| Section | B | Imaging |
| Body System | R | Axial Skeleton, Except Skull and Facial Bones |
| Type | 1 | Fluoroscopy: Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means |
| Body Part 0 Cervical Spine 1 Cervical Disc(s) 2 Thoracic Disc(s) 3 Lumbar Disc(s) 4 Cervical Facet Joint(s) 5 Thoracic Facet Joint(s) 6 Lumbar Facet Joint(s) 7 Thoracic Spine 8 Thoracolumbar Joint 9 Lumbar Spine B Lumbosacral Joint C Pelvis D Sacroiliac Joints F Sacrum and Coccyx G Whole Spine H Sternum |
Contrast 0 High Osmolar 1 Low Osmolar Y Other Contrast Z None |
Qualifier Z None |
Qualifier Z None |