2025 HCPCS Code Q0175

Perphenazine, 4 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

TAGS: prescription chemotherapy exceed substitute regimen approved therapeutic complete dosage
Short DescriptionPerphenazine 4mg oral
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date April 01, 1998
HCPCS Action Effective Date April 01, 1998
HCPCS Pricing Indicator Code 51 - Drugs
HCPCS Type Of Service Code 1 - Medical care
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number

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