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
Texas
Hospital Address Code Price Last Updated
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q0163 $2 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q0163 $2 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q0163 $2 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q0163 $7 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q0163 $7 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q0163 $7 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q0163 $12 [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 §180.