CommercialBilling CodesMedium impact
23-1320sum Summary Update: New: 4th Quarter 2023 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
Feb 7, 2024
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk effective February 7, 2024, adding 16 new injectable medications, updating 16 procedure codes, and adding 2 new generic drugs. This affects how injectable medications are categorized for division of financial responsibility between providers and Health Net.
Action Required
By February 7, 2024: Billing team must download the complete update 23-1320 from Health Net's provider portal or request a print copy via email. Review pages 3-4 for the 16 new injectable medications, 16 updated procedure codes, and 2 new generic drugs. Update billing system to reflect new DOFR categories for injectable medications per the crosswalk. Contact Health Net Provider Services if clarification is needed on specific medications or codes.