ICD-10-PCS Codes

• 1 D91697Z (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF SALIVARY GLANDS USING CESIUM 137 (CS-137))

• 2 D91698Z (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF SALIVARY GLANDS USING IRIDIUM 192 (IR-192))

• 3 D91699Z (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF SALIVARY GLANDS USING IODINE 125 (I-125))

• 4 D9169BZ (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF SALIVARY GLANDS USING PALLADIUM 103 (PD-103))

• 5 D9169CZ (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF SALIVARY GLANDS USING CALIFORNIUM 252 (CF-252))

• 6 D9169YZ (HIGH DOSE RATE (HDR) BRACHYTHERAPY OF SALIVARY GLANDS USING OTHER ISOTOPE)

• 7 D916B6Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING CESIUM 131 (CS-131))

• 8 D916B7Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING CESIUM 137 (CS-137))

• 9 D916B8Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING IRIDIUM 192 (IR-192))

• 10 D916B9Z (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING IODINE 125 (I-125))

• 11 D916BB1 (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING PALLADIUM 103 (PD-103), UNIDIRECTIONAL SOURCE)

• 12 D916BBZ (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING PALLADIUM 103 (PD-103))

• 13 D916BCZ (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING CALIFORNIUM 252 (CF-252))

• 14 D916BYZ (LOW DOSE RATE (LDR) BRACHYTHERAPY OF SALIVARY GLANDS USING OTHER ISOTOPE)