CurrentAnthemPolicy 09-600
Therapeutic Parenteral Drug Administration (Dental)
Defines clinical indications, criteria, exclusions, and coding guidance for therapeutic parenteral drug administration in dental settings (intravenous, intramuscular, subcutaneous, intradermal). Applies to single or multiple administrations for therapeutic medications to improve surgical healing, reduce pain, and/or treat infection; excludes sedative/anesthetic/reversal agents and cosmetic uses.
Policy Summary
PayerAnthem
PolicyTherapeutic Parenteral Drug Administration (Dental)
Policy CodePolicy 09-600
Change TypeAnnual review — no material change
Effective DateJan 1, 2026
Next Review Date
Key ActionPrepare to submit clinical chart notes, narrative, and the name and dosage of the medication when requested for benefit consideration.
SourceLink
POLICY UPDATE CHANGES
Minor editorial refinements to description, clinical indications, and reference; intent unchanged.
Reviewed on 10/17/2025 with no change to clinical policy statement.
3Primary therapeutic medication categories mentioned
3CDT procedure codes listed
3Explicit exclusions listed