BW190ZZFluoroscopy of Head and Neck using High Osmolar Contrast
- Billable / Specific Code
BW190ZZ is a billable ICD-10-PCS procedure code for Fluoroscopy of Head and Neck 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 | W | Anatomical Regions |
| 3 | Type | 1 | Fluoroscopy |
| 4 | BodyPart | 9 | Head and Neck |
| 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 head and neck, open the FY 2027 ICD-10-PCS Alphabetic Index at Fluoroscopy, then the subterm Head and Neck. The index leads to table BW1, where the contrast, qualifier and qualifier values shown in the breakdown above complete the seven-character code BW190ZZ.
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 BW190ZZ
Is BW190ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fluoroscopy of Head and Neck using High Osmolar Contrast on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in BW190ZZ mean?
The code breaks down character by character: the 1st character B is the Section (Imaging); the 2nd character W is the Body System (Anatomical Regions); the 3rd character 1 is the Type (Fluoroscopy); the 4th character 9 is the BodyPart (Head and Neck); 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 BW190ZZ?
Under the General Equivalence Mappings, Fluoroscopy of Head and Neck using High Osmolar Contrast crosswalks to ICD-9-PCS 87.09 (Other soft tissue x-ray of face, head, and neck). The mapping is approximate, so confirm it fits the documentation.
