Position 5-7: Finalization

Sinuses

Select the specific approach and device combination to identify the exact billable procedure code.

Approach 9

High Dose Rate (HDR)

Device 7

D91797Z Brachytherapy Sinuses to None with Cesium 137 (Cs-137), High Dose Rate (HDR) Approach

Device 8

D91798Z Brachytherapy Sinuses to None with Iridium 192 (Ir-192), High Dose Rate (HDR) Approach

Device 9

D91799Z Brachytherapy Sinuses to None with Iodine 125 (I-125), High Dose Rate (HDR) Approach

Device B

D9179BZ Brachytherapy Sinuses to None with Palladium 103 (Pd-103), High Dose Rate (HDR) Approach

Device C

D9179CZ Brachytherapy Sinuses to None with Californium 252 (Cf-252), High Dose Rate (HDR) Approach

Device Y

D9179YZ Brachytherapy Sinuses to None with Other Isotope, High Dose Rate (HDR) Approach
Approach B

Low Dose Rate (LDR)

Device 6

D917B6Z Brachytherapy Sinuses to None with Cesium 131 (Cs-131), Low Dose Rate (LDR) Approach

Device 7

D917B7Z Brachytherapy Sinuses to None with Cesium 137 (Cs-137), Low Dose Rate (LDR) Approach

Device 8

D917B8Z Brachytherapy Sinuses to None with Iridium 192 (Ir-192), Low Dose Rate (LDR) Approach

Device 9

D917B9Z Brachytherapy Sinuses to None with Iodine 125 (I-125), Low Dose Rate (LDR) Approach

Device B

D917BB1 Brachytherapy Sinuses to Unidirectional Source with Palladium 103 (Pd-103), Low Dose Rate (LDR) Approach
D917BBZ Brachytherapy Sinuses to None with Palladium 103 (Pd-103), Low Dose Rate (LDR) Approach

Device C

D917BCZ Brachytherapy Sinuses to None with Californium 252 (Cf-252), Low Dose Rate (LDR) Approach

Device Y

D917BYZ Brachytherapy Sinuses to None with Other Isotope, Low Dose Rate (LDR) Approach