CommercialBilling CodesMedium impact
23-1006sum Summary Update: Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table- 3rd Quarter 2023
Health Net·CA · Oncology, Rheumatology, Gastroenterology +3 more·Pharmacy
Effective date
Nov 14, 2023
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table for Q3 2023, adding 17 new injectable medications, updating 26 procedure codes, and adding 20 new generic drugs. These changes affect how injectable medications are categorized and billed under the Division of Financial Responsibility matrix.
Action Required
By November 14, 2023: Billing team must download and review the complete Injectable Medication HCPCS/DOFR Crosswalk Reference Table update (23-1006 PDF) from the Health Net Provider Library. Update billing system with new HCPCS codes for 17 new injectable medications and revise existing codes for 26 updated procedures. Add 20 new generic drug codes to formulary references. Contact Health Net Provider Services if questions arise during implementation.