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
Michigan
Hospital Address Code Price Last Updated
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q0163 $1 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q0163 $1 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q0163 $1 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q0163 $1 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q0163 $1 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q0163 $1 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q0163 $1 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q0163 $1 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q0163 $1 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer Q0163 $1 [source] 4 years ago
William Beaumont Hospital - Crna 468 Cadieux Rd, Grosse Pointe Q0163 $2 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q0163 $2 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q0163 $4 [source] 4 years ago
Midmichigan Medical Center Clare , Clare Q0163 $4 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma Q0163 $4 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q0163 $4 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens Q0163 $6 [source] 4 years ago
Beaumont Wayne 33155 Annapolis St, Wayne Q0163 $7 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q0163 $7 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q0163 $21 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy Q0163 $21 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy Q0163 $21 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q0163 $45 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q0163 $45 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q0163 $45 [source] 4 years ago
William Beaumont Hospital 5450 Fort St, Trenton Q0163 $53 [source] 4 years ago

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.