DB18BB1 – Low Dose Rate (LDR) Brachytherapy of Diaphragm using Palladium 103 (Pd-103), Unidirectional Source
Coding Notes
					
					Active				
			
					
					Billable, valid for HIPAA-covered transactions				
			PCS Table
| 
					 Section 
					D
					Radiation Therapy
				 | 
			|||
| 
					 Body System 
					B
					Respiratory System
				 | 
			|||
| 
					 Modality 
					1
					Brachytherapy
				 | 
			|||
| Treatment Site | Modality Qualifier | Isotope | Qualifier | 
| 
				 
					0
					Trachea
				 
			
				
					1
					Bronchus
				 
			
				
					2
					Lung
				 
			
				
					5
					Pleura
				 
			
				
					6
					Mediastinum
				 
			
				
					7
					Chest Wall
				 
			
				
					8
					Diaphragm
				 
			 | 
					
				 
					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
					Trachea
				 
			
				
					1
					Bronchus
				 
			
				
					2
					Lung
				 
			
				
					5
					Pleura
				 
			
				
					6
					Mediastinum
				 
			
				
					7
					Chest Wall
				 
			
				
					8
					Diaphragm
				 
			 | 
					
				 
					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
					Trachea
				 
			
				
					1
					Bronchus
				 
			
				
					2
					Lung
				 
			
				
					5
					Pleura
				 
			
				
					6
					Mediastinum
				 
			
				
					7
					Chest Wall
				 
			
				
					8
					Diaphragm
				 
			 | 
					
				 
					B
					Low Dose Rate (LDR)
				 
			 | 
					
				 
					B
					Palladium 103 (Pd-103)
				 
			 | 
					
				 
					1
					Unidirectional Source
				 
			
				
					Z
					None
				 
			 |