Q0177
Q0177 – Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, · NDC Crosswalk & Billing Units
HCPCS Level II Q-code · Medicare Part B drug billing
Q-code
● 60 NDCs crosswalked
📋 Q0177 summary
Q0177 is a HCPCS Level II Q-code used to bill Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a comp.... The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with Q0177: Hydroxyzine Hydrochloride
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeQ0177
DescriptorHydroxyzine pamoate, 25 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
Billing unitNot available in current dataset
Payment limit / unit Not available in current dataset
Mapped NDCs60
Data periodNot available in current dataset
Last updatedSource date not available
🧾 Billing & reimbursement HCPCS · CMS
Medicare payment limit / unit
—
Est. ASP / unit
—
Est. after 2% sequester
—
HCPCS dosage
—
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly).
Full HCPCS code details (official CMS record)
Long descriptionHydroxyzine pamoate, 25 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
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1D
ASC payment group—
Action codeN — No maintenance this year
Effective date1998-04-01
Date added1998-04-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of Q0177 = 1 unit. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under Q0177 LEAST EXPENSIVE FIRST
60 NDCs map to Q0177. Bill units = how many HCPCS units one package represents.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|
| 59651-0500-99 | Hydroxyzine Hydrochloride 25 mg/1 TABLET, FILM COATED | Aurobindo | 1000 TABLET, FILM COATED in 1 BOTTLE (5965... | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 00904-7378-80 | Hydroxyzine hydrochloride 25 mg/1 TABLET | Major | 1000 TABLET in 1 BOTTLE (0904-7378-80) | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 00904-7378-40 | Hydroxyzine hydrochloride 25 mg/1 TABLET | Major | 500 TABLET in 1 BOTTLE (0904-7378-40) | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 16571-0114-50 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Rising | 500 TABLET, FILM COATED in 1 BOTTLE (16571... | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 16571-0114-01 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Rising | 100 TABLET, FILM COATED in 1 BOTTLE (16571... | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 16571-0114-10 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Rising | 1000 TABLET, FILM COATED in 1 BOTTLE (1657... | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 62135-0574-05 | Hydroxyzine Hydrochloride 25 mg/1 TABLET | Chartwell | 500 TABLET in 1 BOTTLE (62135-574-05) | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 59651-0500-01 | Hydroxyzine Hydrochloride 25 mg/1 TABLET, FILM COATED | Aurobindo | 100 TABLET, FILM COATED in 1 BOTTLE (59651... | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 59651-0500-05 | Hydroxyzine Hydrochloride 25 mg/1 TABLET, FILM COATED | Aurobindo | 500 TABLET, FILM COATED in 1 BOTTLE (59651... | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 62135-0574-12 | Hydroxyzine Hydrochloride 25 mg/1 TABLET | Chartwell | 120 TABLET in 1 BOTTLE (62135-574-12) | 25 mg/1 | 1 | $0.033 | ● Active | PDAC |
| 00904-6617-61 | Hydroxyzine Hydrochloride 25 mg/1 TABLET, FILM COATED | Major | 100 BLISTER PACK in 1 CARTON (0904-6617-61... | 25 mg/1 | 1 | $0.034 | Obsolete | PDAC |
| 62135-0816-12 | Hydroxyzine pamoate 25 mg/1 CAPSULE | Chartwell | 120 CAPSULE in 1 BOTTLE (62135-816-12) | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 50268-0398-50 | Hydroxyzine Pamoate 25 mg/1 CAPSULE | AvPAK | 50 BLISTER PACK in 1 BOX (50268-398-50) /... | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 00904-7065-61 | hydroxyzine pamoate 25 mg/1 CAPSULE | Major | 100 BLISTER PACK in 1 CARTON (0904-7065-61... | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 14539-0674-05 | hydroxyzine pamoate 25 mg/1 CAPSULE | Heritage | 500 CAPSULE in 1 CONTAINER (14539-674-05) | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 14539-0674-01 | hydroxyzine pamoate 25 mg/1 CAPSULE | Heritage | 100 CAPSULE in 1 CONTAINER (14539-674-01) | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 00115-1803-01 | Hydroxyzine Pamoate 25 mg/1 CAPSULE | Amneal | 100 CAPSULE in 1 BOTTLE, PLASTIC (0115-180... | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 00115-1803-02 | Hydroxyzine Pamoate 25 mg/1 CAPSULE | Amneal | 500 CAPSULE in 1 BOTTLE, PLASTIC (0115-180... | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 00555-0323-02 | Hydroxyzine Pamoate 25 mg/1 CAPSULE | Teva | 100 CAPSULE in 1 BOTTLE (0555-0323-02) | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 00555-0323-04 | Hydroxyzine Pamoate 25 mg/1 CAPSULE | Teva | 500 CAPSULE in 1 BOTTLE (0555-0323-04) | 25 mg/1 | 1 | $0.064 | ● Active | PDAC |
| 62135-0817-12 | Hydroxyzine pamoate 50 mg/1 CAPSULE | Chartwell | 120 CAPSULE in 1 BOTTLE (62135-817-12) | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 00185-0676-05 | Hydroxyzine pamoate 50 mg/1 CAPSULE | Sandoz | 500 CAPSULE in 1 BOTTLE (0185-0676-05) | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 00185-0676-01 | Hydroxyzine pamoate 50 mg/1 CAPSULE | Sandoz | 100 CAPSULE in 1 BOTTLE (0185-0676-01) | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 50268-0399-50 | Hydroxyzine Pamoate 50 mg/1 CAPSULE | AvPAK | 50 BLISTER PACK in 1 BOX (50268-399-50) /... | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 14539-0675-01 | hydroxyzine pamoate 50 mg/1 CAPSULE | Heritage | 100 CAPSULE in 1 CONTAINER (14539-675-01) | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 14539-0675-05 | hydroxyzine pamoate 50 mg/1 CAPSULE | Heritage | 500 CAPSULE in 1 CONTAINER (14539-675-05) | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 00115-1804-02 | Hydroxyzine Pamoate 50 mg/1 CAPSULE | Amneal | 500 CAPSULE in 1 BOTTLE, PLASTIC (0115-180... | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 00555-0302-02 | Hydroxyzine Pamoate 50 mg/1 CAPSULE | Teva | 100 CAPSULE in 1 BOTTLE (0555-0302-02) | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 00555-0302-04 | Hydroxyzine Pamoate 50 mg/1 CAPSULE | Teva | 500 CAPSULE in 1 BOTTLE (0555-0302-04) | 50 mg/1 | 2 | $0.082 | ● Active | PDAC |
| 00555-0324-02 | Hydroxyzine Pamoate 100 mg/1 CAPSULE | Teva | 100 CAPSULE in 1 BOTTLE (0555-0324-02) | 100 mg/1 | 4 | $0.426 | ● Active | PDAC |
| 11534-0205-04 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Sunrise | 500 TABLET, FILM COATED in 1 BOTTLE (11534... | 25 mg/1 | 1 | — | ● Active | PDAC |
| 10135-0811-10 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Marlex | 1000 TABLET, FILM COATED in 1 BOTTLE (1013... | 25 mg/1 | 1 | — | ● Active | PDAC |
| 10135-0811-01 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Marlex | 100 TABLET, FILM COATED in 1 BOTTLE (10135... | 25 mg/1 | 1 | — | ● Active | PDAC |
| 11534-0205-03 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Sunrise | 1000 TABLET, FILM COATED in 1 BOTTLE (1153... | 25 mg/1 | 1 | — | ● Active | PDAC |
| 11534-0205-01 | HYDROXYZINE HYDROCHLORIDE 25 mg/1 TABLET, FILM COATED | Sunrise | 100 TABLET, FILM COATED in 1 BOTTLE (11534... | 25 mg/1 | 1 | — | ● Active | PDAC |
| 49452-3659-02 | Hydroxyzine Pamoate 1 g/g POWDER | Spectrum | 100 g in 1 BOTTLE (49452-3659-2) | 1 g/g | 40 | — | ● Active | PDAC |
| 49452-3659-01 | Hydroxyzine Pamoate 1 g/g POWDER | Spectrum | 25 g in 1 BOTTLE (49452-3659-1) | 1 g/g | 40 | — | ● Active | PDAC |
| 00185-0615-01 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 51927-2316-00 | HYDROXYZINE PAMOATE 1 kg/kg POWDER | Professional | 1 kg in 1 CONTAINER (51927-2316-0) | 1 kg/kg | 40 | — | ● Active | PDAC |
| 51079-0078-20 | HYDROXYZINE PAMOATE (10X10) 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 00185-0615-05 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 52959-0833-06 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 52959-0833-20 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 00591-0801-01 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 00591-0801-05 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 63629-1856-01 | Hydroxyzine hydrochloride 25 mg/1 TABLET, FILM COATED | Bryant | 30 TABLET, FILM COATED in 1 BOTTLE (63629-... | 25 mg/1 | 1 | — | ● Active | PDAC |
| 63629-1856-02 | Hydroxyzine hydrochloride 25 mg/1 TABLET, FILM COATED | Bryant | 60 TABLET, FILM COATED in 1 BOTTLE (63629-... | 25 mg/1 | 1 | — | ● Active | PDAC |
| 00069-5410-66 | VISTARIL 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 51079-0077-20 | HYDROXYZINE PAMOATE (10X10) 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 59762-5420-01 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 42291-0407-50 | HYDROXYZINE PAMOATE 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 42291-0406-90 | HYDROXYZINE PAMOATE 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 42291-0406-50 | HYDROXYZINE PAMOATE 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 00069-5420-66 | VISTARIL 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 51079-0078-01 | HYDROXYZINE PAMOATE (USP) 50 MG | Unknown | — | — | 2 | — | — | PDAC |
| 51079-0077-01 | HYDROXYZINE PAMOATE (USP) 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 33358-0182-30 | HYDROXYZINE PAM 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 33358-0182-20 | HYDROXYZINE PAM 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 63874-0442-02 | HYDROXYZINE PAMOATE 25 MG | Unknown | — | — | 1 | — | — | PDAC |
| 63874-0442-03 | HYDROXYZINE PAMOATE 25 MG | Unknown | — | — | 1 | — | — | PDAC |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
—
Medicare paid
$0.00
Submitted services
—
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
🗺️ Where Q0177 is utilized
⏳
The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.
📊 What bills under Q0177
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Not available
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
60 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
No reportable utilization
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ Q0177 billing FAQ
What is HCPCS code Q0177?
Q0177 is a HCPCS Level II Q-code used to bill Hydroxyzine pamoate, 25 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 under Medicare Part B and most medical (not pharmacy) benefits.
Which NDCs bill under Q0177?
60 NDCs currently map to Q0177 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean Q0177 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.