| C2616 |  | Brachytherapy source, non-stranded, yttrium-90, per source 
| short | Brachytx, non-str,yttrium-90 |  | MUE | | Location | Value | Ajudication Indicator | Rationale | 
|---|
 | PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |  | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | 
 |  |