CommercialBilling CodesMedium impact
23-1004sum Summary Update: Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table- 2nd Quarter 2023
Health Net·CA·Pharmacy
Effective date
Nov 14, 2023
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility (DOFR) Crosswalk Reference Table for Q2 2023, adding 14 new injectable medications, updating 22 procedure codes, and adding 11 new generic drugs. The billing team must use the updated crosswalk for proper billing and responsibility assignment for injectable medications.
Action Required
Before November 14, 2023: Billing team must download and implement the updated Injectable Medication HCPCS/DOFR Crosswalk Reference Table (23-1004) from the Health Net provider portal. Update billing system with new injectable medication codes and DOFR categories. Review provider operations manuals for related changes. Contact Health Net Provider Services if questions arise about specific medications or codes.