HCPCS Q0163

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 Information

HCPCS Code: Q0163
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS Q0163 identifies the type of service or supply used while any of the 45 NDC codes below could be used to specify the exact drug used.
Short Description
Diphenhydramine hcl 50mg
Long 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
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Chemotherapy
HCPCS Classification
List of HCPCS codes for: Temporary Codes (Q-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0113-0379Good Sense Allergy Diphenhydramine HclSolutionOralL. Perrigo CompanyACTIVE
0113-0462Good Sense Allergy Relief L. Perrigo Company
0113-0479Good Sense Allergy Relief Diphenhydramine HydrochlorideTabletOralL. Perrigo CompanyACTIVE
0121-0489Diphenhydramine Hydrochloride Diphenhydramine HydrochlorideSolutionOralPai Holdings, Llc Dba Pai PharmaACTIVE
0121-0978Diphenhydramine Hydrochloride Diphenhydramine HydrochlorideSolutionOralPai Holdings, Llc Dba Pai PharmaACTIVE
0185-0648Diphenhydramine Hydrochloride Eon Labs, Inc.
0185-0649Diphenhydramine Hydrochloride Eon Labs, Inc.
0536-0770Diphenhist Rugby Laboratories Inc.
0904-2035Banophen Major Pharmaceuticals
0904-2035Banophen Major Pharmaceuticals
0904-2056Diphenhydramine Hydrochloride Diphenhydramine HydrochlorideCapsuleOralMajor PharmaceuticalsACTIVE
0904-5174Banophen Major Pharmaceuticals
0904-5306Diphenhydramine Hydrochloride Major Pharmaceuticals
0904-5307Banophen Diphenhydramine HclCapsuleOralMajor PharmaceuticalsACTIVE
0904-5307Banophen Major Pharmaceuticals
0904-5551Banophen Diphenhydramine HclTablet, Film CoatedOralMajor PharmaceuticalsACTIVE
17714-020Diphenhydramine Hydrochloride Diphenhydramine HydrochlorideCapsuleOralAdvance Pharmaceutical Inc.ACTIVE
17714-021Diphenhydramine Hydrochloride Diphenhydramine HydrochlorideCapsuleOralAdvance Pharmaceutical Inc.ACTIVE
24385-379Good Neighbor Pharmacy Childrens Allergy Diphenhydramine HydrochlorideSolutionOralAmerisource BergenACTIVE
24385-479Good Neighbor Pharmacy Allergy Diphenhydramine HydrochlorideTabletOralAmerisource BergenACTIVE
37205-270Leader Allergy Cardinal Health
37205-277Leader Allergy Cardinal Health
37205-565Leader Childrens Allergy Cardinal Health
49348-045Sunmark Allergy Relief AntihistamineStrategic Sourcing Services Llc
49483-061Allergy Relief Diphenhydramine HydrochlorideTablet, Film CoatedOralTime Cap Laboratories, IncACTIVE
50580-226Benadryl Diphenhydramine HydrochlorideTablet, Film CoatedOralKenvue Brands LlcACTIVE
51079-066Diphenhydramine Hydrochloride Mylan Institutional Inc.
52959-053Diphenhydramine H.j. Harkins Company, Inc.INACTIVATED
54569-0239Diphenhydramine Hydrochloride A-s Medication Solutions LlcINACTIVATED
54569-0241Diphenhydramine Hydrochloride A-s Medication Solutions LlcINACTIVATED
54569-3504Diphenhydramine Hydrochloride A-s Medication Solutions LlcINACTIVATED
54569-4197Qdryl Allergy A-s Medication Solutions LlcINACTIVATED
54838-135Siladryl Allergy Medicine Lannett Company, Inc.
54868-0026Diphenhydramine Hcl Physicians Total Care, Inc.INACTIVATED
54868-1050Diphenhydramine Hydrochloride Physicians Total Care, Inc.INACTIVATED
54868-1227Diphenhydramine Hydrochloride Physicians Total Care, Inc.INACTIVATED
55289-479Diphenhydramine Hcl Diphenhydramine HclCapsuleOralPd-rx Pharmaceuticals, Inc.ACTIVE
63629-1343Diphenhydramine Hydrochloride Bryant Ranch Prepack
63629-1349Diphenhydramine Hydrochloride Bryant Ranch Prepack
63868-087Allergy Relief Diphenhydramine HydrochlorideCapsuleOralChain Drug Marketing AssociationACTIVE
66267-080Diphenhydramine Hcl Nucare Pharmaceuticals, Inc.INACTIVATED
66267-081Diphenhydramine Hcl Diphenhydramine HclCapsuleOralNucare Pharmaceuticals, Inc.ACTIVE
66267-977Siladryl Allergy Medicine Nucare Pharmaceuticals,inc.
70332-103Dicopanol California Pharmaceuticals LlcINACTIVATED
73480-150Di-phen Trivue Pharmaceuticals, Inc.