HCPCS Q0170 Code. Promethazine hcl 25 mg oral

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

Original information is taken from Q0170 page

Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Statute Number: 4557

Coverage: D – Special coverage instructions apply

Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 1 – Medical care

Anesthesia Base Unit Quantity: 0
Code Added Date: 19980401
Code Effective Date: 20140101
Termination Date: 20131231
Action Code: N – No maintenance for this code