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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

  • Effective Date: 1998-04-01
  • Medicare Coverage Status: Special coverage instructions apply
  • BETOS Classification: Chemotherapy

Medicare has not assigned a fee schedule for this code

Q0162       Q0164