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ICD-10-PCS 2027 procedure code

BR190ZZFluoroscopy of Lumbar Spine using High Osmolar Contrast

✓ Valid for 2027

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About BR190ZZ

BR190ZZ is the ICD-10-PCS code for a fluoroscopy procedure on the lumbar spine using a high osmolar approach with none (qualifier: none). In ICD-10-PCS, fluoroscopy means 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 plain terms, this corresponds to contrast myelogram and other x-ray of lumbosacral spine, the ICD-9-CM procedure titles it maps to (87.21 and 87.24).

For a different body part, codes include BR100ZZ (cervical spine), BR110ZZ (cervical disc(s)), BR120ZZ (thoracic disc(s)), BR130ZZ (lumbar disc(s)), BR140ZZ (cervical facet joint(s)), BR150ZZ (thoracic facet joint(s)) and 9 more.

The same procedure with a different approach is coded BR191ZZ (low osmolar), BR19YZZ (other contrast) and BR19ZZZ (none).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
BImaging
2. Body System
RAxial Skeleton, Except Skull and Facial Bones
3. Type
1Fluoroscopy

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

4. Body Part
9Lumbar Spine
5. Contrast
0High Osmolar
6. Qualifier
ZNone
7. Qualifier
ZNone

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 87.21Contrast myelogramapproximate
  • 87.24Other x-ray of lumbosacral spineapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about BR190ZZ

Is BR190ZZ a valid ICD-10-PCS code for 2027?

Yes. BR190ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for BR190ZZ?

The CMS GEMs map BR190ZZ to ICD-9-CM 87.21 (Contrast myelogram) and 87.24 (Other x-ray of lumbosacral spine).