| Section | B | Imaging |
| Body System | N | Skull and Facial Bones |
| 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 Skull 1 Orbit, Right 2 Orbit, Left 3 Orbits, Bilateral 4 Nasal Bones 5 Facial Bones 6 Mandible B Zygomatic Arch, Right C Zygomatic Arch, Left D Zygomatic Arches, Bilateral G Tooth, Single H Teeth, Multiple J Teeth, All |
Contrast Z None |
Qualifier Z None |
Qualifier Z None |
| Body Part 7 Temporomandibular Joint, Right 8 Temporomandibular Joint, Left 9 Temporomandibular Joints, Bilateral |
Contrast 0 High Osmolar 1 Low Osmolar Y Other Contrast Z None |
Qualifier Z None |
Qualifier Z None |