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Cold molecular hydrogen is difficult to observe directly: its homonuclear symmetry forbids electric-dipole rotational transitions, and its lowest useful quadrupole rotational excitation is high compared with a cold cloud's temperature. Carbon monoxide is relatively abundant, has a permanent dipole moment and has low-lying rotational transitions that can be collisionally excited in cold gas. The low-$J$ lines lie in accessible millimetre bands and suffer much less dust extinction than visible light. They therefore reveal molecular-gas velocities and spatial structure efficiently.

The advantages do not turn CO into a direct mass counter without a model. Common-isotope lines can be optically thick; excitation can be subthermal or have multiple temperatures. Abundance changes with metallicity, chemistry, shielding and photodissociation, and CO can freeze onto grains. Molecular hydrogen can also survive where CO is weak, giving CO-dark gas. A calibrated carbon-monoxide tracer of molecular hydrogen conversion may be useful for appropriate cloud populations but should not be transplanted uncritically to newly formed supernova ejecta. The line calculations here infer CO mass, not total molecular mass unless a CO-to-hydrogen abundance is separately known.

Low rotational transitions of carbon monoxide are excited by collisions in cold molecular clouds. CO survives in shielded gas and is readily observable, so the carbon-monoxide tracer of molecular hydrogen uses its integrated intensity with $X_{\mathrm{CO}}$ to infer the otherwise difficult-to-observe ${\mathrm{H}}_2$ column. Line ratios also constrain excitation temperature and density, but the dominant large-scale use is to map molecular-gas mass and velocity.