HCPCS Code Details - Q0166

2017 HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q0166
Description

Long description:
Granisetron hydrochloride, 1 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 24 hour dosage regimen

Short description:
Granisetron hcl 1 mg oral

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Statute number 4557
Coverage code D - Special coverage instructions apply
BETOS2 code O1D - Chemotherapy
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2009
Date added Apr 01, 1998
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - Q0166

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
July 1, 2017 - September 30, 2017 1 MG 2.357 - - - - - -
April 1, 2017 - June 30, 2017 1 MG 2.443 - - - - - -
January 1, 2017 - March 31, 2017 1 MG 4.923 - - - - - -
October 1, 2016 - December 31, 2016 1 MG 0.411 - - - - - -
July 1, 2016 - September 30, 2016 1 MG 0.942 - - - - - -
1 MG 1.07 - - - - - -
1 MG 1.3 - - - - - -

See also

  • HCPCS Q0165 · Prochlorperazine maleate, 10 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 S0091 · Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)

  • HCPCS Q0167 · Dronabinol, 2.5 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


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”