2025 HCPCS Code Q0169

Promethazine hydrochloride, 12.5 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: therapeutic dosage exceed complete substitute promethazine approved chemotherapy regimen prescription

Short Description	Promethazine hcl 12.5mg 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