| Section | B | Imaging |
| Body System | 2 | Heart |
| Type | 0 | Plain Radiography: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate |
| Body Part 0 Coronary Artery, Single 1 Coronary Arteries, Multiple 2 Coronary Artery Bypass Graft, Single 3 Coronary Artery Bypass Grafts, Multiple 4 Heart, Right 5 Heart, Left 6 Heart, Right and Left 7 Internal Mammary Bypass Graft, Right 8 Internal Mammary Bypass Graft, Left F Bypass Graft, Other |
Contrast 0 High Osmolar 1 Low Osmolar Y Other Contrast |
Qualifier Z None |
Qualifier Z None |