Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS Q0163 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Chemotherapy Anti-emetic Medications |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q0163 |
| Related NDC Codes | • 00113-0379-26 - GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (ALCOHOL FREE,CHERRY) 12.5 MG/5 ML • 00113-0479-62 - GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (EASY TO SWALLOW) 25 MG • 00113-0479-78 - GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (EASY TO SWALLOW) 25 MG • 00121-0489-00 - DIPHENHYDRAMINE HCL 12.5 MG/5 ML • 00121-0489-05 - DIPHENHYDRAMINE HCL 12.5 MG/5 ML |
National average reimbursement for HCPCS Q0163 by major payers:
$0.11
$0.08
$0.05
$0.16
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS Q0163.
HCPCS Q0163
5 of 25 sample ratesHigher to lower in this preview
Cartersville Medical Center LLC, Cartersville Medical Center
Cartersville Medical Center LLC
$2.48Published rateJames Francesconi
Attigo Infusion Inc
$0.02Published rateAngelica Herrera
Attigo Infusion Inc
$0.01Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$0.01Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$0.01Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS Q0163 vs. Other Chemotherapy Anti-emetic Medications Codes
The HCPCS Q0163 code is part of the Temporary Codes services used for Chemotherapy Anti-emetic Medications. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q0163 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00113-0379-26-NDC | Moderate | GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (ALCOHOL FREE,CHERRY) 12.5 MG/5 ML |
| 00113-0479-62-NDC | Moderate | GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (EASY TO SWALLOW) 25 MG |
| 00113-0479-78-NDC | Moderate | GOOD SENSE ANTIHISTAMINE ALLERGY RELIEF (EASY TO SWALLOW) 25 MG |
| Q0163-HCPCS | Low | 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0163. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0163 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS Q0163) and we'll show you how you compare in 15 minutes or less.