D917BBZ Low Dose Rate (LDR) Brachytherapy of Sinuses using Palladium 103 (Pd-103)

Coding Notes

Active
Billable, valid for HIPAA-covered transactions

PCS Table

Section
D Radiation Therapy
Body System
9 Ear, Nose, Mouth and Throat
Modality
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
0 Ear
1 Nose
3 Hypopharynx
4 Mouth
5 Tongue
6 Salivary Glands
7 Sinuses
8 Hard Palate
9 Soft Palate
B Larynx
D Nasopharynx
F Oropharynx
9 High Dose Rate (HDR)
7 Cesium 137 (Cs-137)
8 Iridium 192 (Ir-192)
9 Iodine 125 (I-125)
B Palladium 103 (Pd-103)
C Californium 252 (Cf-252)
Y Other Isotope
Z None
0 Ear
1 Nose
3 Hypopharynx
4 Mouth
5 Tongue
6 Salivary Glands
7 Sinuses
8 Hard Palate
9 Soft Palate
B Larynx
D Nasopharynx
F Oropharynx
B Low Dose Rate (LDR)
6 Cesium 131 (Cs-131)
7 Cesium 137 (Cs-137)
8 Iridium 192 (Ir-192)
9 Iodine 125 (I-125)
C Californium 252 (Cf-252)
Y Other Isotope
Z None
0 Ear
1 Nose
3 Hypopharynx
4 Mouth
5 Tongue
6 Salivary Glands
7 Sinuses
8 Hard Palate
9 Soft Palate
B Larynx
D Nasopharynx
F Oropharynx
B Low Dose Rate (LDR)
B Palladium 103 (Pd-103)
1 Unidirectional Source
Z None

GEM Conversion to ICD-9 PCS


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