CommercialBilling CodesMedium impact
24-784sum Summary Update: 2nd Quarter 2024 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
Oct 7, 2024
We identified it
Jun 20, 2026
Summary
Health Net has updated their Injectable Medication HCPCS/Division of Financial Responsibility (DOFR) Crosswalk effective October 7, 2024. The update includes 12 new injectable medications, 11 procedure code updates, 6 category changes, and 3 new generic drug updates that will affect billing responsibilities and reimbursement for injectable medications.
Action Required
By October 7, 2024: Billing team must download the complete update document (24-784) from the Health Net provider portal library to review all specific HCPCS code changes and DOFR category updates for injectable medications. Update billing software and encounter forms to reflect the new codes and reimbursement categories. Contact appropriate Provider Services Center if clarification is needed on specific injectable medication billing.