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Injectable Drugs

The applicable Healthcare Common Procedure Coding Systems (HCPCS)/ Current Procedural Terminology (CPT) injectable drug administration code (96372) can be billed for administration of each separate injection. The HCPCS/CPT drug code can also be billed in addition to the administration code. Preferred Medical Doctors (PMDs) are reimbursed one administrative allowance for each separate injection. If multiple drugs are administered through the same syringe, only one administration code should be billed.

Some drugs have several codes assigned to indicate different strengths. If a code exists for the administered strength of the drug, use that code instead of multiple numbers of services on the code representing the lesser strength. Multiple numbers of services for a drug should only be billed when the dosage administered is greater than the specific code.

Blue Cross and Blue Shield of Alabama updates the injectable drug fee schedule each year based on the average wholesale price (AWP) from public sources. Medi-Span is the most common source used for AWP.