HCPCS code Q0164 — Prochlorperazine maleate 5mg. Status: Active. Effective Apr 1, 1998. Source: CMS HCPCS Level II.

Q0164

Active

Prochlorperazine maleate 5mg

Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

Category: Temporary
Section: Q-codes: Temporary Codes
Effective: Apr 1, 1998
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of Q0164 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 18
Outpatient Hospital 8
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits