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C1717
Brachytherapy source, non-stranded, high dose rate iridium-192, per source
HCPCS code
Medical Policies and Guidelines for Brachytherapy source, non-stranded, high dose rate iridium-192, per source
Related policies from health plans
HUMANA
Brachytherapy - Medicare Advantage
Similar Codes
ICD10CM codes
W90
- Exposure to other nonionizing radiation
Z51.0
- Encounter for antineoplastic radiation therapy
W90.8
- Exposure to other nonionizing radiation
Z92.3
- Personal history of irradiation
W90.8XXA
- Exposure to other nonionizing radiation, initial encounter
W88
- Exposure to ionizing radiation
H21.533
- Iridodialysis, bilateral
L57
- Skin changes due to chronic exposure to nonionizing radiation
Z18.09
- Other retained radioactive fragments
N30.40
- Irradiation cystitis without hematuria
HCPCS codes
C1717
- Brachytherapy source, non-stranded, high dose rate iridium-192, per source
C2639
- Brachytherapy source, non-stranded, iodine-125, per source
C1716
- Brachytherapy source, non-stranded, gold-198, per source
C2616
- Brachytherapy source, non-stranded, yttrium-90, per source
C2643
- Brachytherapy source, non-stranded, cesium-131, per source
C2638
- Brachytherapy source, stranded, iodine-125, per source
C2641
- Brachytherapy source, non-stranded, palladium-103, per source
C2635
- Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per s
C2640
- Brachytherapy source, stranded, palladium-103, per source
C1715
- Brachytherapy needle
CPT4 codes
77771
- Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, include
0395T
- High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, incl
77772
- Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, include
77770
- Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, include
77317
- Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterl
77768
- Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry
77318
- Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloadin
77316
- Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading
77767
- Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry
77778
- Interstitial radiation source application, complex, includes supervision, handling, loading of radia