BY4BZZZUltrasonography of First Trimester, Multiple Gestation

  • Billable / Specific Code
ICD-10-PCS BY4BZZZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

BY4BZZZ is a billable ICD-10-PCS procedure code for Ultrasonography of First Trimester, Multiple Gestation. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027). The root operation Ultrasonography involves real time display of images of anatomy or flow information developed from the capture of reflected and attenuated high frequency sound waves. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Ultrasonography.

Code Identity

ICD-10-PCS Code
BY4BZZZ
Billable Status
Yes — Valid for Submission
Code Describes
Ultrasonography of First Trimester, Multiple Gestation
Short Description
Ultrasonography of First Trimester, Multiple Gestation
Same as the full description in the CMS dataset.
Parent Code
BY4 Imaging, Fetus and Obstetrical, Ultrasonography

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 SystemYFetus and Obstetrical
3Type4Ultrasonography
4BodyPartBFirst Trimester, Multiple Gestation
5ContrastZNone
6QualifierZNone
7QualifierZNone

In the ICD-10-PCS Alphabetic Index

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

Ultrasonography, Fetus, First Trimester, Multiple Gestation
Direct entry for this code
Leads to this code's table
Leads to this code's table
Mapping, Doppler ultrasound
Leads to this code's table

To code mapping of the doppler ultrasound, open the FY 2027 ICD-10-PCS Alphabetic Index at Mapping, then the subterm Doppler ultrasound. The index leads to table BY4, where the contrast, qualifier and qualifier values shown in the breakdown above complete the seven-character code BY4BZZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

IMG008
Ultrasonography
Clinical domain: Imaging

Convert to ICD-9-PCS

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

88.78
Diagnostic ultrasound of gravid uterus
Approximate match.

Similar Procedure Codes

Questions About BY4BZZZ

Is BY4BZZZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Ultrasonography of First Trimester, Multiple Gestation on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in BY4BZZZ mean?

The code breaks down character by character: the 1st character B is the Section (Imaging); the 2nd character Y is the Body System (Fetus and Obstetrical); the 3rd character 4 is the Type (Ultrasonography); the 4th character B is the BodyPart (First Trimester, Multiple Gestation); the 5th character Z is the Contrast (None); the 6th character Z is the Qualifier (None); the 7th character Z is the Qualifier (None).

What is the ICD-9-PCS equivalent of BY4BZZZ?

Under the General Equivalence Mappings, Ultrasonography of First Trimester, Multiple Gestation crosswalks to ICD-9-PCS 88.78 (Diagnostic ultrasound of gravid uterus). The mapping is approximate, so confirm it fits the documentation.