ICD-10-PCS Tabular Index · Section B · FY 2026 BR4

BR4 Ultrasonography - Axial Skeleton, Except Skull and Facial Bones ICD-10-PCS

The BR4 code range contains 5 ICD-10-PCS codes for Ultrasonography procedures on the axial skeleton, except skull and facial bones. 4 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
5
Procedure Codes
4
Billable Codes
BR4
Characters 1–3
BR
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 BR4 Range 5 codes · 4 billable

5 of 5 shown
  • BR4 Imaging, Axial Skeleton, Except Skull and Facial Bones, UltrasonographyNon-billable header
  • BR40ZZZ Ultrasonography of Cervical Spine
  • BR47ZZZ Ultrasonography of Thoracic Spine
  • BR49ZZZ Ultrasonography of Lumbar Spine
  • BR4FZZZ Ultrasonography of Sacrum and Coccyx

About the BR4 Code Range

The ICD-10-PCS root operation Ultrasonography (specifically coded as BR4) refers to imaging using ultrasound technology to visualize internal body structures. This operation is part of the Imaging section and focuses on capturing diagnostic images without the use of ionizing radiation.

Ultrasonography is employed here to examine the Axial Skeleton, Except Skull and Facial Bones, providing detailed images of the spinal regions. The provided codes illustrate its application across different spinal areas, including the Cervical Spine (BR40ZZZ), Thoracic Spine (BR47ZZZ), Lumbar Spine (BR49ZZZ), and the Sacrum and Coccyx (BR4FZZZ). These codes emphasize precision in documenting the specific skeletal region examined by ultrasonography, supporting accurate procedural coding in diagnostic imaging encounters. Understanding and using these Ultrasonography codes correctly facilitates clear communication of the imaging performed on axial skeletal structures.

Questions About This Page

How many billable codes are in the BR4 range?

Of the 5 codes in this range, 4 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 BR4 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 axial skeleton, except skull and facial 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.