ICD-10-PCS Codes

• 1 D91497Z (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF MOUTH USING CESIUM 137 (CS-137))

• 2 D91498Z (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF MOUTH USING IRIDIUM 192 (IR-192))

• 3 D91499Z (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF MOUTH USING IODINE 125 (I-125))

• 4 D9149BZ (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF MOUTH USING PALLADIUM 103 (PD-103))

• 5 D9149CZ (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF MOUTH USING CALIFORNIUM 252 (CF-252))

• 6 D9149YZ (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF MOUTH USING OTHER ISOTOPE)

• 7 D914B6Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING CESIUM 131 (CS-131))

• 8 D914B7Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING CESIUM 137 (CS-137))

• 9 D914B8Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING IRIDIUM 192 (IR-192))

• 10 D914B9Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING IODINE 125 (I-125))

• 11 D914BB1 (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING PALLADIUM 103 (PD-103), UNIDIRECTIONAL SOURCE)

• 12 D914BBZ (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING PALLADIUM 103 (PD-103))

• 13 D914BCZ (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING CALIFORNIUM 252 (CF-252))

• 14 D914BYZ (LOW DOSE RATE (LDR) BRACHYTHERAPY OF MOUTH USING OTHER ISOTOPE)