HCPCS Q0175

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

HCPCS Information

HCPCS Code: Q0175
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 Q0175 identifies the type of service or supply used while any of the 29 NDC codes below could be used to specify the exact drug used.
Short Description
Perphenazine 4mg oral
Long Description
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
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
0781-1046Perphenazine Sandoz Inc
0781-1047Perphenazine Sandoz Inc
0781-1048Perphenazine Sandoz Inc
0781-1049Perphenazine Sandoz Inc
0781-8046Perphenazine PerphenazineTablet, Film CoatedOralSandoz IncACTIVE
0781-8047Perphenazine PerphenazineTablet, Film CoatedOralSandoz IncACTIVE
0781-8048Perphenazine PerphenazineTablet, Film CoatedOralSandoz IncACTIVE
0781-8049Perphenazine PerphenazineTablet, Film CoatedOralSandoz IncACTIVE
23155-799Perphenazine PerphenazineTabletOralHeritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.ACTIVE
23155-800Perphenazine PerphenazineTabletOralHeritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.ACTIVE
23155-801Perphenazine PerphenazineTabletOralHeritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.ACTIVE
23155-802Perphenazine PerphenazineTabletOralHeritage Pharmaceuticals Inc. D/b/a Avet Pharmaceuticals Inc.ACTIVE
33342-448Perphenazine PerphenazineTabletOralMacleods Pharmaceuticals LimitedACTIVE
33342-449Perphenazine PerphenazineTabletOralMacleods Pharmaceuticals LimitedACTIVE
33342-450Perphenazine PerphenazineTabletOralMacleods Pharmaceuticals LimitedACTIVE
33342-451Perphenazine PerphenazineTabletOralMacleods Pharmaceuticals LimitedACTIVE
52536-162Perphenazine PerphenazineTablet, Film CoatedOralWilshire Pharmaceuticals, Inc.ACTIVE
52536-164Perphenazine PerphenazineTablet, Film CoatedOralWilshire Pharmaceuticals, Inc.ACTIVE
52536-168Perphenazine PerphenazineTablet, Film CoatedOralWilshire Pharmaceuticals, Inc.ACTIVE
52536-170Perphenazine PerphenazineTablet, Film CoatedOralWilshire Pharmaceuticals, Inc.ACTIVE
62135-799Perphenazine PerphenazineTabletOralChartwell Rx, LlcACTIVE
64980-290Perphenazine PerphenazineTablet, Film CoatedOralRising Pharma Holdings, Inc.ACTIVE
64980-291Perphenazine PerphenazineTablet, Film CoatedOralRising Pharma Holdings, Inc.ACTIVE
64980-292Perphenazine PerphenazineTablet, Film CoatedOralRising Pharma Holdings, Inc.ACTIVE
64980-293Perphenazine PerphenazineTablet, Film CoatedOralRising Pharma Holdings, Inc.ACTIVE
68382-591Perphenazine PerphenazineTabletOralZydus Pharmaceuticals (usa) Inc.ACTIVE
68382-592Perphenazine PerphenazineTabletOralZydus Pharmaceuticals (usa) Inc.ACTIVE
68382-593Perphenazine PerphenazineTabletOralZydus Pharmaceuticals (usa) Inc.ACTIVE
68382-594Perphenazine PerphenazineTabletOralZydus Pharmaceuticals (usa) Inc.ACTIVE