CommercialBilling CodesMedium impact
23-198sum Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 1st Quarter 2023
Health Net·CA·Pharmacy
Effective date
May 3, 2023
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk effective May 3, 2023, adding 11 new injectable medications, updating 7 procedure codes, and adding 32 generic drug entries. This affects how injectable medications are categorized and billed under the Division of Financial Responsibility framework.
Action Required
By May 3, 2023: Billing team must access the complete update 23-198 from Health Net's Provider Library to review all 11 new injectable medications, 7 updated procedure codes, and 32 new generic drugs. Update billing system with new HCPCS codes and DOFR categories as specified in the crosswalk. Contact Health Net Provider Services Center within 60 days if questions arise about implementation.