CommercialBilling CodesHigh impact
25-1017sum Summary Update: 2nd Quarter 2025 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA · Oncology, Rheumatology, Endocrinology +6 more·Pharmacy
Effective date
Dec 2, 2025
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk for Q2 2025, adding 16 new injectable medications, updating 40 existing procedure codes, and adding 15 new biosimilars. This affects billing responsibility categorization for injectable medications across multiple Health Net plan types.
Action Required
Before December 2, 2025: Billing team must download the complete update document (25-1017) from Health Net's Provider Library to obtain specific HCPCS code changes. Update billing system with new injectable medication codes and revised DOFR categories. Review and update encounter forms and billing workflows for the 16 new injectables, 40 code updates, and 15 new biosimilars. Failure to use updated codes may result in incorrect division of financial responsibility and claim processing delays.