Home Infusion Therapy Traditional Schedules Effective 11/1/13

The Drug/Injectable Fee Schedule will be updated on the following dates: 9/1/2013, 12/1/2013, 3/1/2014, and 6/1/2014.

Codes not listed may require individual consideration to determine the BCBSTX compensation allowable amount.

CPT/HCPCS Drug Schedule

The NDC Fee Schedule will be updated monthly on the first of the month, starting Jan. 1, 2014

The allowed amount posted for each NDC reflects one unit of measure.  Certain drugs may be administered as partial units (i.e., 0.5 or 0.7), while others may be multiple units (i.e., 2 or 5).  The correct NDC units provided (whether partial, single or multiple) should be used as the multiplier to determine the actual allowed amount.

NDC Drug Schedules

Codes not listed may require individual consideration (IC) to determine the BCBSTX compensation allowable amount.

Other Codes Schedule