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Q0173 - Trimethobenzamide hcl 250mg

Navigation: HCPCS Codes > Codes with Prefix: Q0
Field Value
HCPCS Code: Q0173
Long Description: Trimethobenzamide hydrochloride, 250 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: Trimethobenzamide hcl 250mg
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: 01-04-1998
Action Code: N (No maintenance for this code)