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ICD-10-PCS Code Lookup

PCS Tables

D91

D Radiation Therapy
9 Ear, Nose, Mouth and Throat
1 Brachytherapy: Brachytherapy
Treatment Site Modality Qualifier Isotope Qualifier
Character 4 Character 5 Character 6 Character 7
Body System (Character 4)
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
Approach (Character 5)
9 High Dose Rate (HDR)
Substance (Character 6)
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
Qualifier (Character 7)
Z None
Body System (Character 4)
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
Approach (Character 5)
B Low Dose Rate (LDR)
Substance (Character 6)
7 Cesium 137 (Cs-137)
8 Iridium 192 (Ir-192)
9 Iodine 125 (I-125)
C Californium 252 (Cf-252)
Y Other Isotope
Qualifier (Character 7)
Z None
Body System (Character 4)
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
Approach (Character 5)
B Low Dose Rate (LDR)
Substance (Character 6)
B Palladium 103 (Pd-103)
Qualifier (Character 7)
1 Unidirectional Source
Z None