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Q0170 - Promethazine hcl 25 mg oral

Navigation: HCPCS Codes > Codes with Prefix: Q0
Field Value
HCPCS Code: Q0170
Long Description: Promethazine hydrochloride, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Short Description: Promethazine hcl 25 mg oral
Pricing Indicator 1: 51 (Drugs)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number: 4557
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: O1D (Chemotherapy)
Type of Service Code 1: 1 (Medical care)
Anesthesia Base Unit Quality: 0
Code Added: 01-04-1998
Action Effective Date: 01-01-2014
Termination Date: 31-12-2013
Action Code: D (Discontinue procedure or modifier code)