Code: Q0163

Description:
Description: Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
DIPHENHYDRAMINE 50MG CAP OP CH
DIPHENHYDRAMINE 25 MG TABLET
DIPHENHYDRAMINE PER 50 MG
DIPHENHYDRAMINE 50MG CAP (BENADRYL)
DIPHENHYDRAMINE 25MG CAP(BENADRYL)
DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX
Diphenhydramine 50mg cap
DIPHENHYDRAMINE 50 MG CAP
Related codes:
Code: Q0161
CHLORPROMAZINE 100 MG PO
Code: Q0162
ONDANSETRON 4 MG PO
Code: Q0164
PROCHLORPER MAL 5 MG PO
Code: Q0166
GRANISETRON 1 MG PO
Code: Q0167
DRONABINOL 2.5 MG PO
Code: Q0169
PROMETHAZINE 12.5 MG PO
State Average # Hospitals In Database
Wisconsin (WI) $2 2
South Carolina (SC) $2 2
Vermont (VT) $2 1
Alabama (AL) $2 1
North Dakota (ND) $2 1
Nevada (NV) $4 8
Tennessee (TN) $4 5
Maine (ME) $4 3
Maryland (MD) $4 1
Massachusetts (MA) $4 3
New York (NY) $5 1
Michigan (MI) $5 122
Texas (TX) $5 9
Minnesota (MN) $6 8
Connecticut (CT) $6 5
Georgia (GA) $7 6
Oklahoma (OK) $7 1
North Carolina (NC) $8 6
Utah (UT) $10 2
Florida (FL) $14 44
Pennsylvania (PA) $17 2
Virginia (VA) $60 1
Idaho (ID) $118 3
West Virginia (WV) $231 1
California (CA) $273 24

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.