ICD-10-PCS Book 2024 Edition

Sections / D Radiation Therapy / DV Male Reproductive System / DV1 Brachytherapy
PCS Table DV1
SectionDRadiation Therapy
Body SystemVMale Reproductive System
Modality1Brachytherapy
Treatment SiteModality QualifierIsotopeQualifier
0Prostate
1Testis
9High Dose Rate (HDR)
7Cesium 137 (Cs-137)
8Iridium 192 (Ir-192)
9Iodine 125 (I-125)
BPalladium 103 (Pd-103)
CCalifornium 252 (Cf-252)
YOther Isotope
ZNone
0Prostate
1Testis
BLow Dose Rate (LDR)
6Cesium 131 (Cs-131)
7Cesium 137 (Cs-137)
8Iridium 192 (Ir-192)
9Iodine 125 (I-125)
CCalifornium 252 (Cf-252)
YOther Isotope
ZNone
0Prostate
1Testis
BLow Dose Rate (LDR)
BPalladium 103 (Pd-103)
1Unidirectional Source
ZNone

DV1 prefixed ICD-10-PCS codes
DV1097Z High Dose Rate (HDR) Brachytherapy of Prostate using Cesium 137 (Cs-137)
DV1098Z High Dose Rate (HDR) Brachytherapy of Prostate using Iridium 192 (Ir-192)
DV1099Z High Dose Rate (HDR) Brachytherapy of Prostate using Iodine 125 (I-125)
DV109BZ High Dose Rate (HDR) Brachytherapy of Prostate using Palladium 103 (Pd-103)
DV109CZ High Dose Rate (HDR) Brachytherapy of Prostate using Californium 252 (Cf-252)
DV109YZ High Dose Rate (HDR) Brachytherapy of Prostate using Other Isotope
DV10B6Z Low Dose Rate (LDR) Brachytherapy of Prostate using Cesium 131 (Cs-131)
DV10B7Z Low Dose Rate (LDR) Brachytherapy of Prostate using Cesium 137 (Cs-137)
DV10B8Z Low Dose Rate (LDR) Brachytherapy of Prostate using Iridium 192 (Ir-192)
DV10B9Z Low Dose Rate (LDR) Brachytherapy of Prostate using Iodine 125 (I-125)
DV10BB1 Low Dose Rate (LDR) Brachytherapy of Prostate using Palladium 103 (Pd-103), Unidirectional Source
DV10BBZ Low Dose Rate (LDR) Brachytherapy of Prostate using Palladium 103 (Pd-103)
DV10BCZ Low Dose Rate (LDR) Brachytherapy of Prostate using Californium 252 (Cf-252)
DV10BYZ Low Dose Rate (LDR) Brachytherapy of Prostate using Other Isotope
DV1197Z High Dose Rate (HDR) Brachytherapy of Testis using Cesium 137 (Cs-137)
DV1198Z High Dose Rate (HDR) Brachytherapy of Testis using Iridium 192 (Ir-192)
DV1199Z High Dose Rate (HDR) Brachytherapy of Testis using Iodine 125 (I-125)
DV119BZ High Dose Rate (HDR) Brachytherapy of Testis using Palladium 103 (Pd-103)
DV119CZ High Dose Rate (HDR) Brachytherapy of Testis using Californium 252 (Cf-252)
DV119YZ High Dose Rate (HDR) Brachytherapy of Testis using Other Isotope
DV11B6Z Low Dose Rate (LDR) Brachytherapy of Testis using Cesium 131 (Cs-131)
DV11B7Z Low Dose Rate (LDR) Brachytherapy of Testis using Cesium 137 (Cs-137)
DV11B8Z Low Dose Rate (LDR) Brachytherapy of Testis using Iridium 192 (Ir-192)
DV11B9Z Low Dose Rate (LDR) Brachytherapy of Testis using Iodine 125 (I-125)
DV11BB1 Low Dose Rate (LDR) Brachytherapy of Testis using Palladium 103 (Pd-103), Unidirectional Source
DV11BBZ Low Dose Rate (LDR) Brachytherapy of Testis using Palladium 103 (Pd-103)
DV11BCZ Low Dose Rate (LDR) Brachytherapy of Testis using Californium 252 (Cf-252)
DV11BYZ Low Dose Rate (LDR) Brachytherapy of Testis using Other Isotope