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. 2015 Jun 16;7:175–188. doi: 10.2147/CMAR.S71355

Table S2.

Chemotherapy codes and emetogenic potential

Description GPI code HCPCS code Emetogenicity Formulation
Carmustine 21102010x J9050, C9437 Other IV
Cisplatin 211000200020x J9060, J9062, C9418 Other IV
Dacarbazine 2170002000x J9130, J9140, C9423 HEC IV
Mechlorethamine 211010301021x J9230 HEC IV
Streptozotocin 21102030002105 J9320 HEC IV
Alemtuzumab 21353010x J9010 Minimal IV
Arsenic trioxide 21700008x J9017 MEC IV
Azacitidine 21300003x J9025 MEC IV
Bendamustine 21100009x J9033 MEC IV
Carboplatin 21100015x J9045 MEC IV
Clofarabine 21300008x J9027, C9129 MEC IV
Dactinomycin 212000200021x J9120 MEC IV
Daunorubicin 21200030x J9150–J9151, C9424 MEC IV
Doxorubicin 21200040x J9000–J9001, C9415 Other IV
Epirubicin 21200042x J9178, J9180 Other IV
Idarubicin 21200045x J9211, C9429 MEC IV
Ifosfamide 2110102500x, 219900024064x J9208, C9427 Other IV
Irinotecan 21550040x J9206 MEC IV
Melphalan 211010400021x, 211010401021x J9245 MEC IV
Oxaliplatin 21100028x J9263, C9205 MEC IV
Temozolomide 211040700021x J9328, C9253 MEC IV
Aldesleukin 21703020x J9015 Other IV
Amifostine crystalline 21758010x J0207 Other IV
Cyclophosphamide 21101020002x J9070–J9097, C9420, C9421 Other IV
Cytarabine 21300010x J9098–J9110, C9422 Other IV
Interferon-α 217000601x, 217000602x, 217000603x J9212–J9215 Other IV
Altretamine 21100005x MEC/HEC Oral
Procarbazine 21700050x S0182 MEC/HEC Oral
Cyclophosphamide 211010200003x J8530 Other Oral
Imatinib 21534035x S0088 Minimal/Low Oral
Temozolomide 211040700001x J8700 Other Oral
Busulfan 211000100003x J0594, J8510 Other Oral
Estramustine phosphate sodium 2140302010x MEC/HEC Oral
Etoposide 21500010x J8560 MEC/HEC Oral
Lomustine 211020200001x S0178 MEC/HEC Oral

Notes: Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Antiemesis, Version 1.2012. © National Comprehensive Cancer Network, Inc 2015. All rights reserved. Accessed August 11, 2011. To view the most recent and complete version of the guideline, go online to NCCN.org. NATIONAL COMPREHENSIVE CANCER NETWORK®, NCCN®, NCCN GUIDELINES®, and all other NCCN Content are trademarks owned by the National Comprehensive Cancer Network, Inc. Other = NCCN emetogenicity rating depends on dosage.

Abbreviations: GPI, generic product identifier; HCPCS, Healthcare Common Procedure Coding System; HEC, highly EC; MEC, moderately EC; EC, emetogenic chemotherapy; IV, intravenous.