZ
Is BR190ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fluoroscopy of Lumbar Spine using High Osmolar Contrast on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in BR190ZZ mean?
The code breaks down character by character: the 1st character B is the Section (Imaging); the 2nd character R is the Body System (Axial Skeleton, Except Skull and Facial Bones); the 3rd character 1 is the Type (Fluoroscopy); the 4th character 9 is the BodyPart (Lumbar Spine); the 5th character 0 is the Contrast (High Osmolar); the 6th character Z is the Qualifier (None); the 7th character Z is the Qualifier (None).
What is the ICD-9-PCS equivalent of BR190ZZ?
Under the General Equivalence Mappings, Fluoroscopy of Lumbar Spine using High Osmolar Contrast crosswalks to ICD-9-PCS 87.21 (Contrast myelogram) and 87.24 (Other x-ray of lumbosacral spine). The mapping is approximate, so confirm it fits the documentation.
