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
Minnesota
Hospital Address Code Price Last Updated
Essentia Health-St. Mary's Medical Center 407 E 3Rd St, Duluth Q0163 $3 [source] 4 years ago
Essentia Health-Northern Pines 5211 Hwy 110, Aurora Q0163 $3 [source] 4 years ago
Essentia Health-Deer River 115 10Th Ave Ne, Deer River Q0163 $4 [source] 4 years ago
Essentia Health-Fosston 900 Hilligoss Blvd Se, Fosston Q0163 $4 [source] 4 years ago
Essentia Health-Virginia 901 9Th St N, Virginia Q0163 $5 [source] 4 years ago
Essentia Health-Ada 201 9Th St W, Ada Q0163 $6 [source] 4 years ago
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth Q0163 $7 [source] 4 years ago
Essentia Health-Sandstone 705 Lundorff Dr, Sandstone Q0163 $13 [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.