DD1 Radiation Therapy, Gastrointestinal System, Brachytherapy

Coding Notes

Active
Non-billable / Non-specific, not valid for HIPAA-covered transactions

PCS Table

Section
D Radiation Therapy
Body System
D Gastrointestinal System
Modality
1 Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
0 Esophagus
1 Stomach
2 Duodenum
3 Jejunum
4 Ileum
5 Colon
7 Rectum
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 Esophagus
1 Stomach
2 Duodenum
3 Jejunum
4 Ileum
5 Colon
7 Rectum
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 Esophagus
1 Stomach
2 Duodenum
3 Jejunum
4 Ileum
5 Colon
7 Rectum
B Low Dose Rate (LDR)
B Palladium 103 (Pd-103)
1 Unidirectional Source
Z None

Sibling Codes