| Section | B | Imaging |
| Body System | P | Non-Axial Upper 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 Sternoclavicular Joint, Right 1 Sternoclavicular Joint, Left 2 Sternoclavicular Joints, Bilateral 3 Acromioclavicular Joints, Bilateral 4 Clavicle, Right 5 Clavicle, Left 6 Scapula, Right 7 Scapula, Left A Humerus, Right B Humerus, Left E Upper Arm, Right F Upper Arm, Left J Forearm, Right K Forearm, Left N Hand, Right P Hand, Left R Finger(s), Right S Finger(s), Left X Ribs, Right Y Ribs, Left |
Contrast Z None |
Qualifier Z None |
Qualifier Z None |
| Body Part 8 Shoulder, Right 9 Shoulder, Left C Hand/Finger Joint, Right D Hand/Finger Joint, Left G Elbow, Right H Elbow, Left L Wrist, Right M Wrist, Left |
Contrast 0 High Osmolar 1 Low Osmolar Y Other Contrast Z None |
Qualifier Z None |
Qualifier Z None |