ICD-10-PCS Tabular Index · Section B · FY 2026 BP4

BP4 Ultrasonography - Non-Axial Upper Bones ICD-10-PCS

The BP4 code range contains 17 ICD-10-PCS codes for Ultrasonography procedures on the non-axial upper bones. 16 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
17
Procedure Codes
16
Billable Codes
BP4
Characters 1–3
BP
Parent Body System

Root Operation Definition

Ultrasonography: Real time display of images of anatomy or flow information developed from the capture of reflected and attenuated high frequency sound waves.

ICD-10-PCS

Codes in the BP4 Range 17 codes · 16 billable

17 of 17 shown
  • BP4 Imaging, Non-Axial Upper Bones, UltrasonographyNon-billable header
  • BP48ZZ1 Ultrasonography of Right Shoulder, Densitometry
  • BP48ZZZ Ultrasonography of Right Shoulder
  • BP49ZZ1 Ultrasonography of Left Shoulder, Densitometry
  • BP49ZZZ Ultrasonography of Left Shoulder
  • BP4GZZ1 Ultrasonography of Right Elbow, Densitometry
  • BP4GZZZ Ultrasonography of Right Elbow
  • BP4HZZ1 Ultrasonography of Left Elbow, Densitometry
  • BP4HZZZ Ultrasonography of Left Elbow
  • BP4LZZ1 Ultrasonography of Right Wrist, Densitometry
  • BP4LZZZ Ultrasonography of Right Wrist
  • BP4MZZ1 Ultrasonography of Left Wrist, Densitometry
  • BP4MZZZ Ultrasonography of Left Wrist
  • BP4NZZ1 Ultrasonography of Right Hand, Densitometry
  • BP4NZZZ Ultrasonography of Right Hand
  • BP4PZZ1 Ultrasonography of Left Hand, Densitometry
  • BP4PZZZ Ultrasonography of Left Hand

About the BP4 Code Range

The ICD-10-PCS root operation Ultrasonography (code BP4) refers to imaging performed using sound waves to visualize anatomical structures, particularly bones and joints, without the use of ionizing radiation. It is part of the Imaging section, focusing on non-invasive diagnostic techniques.

This operation is commonly applied to evaluate the upper bones and related joints such as the shoulder, elbow, wrist, and hand. The provided codes demonstrate specific applications, like ultrasonography of the right shoulder (BP48ZZZ) and left wrist (BP4MZZZ). Some codes include densitometry (e.g., BP4LZZ1) to measure bone density during the ultrasound exam. These detailed ICD-10-PCS ultrasonography codes enable precise documentation of imaging procedures used for diagnosing musculoskeletal conditions in the upper extremities, supporting accurate clinical records and billing processes.

Questions About This Page

How many billable codes are in the BP4 range?

Of the 17 codes in this range, 16 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.

What does the BP4 range classify?

The range classifies Ultrasonography procedures, real time display of images of anatomy or flow information developed from the capture of reflected and attenuated high frequency sound waves, performed on the non-axial upper bones. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.

Related References

Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.