Q0180
Dolasetron mesylate, 100 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 …
HCPCS Code Section: HCPCS Q Codes
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 …
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 …
Q0174
Thiethylperazine maleate, 10 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 …
Q0173
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 …
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 …
Q0501
Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only Short Description: Shwr cov elec/combo vad, rep Coverage Code: Special coverage instructions apply Action Code: No …
Q0485
Monitor control cable for use with electric ventricular assist device, replacement only Short Description: Monitor cable elec vad, rep Coverage Code: Special coverage instructions apply Action Code: No maintenance …
Q0500
Filters for use with electric or electric/pneumatic ventricular assist device, replacement only Short Description: Filters elec/combo vad, rep Coverage Code: Special coverage instructions apply Action Code: No maintenance for …
Q0499
Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only Short Description: Belt/vest elec/combo vad rep Coverage Code: Special coverage instructions apply Action …