HCPCS code Q0175 — Perphenazine 4mg oral.
Status: Active.
Effective Apr 1, 1998.
Source: CMS HCPCS Level II.
Q0175
ActivePerphenazine 4mg oral
Perphenazine, 4 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 Q0175 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 | 14 |
| Outpatient Hospital | 6 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits