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ICD-10-PCS 2027 procedure code

BR181ZZFluoroscopy of Thoracolumbar Joint using Low Osmolar Contrast

✓ Valid for 2027

Short description: Fluoroscopy of Thoracolumbar Joint using L Osm Contrast

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 BR181ZZ

BR181ZZ is the ICD-10-PCS code for a fluoroscopy procedure on the thoracolumbar joint using a low 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 other x-ray of thoracic spine, the ICD-9-CM procedure title it maps to (87.23).

For a different body part, codes include BR101ZZ (cervical spine), BR111ZZ (cervical disc(s)), BR121ZZ (thoracic disc(s)), BR131ZZ (lumbar disc(s)), BR141ZZ (cervical facet joint(s)), BR151ZZ (thoracic facet joint(s)) and 9 more.

The same procedure with a different approach is coded BR180ZZ (high osmolar), BR18YZZ (other contrast) and BR18ZZZ (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
8Thoracolumbar Joint
5. Contrast
1Low Osmolar
6. Qualifier
ZNone
7. Qualifier
ZNone

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 87.23Other x-ray of thoracic 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 BR181ZZ

Is BR181ZZ a valid ICD-10-PCS code for 2027?

Yes. BR181ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for BR181ZZ?

The CMS GEMs map BR181ZZ to ICD-9-CM 87.23 (Other x-ray of thoracic spine).