Summary & Overview
ICD-10-PCS Code For Tongue: Procedure Code Group Overview
The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group D915 includes procedures performed to deliver localized radiation therapy to tissues in the tongue. These ICD-10-PCS codes are used for inpatient documentation when brachytherapy is performed for treatment of malignant or selected benign lesions of the tongue. Accurate coding within the ICD-10-PCS D915 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.
TongueBrachytherapyICD-10-PCSICD-10-PCS D915Inpatient ProcedureProcedure CodingHead And NeckOral CavityRadiation Therapy
| Character | ICD-10-PCS Category | Code Group Details |
|---|---|---|
| D |
Typical Clinical Scenarios
- A 68-year-old patient with a history of locally advanced squamous cell carcinoma of the lateral tongue presents for planned inpatient delivery of interstitial brachytherapy after primary external beam radiation achieved incomplete local control. The patient is admitted for anesthesia, image-guided placement of radioactive sources into the tongue tissue to deliver a high radiation dose directly to the residual tumor while sparing surrounding structures, with inpatient monitoring for airway swelling and pain control. Typical codes:
D91597Z,D91598Z - A 52-year-old patient with recurrent tongue base carcinoma previously treated with surgery and external beam radiation is hospitalized for salvage therapy; the tumor is small but deeply seated and not amenable to further wide excision. Interstitial brachytherapy catheters are placed under general anesthesia to deliver concentrated radiation to the recurrent focus while minimizing dose to previously irradiated normal tissues, requiring inpatient observation for potential mucosal ulceration and bleeding. Typical codes:
D91599Z,D9159BZ - A 45-year-old patient with acute postprocedural hemorrhage and partial dehiscence of implanted brachytherapy sources in the tongue following outpatient placement is admitted urgently for source revision and management of local infection and bleeding. In the inpatient setting the radioactive implants are removed or repositioned, wound debridement and local control measures are performed, and brachytherapy planning is revised as needed to continue treatment safely. Typical codes:
D915B6Z,D915B7Z