ICD-10-PCS Table `D91`
for Ear, Nose, Mouth and Throat, Brachytherapy

The ICD-10-PCS table below specifies all the valid combinations of the remaining characters beyond the first 3 characters (D91) in the Radiation Oncology section, Ear, Nose, Mouth and Throat body system, and Brachytherapy root operation. Each row in the table specifies the valid combination of values for characters 4-7. The table contain only those combinations of values that result in a valid procedure code.

Treatment Site Ear Hard Palate Hypopharynx Larynx Mouth Nasopharynx Nose Oropharynx Salivary Glands Sinuses Soft Palate Tongue	5: Modality Qualifier	6: Isotope	7: Qualifier
`D91----` ← Click code for details.
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	`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 - 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	`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 - 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	`B` - Low Dose Rate (LDR)	`B` - Palladium 103 (Pd-103)	`1` - Unidirectional Source `Z` - None

ICD-10-PCS Table D91 for Ear, Nose, Mouth and Throat, Brachytherapy

ICD-10-PCS Table `D91`
for Ear, Nose, Mouth and Throat, Brachytherapy