| Section | B | Imaging |
| Body System | 9 | Ear, Nose, Mouth and Throat |
| Type | 0 | Plain Radiography: Planar display of an image developed from the capture of external ionizing radiation on photographic or photoconductive plate |
| Body Part 2 Paranasal Sinuses F Nasopharynx/Oropharynx H Mastoids |
Contrast Z None |
Qualifier Z None |
Qualifier Z None |
| Body Part 4 Parotid Gland, Right 5 Parotid Gland, Left 6 Parotid Glands, Bilateral 7 Submandibular Gland, Right 8 Submandibular Gland, Left 9 Submandibular Glands, Bilateral B Salivary Gland, Right C Salivary Gland, Left D Salivary Glands, Bilateral |
Contrast 0 High Osmolar 1 Low Osmolar Y Other Contrast |
Qualifier Z None |
Qualifier Z None |