| Section | B | Imaging |
| Body System | H | Skin, Subcutaneous Tissue and Breast |
| 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 Breast, Right 1 Breast, Left 2 Breasts, Bilateral |
Contrast Z None |
Qualifier Z None |
Qualifier Z None |
| Body Part 3 Single Mammary Duct, Right 4 Single Mammary Duct, Left 5 Multiple Mammary Ducts, Right 6 Multiple Mammary Ducts, Left |
Contrast 0 High Osmolar 1 Low Osmolar Y Other Contrast Z None |
Qualifier Z None |
Qualifier Z None |