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HCPCS Q0175 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.

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
Key FactDetail
Service Type

Temporary Codes

Chemotherapy Anti-emetic Medications

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for Q0175
Related NDC Codes

• 00781-1046-01 - PERPHENAZINE 2 MG

• 00781-1046-10 - PERPHENAZINE 2 MG

• 00781-1046-13 - PERPHENAZINE 2 MG

• 00781-1047-01 - PERPHENAZINE 4 MG

• 00781-1047-13 - PERPHENAZINE 4 MG


National average reimbursement for HCPCS Q0175 by major payers:

bcbs

$0.78

uhc

$0.49

aetna

$0.59

cigna

$0.60

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS Q0175.

HCPCS Q0175
5 of 25 sample ratesHigher to lower in this preview
  1. Northside Hospital, Inc., Northside Hospital Forsyth

    Northside Hospital Inc

    GAGeneral Acute Care HospitalNPI 1376574277Tax ID 58-1954432

    $1.78Published rate
  2. Chu Chen

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $0.99Published rate
  3. George Hemstreet

    Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine

    ALInterventional Cardiology PhysicianNPI 1851400485Tax ID 45-1471722

    $0.54Published rate
  4. Karlie Ryan

    Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine

    ALFamily Nurse PractitionerNPI 1306540380Tax ID 45-1471722

    $0.46Published rate
  5. Marissa Liveris

    Allergy & Asthma Of Dupage, S.C.

    ILPhysician AssistantNPI 1255766531Tax ID 36-2925195

    $0.45Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS Q0175 vs. Other Chemotherapy Anti-emetic Medications Codes

The HCPCS Q0175 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 Q0175 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.

CodeComplexityDescription
00781-1046-01-NDCModeratePERPHENAZINE 2 MG
00781-1046-10-NDCModeratePERPHENAZINE 2 MG
00781-1046-13-NDCModeratePERPHENAZINE 2 MG
Q0175-HCPCSLowPerphenazine, 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

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the Q0175 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.

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