CommercialBilling CodesMedium impact
24-173sum Summary Update: 1st Quarter 2024 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA · Oncology, Rheumatology, Endocrinology +7 more·Pharmacy
Effective date
Apr 22, 2024
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility crosswalk for Q1 2024, adding 20 new injectable medications, updating 17 procedure codes, and adding 12 new generic drugs. This affects how injectable medications are categorized for financial responsibility between providers and Health Net.
Action Required
By April 22, 2024: Billing team must download and review the complete update document (24-173) from the Health Net provider portal to identify specific HCPCS code changes for injectable medications. Update billing system with new DOFR categories and verify financial responsibility assignments for the 20 new injectable medications and 17 updated procedure codes. Check provider operations manual updates in the Provider Library.