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HCPCS codes / Q / Q0177

Q0177

Hydroxyzine pamoate, 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

Code type
HCPCS Level II
Coverage
Special coverage instructions
BETOS category
O1D
Pricing indicator
51
Effective date
19980401
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