CommercialBilling CodesMedium impact
25-019sum Summary Update: 4th Quarter 2024 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA · Oncology, Rheumatology, Ophthalmology +4 more·Pharmacy
Effective date
Mar 18, 2025
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility (DOFR) Crosswalk for Q4 2024, adding 23 new injectable medications, updating 11 existing procedure codes, and making 7 generic drug updates. These changes affect how injectable medications are categorized and billed under Health Net's provider participation agreement.
Action Required
By March 18, 2025: Billing team must download the complete update 25-019 from Health Net's Provider Library to review the 23 new injectable medications, 11 updated procedure codes, and 7 generic drug updates. Update billing system with new HCPCS codes and DOFR categories as specified in pages 2-5 of the complete document. Contact appropriate Health Net Provider Services Center if questions arise about specific injectable medication billing changes.