HCPCS Range Brachytherapy Sources

• 1 Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source ( C2634 )

• 2 Brachytherapy source, non-stranded, high activity, paladium-103, greater than 2.2 mCi (NIST), per source ( C2635 )

• 3 Brachytherapy linear source, non-stranded, paladium-103, per 1 mm ( C2636 )

• 4 Brachytherapy source, non-stranded, ytterbium-169, per source ( C2637 )

• 5 Brachytherapy source, stranded, iodine-125, per source ( C2638 )

• 6 Brachytherapy source, non-stranded, iodine-125, per source ( C2639 )

• 7 Brachytherapy source, stranded, palladium-103, per source ( C2640 )

• 8 Brachytherapy source, non-stranded, palladium-103, per source ( C2641 )

• 9 Brachytherapy source, stranded, cesium-131, per source ( C2642 )

• 10 Brachytherapy source, non-stranded, cesium-131, per source ( C2643 )

• 11 Brachytherapy source, stranded, not otherwise specified, per source ( C2698 )

• 12 Brachytherapy source, non-stranded, not otherwise specified, per source ( C2699 )

• 13 Brachytherapy source, cesium-131 chloride solution, per millicurie ( C2644 )

• 14 Brachytherapy planar source, Palladium-103, per square millimeter ( C2645 )