HCPCS drug code · CMS crosswalk
Dronabinol HCPCS Code
In short
Dronabinol is billed under HCPCS Q0167 — Dronabinol, 2.5 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. One billing unit is 2.5 mg. CMS's crosswalk lists 5 Dronabinol NDCs under this code.
Reference
- Q0167
- Dronabinol, 2.5 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 regimenBilling unit: 2.5 mg
- Labelers
- Ascend Laboratories, LLC; Major Pharmaceuticals; ThePharmaNetwork, LLC
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Dronabinol units and claim line
Enter the dose given to get the Q0167 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Dronabinol NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00904-7144-61 | Q0167 | Major Pharmaceuticals | 100 | 100 |
| 00904-7145-04 | Q0167 | Major Pharmaceuticals | 30 | 60 |
| 53097-0571-60 | Q0167 | ThePharmaNetwork, LLC | 60 | 60 |
| 67877-0753-60 | Q0167 | Ascend Laboratories, LLC | 60 | 60 |
| 67877-0754-60 | Q0167 | Ascend Laboratories, LLC | 60 | 120 |
Dronabinol: common questions
- What is the HCPCS code for Dronabinol?
- Dronabinol is billed under HCPCS Q0167 — Dronabinol, 2.5 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. One billing unit is 2.5 mg. CMS's crosswalk lists 5 Dronabinol NDCs under this code.
- How many Q0167 billing units are in a package of Dronabinol?
- CMS lists 60 to 120 billing units per package, depending on the NDC, where one unit is 2.5 mg. Units to report are based on the dose given, not the package.
- Is Q0167 a CPT code?
- No. Q0167 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.