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HCPCS Procedure & Supply Codes

Q0178 hydroxyzine pamoate 50 mg oral fda HCPCS

HCPCS Medical Procedure/Supply Code:

Code:  Q0178
Descr:  HYDROXYZINE PAMOATE, 50 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 HO


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Next Code:  Q0179 ondansetron hydrochloride 8 mg oral fda HCPCS
Codes In Group:  HCPCS Code Group: Q0
Code Groups:  HCPCS Supply Codes
Prior Code:  Q0177 hydroxyzine pamoate 25 mg oral fda HCPCS
 Chapter/Section Guidelines & Notes

HCPCS

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Code(s)Description
Q0035  CARDIOKYMOGRAPHY
Q0081  INFUSION THER OTHER THAN CHE
Q0083  CHEMO BY OTHER THAN INFUSION
Q0084  CHEMOTHERAPY BY INFUSION
Q0085  CHEMO BY BOTH INFUSION AND O
Q0091  OBTAINING SCREEN PAP SMEAR
Q0092  SET UP PORT XRAY EQUIPMENT
Q0111  WET MOUNTS/ W PREPARATIONS
Q0112  POTASSIUM HYDROXIDE PREPS
Q0113  PINWORM EXAMINATIONS
Q0114  FERN TEST
Q0115  POST-COITAL MUCOUS EXAM
Q0144  AZITHROMYCIN DIHYDRATE, ORAL
Q0163  DIPHENHYDRAMINE HCL 50MG
Q0164  PROCHLORPERAZINE MALEATE 5MG
Q0165  PROCHLORPERAZINE MALEATE 10 MG
Q0166  Granisetron hcl 1 mg oral
Q0167  DRONABINOL 2.5MG ORAL
Q0168  DRONABINOL 5MG ORAL
Q0169  PROMETHAZINE HCL 12.5MG ORAL
Q0170  PROMETHAZINE HCL 25 MG ORAL
Q0171  CHLORPROMAZINE HCL 10MG ORAL
Q0172  CHLORPROMAZINE HCL 25MG ORAL
Q0173  TRIMETHOBENZAMIDE HCL 250MG
Q0174  THIETHYLPERAZINE MALEATE10MG
Q0175  PERPHENAZINE 4MG ORAL
Q0176  PERPHENAZINE 8MG ORAL
Q0177  HYDROXYZINE PAMOATE 25MG
Q0178  HYDROXYZINE PAMOATE 50MG
Q0179  Ondansetron hcl 8 mg oral
Q0180  DOLASETRON MESYLATE ORAL
Q0181  UNSPECIFIED ORAL ANTI-EMETIC
Q0480  DRIVER PNEUMATIC VAD, REP
Q0481  MICROPRCSR CU ELEC VAD, REP
Q0482  MICROPRCSR CU COMBO VAD, REP
Q0483  MONITOR ELEC VAD, REP
Q0484  MONITOR ELEC OR COMB VAD REP
Q0485  MONITOR CABLE ELEC VAD, REP
Q0486  MON CABLE ELEC/PNEUM VAD REP
Q0487  LEADS ANY TYPE VAD, REP ONLY
Q0488  PWR PACK BASE ELEC VAD, REP
Q0489  PWR PCK BASE COMBO VAD, REP
Q0490  EMR PWR SOURCE ELEC VAD, REP
Q0491  EMR PWR SOURCE COMBO VAD REP
Q0492  EMR PWR CBL ELEC VAD, REP
Q0493  EMR PWR CBL COMBO VAD, REP
Q0494  EMR HD PMP ELEC/COMBO, REP
Q0495  CHARGER ELEC/COMBO VAD, REP
Q0496  BATTERY ELEC/COMBO VAD, REP
Q0497  BAT CLPS ELEC/COMB VAD, REP
Q0498  HOLSTER ELEC/COMBO VAD, REP
Q0499  BELT/VEST ELEC/COMBO VAD REP
Q0500  FILTERS ELEC/COMBO VAD, REP
Q0501  SHWR COV ELEC/COMBO VAD, REP
Q0502  MOBILITY CART PNEUM VAD, REP
Q0503  BATTERY PNEUM VAD REPLACEMNT
Q0504  PWR ADPT PNEUM VAD, REP VEH
Q0505  MISCL SUPPLY/ACCESSORY VAD
Q0510  DISPENS FEE IMMUNOSUPRESSIVE
Q0511  SUP FEE ANTIEM,ANTICA,IMMUNO
Q0512  Px sup fee anti-can sub pres
Q0513  DISP FEE INHAL DRUGS/30 DAYS
Q0514  DISP FEE INHAL DRUGS/90 DAYS
Q0515  SERMORELIN ACETATE INJECTION
Q1003  NTIOL CATEGORY 3
Q1004  NTIOL CATEGORY 4
Q1005  NTIOL CATEGORY 5
Q2004  BLADDER CALCULI IRRIG SOL
Q2009  FOSPHENYTOIN, 50 MG
Q2017  TENIPOSIDE, 50 MG
Q3001  BRACHYTHERAPY RADIOELEMENTS
Q3014  TELEHEALTH FACILITY FEE
Q3025  IM INJ INTERFERON BETA 1-A
Q3026  SUBC INJ INTERFERON BETA-1A
Q3031  COLLAGEN SKIN TEST
Q4001  CAST SUP BODY CAST PLASTER
Q4002  CAST SUP BODY CAST FIBERGLAS
Q4003  CAST SUP SHOULDER CAST PLSTR
Q4004  CAST SUP SHOULDER CAST FBRGL
Q4005  CAST SUP LONG ARM ADULT PLST
Q4006  CAST SUP LONG ARM ADULT FBRG
Q4007  CAST SUP LONG ARM PED PLSTER
Q4008  CAST SUP LONG ARM PED FBRGLS
Q4009  CAST SUP SHT ARM ADULT PLSTR
Q4010  CAST SUP SHT ARM ADULT FBRGL
Q4011  CAST SUP SHT ARM PED PLASTER
Q4012  CAST SUP SHT ARM PED FBRGLAS
Q4013  CAST SUP GAUNTLET PLASTER
Q4014  CAST SUP GAUNTLET FIBERGLASS
Q4015  CAST SUP GAUNTLET PED PLSTER
Q4016  CAST SUP GAUNTLET PED FBRGLS
Q4017  CAST SUP LNG ARM SPLINT PLST
Q4018  CAST SUP LNG ARM SPLINT FBRG
Q4019  CAST SUP LNG ARM SPLNT PED P
Q4020  CAST SUP LNG ARM SPLNT PED F
Q4021  CAST SUP SHT ARM SPLINT PLST
Q4022  CAST SUP SHT ARM SPLINT FBRG
Q4023  CAST SUP SHT ARM SPLNT PED P
Q4024  CAST SUP SHT ARM SPLNT PED F
Q4025  CAST SUP HIP SPICA PLASTER
Q4026  CAST SUP HIP SPICA FIBERGLAS
Q4027  CAST SUP HIP SPICA PED PLSTR
Q4028  CAST SUP HIP SPICA PED FBRGL
Q4029  CAST SUP LONG LEG PLASTER
Q4030  CAST SUP LONG LEG FIBERGLASS
Q4031  CAST SUP LNG LEG PED PLASTER
Q4032  CAST SUP LNG LEG PED FBRGLS
Q4033  CAST SUP LNG LEG CYLINDER PL
Q4034  CAST SUP LNG LEG CYLINDER FB
Q4035  CAST SUP LNG LEG CYLNDR PED P
Q4036  CAST SUP LNG LEG CYLNDR PED F
Q4037  CAST SUP SHRT LEG PLASTER
Q4038  CAST SUP SHRT LEG FIBERGLASS
Q4039  CAST SUP SHRT LEG PED PLSTER
Q4040  CAST SUP SHRT LEG PED FBRGLS
Q4041  CAST SUP LNG LEG SPLNT PLSTR
Q4042  CAST SUP LNG LEG SPLNT FBRGL
Q4043  CAST SUP LNG LEG SPLNT PED P
Q4044  CAST SUP LNG LEG SPLNT PED F
Q4045  CAST SUP SHT LEG SPLNT PLSTR
Q4046  CAST SUP SHT LEG SPLNT FBRGL
Q4047  CAST SUP SHT LEG SPLNT PED P
Q4048  CAST SUP SHT LEG SPLNT PED F
Q4049  FINGER SPLINT, STATIC
Q4050  CAST SUPPLIES UNLISTED
Q4051  SPLINT SUPPLIES MISC
Q4080  ILOPROST NON-COMP UNIT DOSE
Q4081  EPOETIN ALFA, 100 UNITS ESRD
Q4082  DRUG/BIO NOC PART B DRUG CAP
Q4100  Skin substitute, NOS
Q4101  Apligraf skin sub
Q4102  Oasis wound matrix skin sub
Q4103  Oasis burn matrix skin sub
Q4104  Integra BMWD skin sub
Q4105  Integra DRT skin sub
Q4106  Dermagraft skin sub
Q4107  Graftjacket skin sub
Q4108  Integra matrix skin sub
Q4109  Tissuemend skin sub
Q4110  Primatrix skin sub
Q4111  Gammagraft skin sub
Q4112  Cymetra allograft
Q4113  Graftjacket express allograf
Q4114  Integra flowable wound matrix
Q5001  HOSPICE IN PATIENT HOME
Q5002  HOSPICE IN ASSISTED LIVING
Q5003  HOSPICE IN LT/NON-SKILLED NF
Q5004  HOSPICE IN SNF
Q5005  HOSPICE, INPATIENT HOSPITAL
Q5006  HOSPICE IN HOSPICE FACILITY
Q5007  HOSPICE IN LTCH
Q5008  HOSPICE IN INPATIENT PSYCH
Q5009  HOSPICE CARE, NOS
Q9951  LOCM >= 400 MG/ML IODINE,1ML
Q9953  INJ FE-BASED MR CONTRAST,1ML
Q9954  ORAL MR CONTRAST, 100 ML
Q9955  INJ PERFLEXANE LIP MICROS,ML
Q9956  INJ OCTAFLUOROPROPANE MIC,ML
Q9957  INJ PERFLUTREN LIP MICROS,ML
Q9958  HOCM <=149 MG/ML IODINE, 1ML
Q9959  HOCM 150-199MG/ML IODINE,1ML
Q9960  HOCM 200-249MG/ML IODINE,1ML
Q9961  HOCM 250-299MG/ML IODINE,1ML
Q9962  HOCM 300-349MG/ML IODINE,1ML
Q9963  HOCM 350-399MG/ML IODINE,1ML
Q9964  HOCM>= 400MG/ML IODINE, 1ML
Q9965  LOCM 100-199MG/ML IODINE,1ML
Q9966  LOCM 200-299 MG/ML IODINE,1ML
Q9967  LOCM 300-399 MG/ML IODINE, 1ML
Description:

 
Q0178 - HYDROXYZINE PAMOATE, 50 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 HO
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 Coding Tips
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 Fees
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
 Facility   (Hospital, etc.)
Medicare vs. My Fee Evaluation
ModifierMedicare Allowed150%200%My Fee
(none)$0.00$0.00$0.00(your fee)
Note:  Subscribers will see the calculated values below.

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Medicare Participating - Assignment Accepted (Mandatory)
ModifierAllowedMedicare 80%Patient Pays 
(none)$##.##$##.##$##.## 
Medicare Non-Participating - Assignment Accepted  (Check To Doctor)
ModifierAllowed @ 95%Medicare 80% ReimbursementPatient PaysLimiting Charge (Amount Billed)
(none)$##.##$##.##$##.##$##.##
Medicare Non-Participating - Assignment NOT Accepted  (Check To Patient)
ModifierAllowed @ 95%Medicare 80% ReimbursementPatient PaysLimiting Charge (Amount Billed)
(none)$##.##$##.##$##.##$##.##
 Non-Facility   (Office, etc.)
Medicare vs. My Fee Evaluation
ModifierMedicare Allowed150%200%My Fee
(none)$0.00$0.00$0.00(your fee)
Note:  Subscribers will see the calculated values below.

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Medicare Participating - Assignment Accepted (Mandatory)
ModifierAllowedMedicare 80%Patient Pays 
(none)$##.##$##.##$##.## 
Medicare Non-Participating - Assignment Accepted  (Check To Doctor)
ModifierAllowed @ 95%Medicare 80% ReimbursementPatient PaysLimiting Charge (Amount Billed)
(none)$##.##$##.##$##.##$##.##
Medicare Non-Participating - Assignment NOT Accepted  (Check To Patient)
ModifierAllowed @ 95%Medicare 80% ReimbursementPatient PaysLimiting Charge (Amount Billed)
(none)$##.##$##.##$##.##$##.##
 Relative Value Units
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
 Facility 0  (Hospital, etc.)
RVU Components (by modifier)
ModifierWorkPractice ExpenseMalpractice ExpenseTotal
(none)0000
 Practitioner Work Component: 0
Practitioner Labor
Pre-ServiceIntra-ServicePost-Service Total Time*
######## min
* Total Time may be greater than the displayed components.     
Work RVU Components (by modifier)
ModifierNational Unadjusted Work RVU Work GPCI Adjusted Work RVU
(none)##.####.##0
 Practice Expense: 0
Clinical Labor - Direct Expense
StaffStaff RatePre TimeIntra TimePost TimeTotal Time*
* Total Time may be greater than the displayed components.     
Equipment - Direct Expense
ItemPurchase PriceExpected LifeTotal Time
Supplies - Direct Expense
ItemUnit PriceQuantityUnitAmount
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.
PE RVU Components (by modifier)
ModifierNational Unadjusted PE RVU PE GPCI Adjusted PE RVU
(none)##.####.##0
 Malpractice Component: 0
MP RVU Components (by modifier)
ModifierNational Unadjusted MP RVU MP GPCI Adjusted MP RVU
(none)##.####.##0
 Non-Facility 0  (Office, etc.)
RVU Components (by modifier)
ModifierWorkPractice ExpenseMalpractice ExpenseTotal
(none)0000
 Practitioner Work Component: 0
Practitioner Labor
Pre-ServiceIntra-ServicePost-Service Total Time*
######## min
* Total Time may be greater than the displayed components.     
Work RVU Components (by modifier)
ModifierNational Unadjusted Work RVU Work GPCI Adjusted Work RVU
(none)##.####.##0
 Practice Expense: 0
Clinical Labor (Non-Facility) - Direct Expense
StaffStaff RatePre TimeIntra TimePost TimeTotal Time*
* Total Time may be greater than the displayed components.     
Equipment (Non-Facility) - Direct Expense
ItemPurchase PriceExpected LifeTotal Time
Supplies (Non-Facility) - Direct Expense
ItemUnit PriceQuantityUnitAmount
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.
MP RVU Components (by modifier)
ModifierNational Unadjusted PE RVU PE GPCI Adjusted PE RVU
(none)##.####.##0
 Malpractice Component: 0
MP RVU Components (by modifier)
ModifierNational Unadjusted MP RVU MP GPCI Adjusted MP RVU
(none)##.####.##0
 NCCI Edits
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 What is HCPCS?  
(HCPCS is commonly pronounced Hick-Picks.)

Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.

Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.

In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.

(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)


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CPT,