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HCPCS Procedure & Supply Codes

Temporary Codes

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Cancer/Chemotherapy Drugs/Treatment

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Anti-emetic Drugs during Chemotherapy

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Q0163 Diphenhydramine hcl 50mg
Q0164 Prochlorperazine maleate 5mg
Q0166 Granisetron hcl 1 mg oral
Q0167 Dronabinol 2.5mg oral
Q0169 Promethazine hcl 12.5mg oral
Q0173 Trimethobenzamide hcl 250mg
Q0174 Thiethylperazine maleate10mg
Q0175 Perphenazine 4mg oral
Q0177 Hydroxyzine pamoate 25mg
Q0180 Dolasetron mesylate oral
Q0181 Unspecified oral anti-emetic
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