AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor

Intrauterine Brachytherapy & Placement of Tandems & Ovoids

A 52-year-old woman with squamous cell carcinoma of the cervix presents for her first brachytherapy treatment with intrauterine tandem and ovoid placement. The vagina was prepped and draped, a tandem was placed into the uterus, and two ovoids were placed adjacent to the cervix. Low-dose radiation was administered using Cesium 137. Is both the insertion of the tandem and ovoids coded, along with the brachytherapy service, or is the insertion of these devices inherent to the brachytherapy? What are the appropriate code assignments for this brachytherapy treatment? ...

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