PROCHLORPERAZINE MALEATE Q Code: Q0164

Drug & Product Overview

HCPCS Descriptor Prochlorperazine maleate, 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

HCPCS Added Date April 1, 1998

Manufacturer Multiple Manufacturers

Route of Administration Oral

Generic Status Multi-Source; Generic

Dosage Form Tablet | Tablet, Film Coated

About PROCHLORPERAZINE MALEATE

Prochlorperazine Maleate is a medication aligned to the HCPCS Q Code: Q0164 for billing, pricing, and reimbursement purposes in the United States. This Psychiatric medication is administered via the oral route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

23 NDC packages are crosswalked to Q0164. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	PROCHLORPERAZINE MALEATE
	PROCHLORPERAZINE MALEATE
	PROCHLORPERAZINE MALEATE
	PROCHLORPERAZINE MALEATE

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PROCHLORPERAZINE MALEATE Pricing & Reimbursement

Q0164 Private Payer Reimbursement

$0.29 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

PROCHLORPERAZINE MALEATE Medically Unlikely Edits (MUE)

The most billing units of Q0164 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 mg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

0 units / day

Not payable in this setting

Hospital Outpatient

8 units / day

= 40 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

Not on the CMS JW / JZ list

CMS does not include Prochlorperazine Maleate (Q0164) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q0164. Wastage billing guide →

PROCHLORPERAZINE MALEATE Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Non-Psychotic Anxiety Non-psychotic anxiety Schizophrenia Severe Nausea and Vomiting Severe nausea and vomiting

Drug Class

Phenothiazine [EPC]Phenothiazines [CS]

Frequently Asked Questions

Is there an available Prochlorperazine Maleate billing and coding guide?

We have not yet identified a manufacturer source of Prochlorperazine Maleate billing and coding information.

Are there any available Prochlorperazine Maleate patient assistance programs?

Our team did not identify a source for Prochlorperazine Maleate patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Prochlorperazine Maleate prescribing information?

PROCHLORPERAZINE MALEATE prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Prochlorperazine Maleate side effect information?

Our team has not yet identified a source of side effects information for PROCHLORPERAZINE MALEATE. Please check back in a few weeks.

Does billing PROCHLORPERAZINE MALEATE require JZ/JW wastage modifiers?

CMS does not include PROCHLORPERAZINE MALEATE (Q0164) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q0164. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.