HCPCS Q0173

Trimethobenzamide hydrochloride, 250 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

HCPCS Code: Q0173: 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 Q0173 identifies the type of service or supply used while any of the 5 NDC codes below could be used to specify the exact drug used.
Short Description: Trimethobenzamide hcl 250mg
Long Description: Trimethobenzamide hydrochloride, 250 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
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)

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
53489-376	Trimethobenzamide Hydrochloride				Sun Pharmaceutical Industries, Inc.
54569-5589	Trimethobenzamide Hydrochloride				A-s Medication Solutions	INACTIVATED
54868-5741	Trimethobenzamide Hydrochloride				Physicians Total Care, Inc.	INACTIVATED
61570-079	Tigan				Pfizer Laboratories Div Pfizer Inc
62135-773	Trimethobenzamide Hydrochloride	Trimethobenzamide Hydrochloride	Capsule	Oral	Chartwell Rx, Llc	ACTIVE