CommercialBilling CodesMedium impact
24-1056sum Summary Update: 3rd Quarter 2024 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
Dec 6, 2024
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility crosswalk for Q3 2024, adding 22 new injectable medications, updating 14 procedure codes, and adding 8 new generic drugs. These changes affect how injectable medications are categorized for billing and reimbursement responsibilities.
Action Required
Before December 6, 2024: Billing team must access the complete update 24-1056 from the Health Net provider portal under Updates and Letters > 2024 to review the 22 new injectable medications, 14 updated procedure codes, and 8 new generic drug updates. Update billing system and encounter forms to reflect the new HCPCS/DOFR crosswalk categories for proper division of financial responsibility billing.