MedicaidBilling CodesMedium impact
22-963 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 4th Quarter 2022
Health Net·CA·Pharmacy
Effective date
Jan 23, 2023
We identified it
Jun 20, 2026
Summary
CalViva Health updated their Injectable Medication HCPCS/Division of Financial Responsibility (DOFR) Crosswalk for Q4 2022, adding 21 new injectable medications and updating 28 existing procedure codes. These changes affect how injectable medications are categorized and billed for Medi-Cal patients in Fresno, Kings, and Madera counties.
Action Required
Before January 23, 2023: Billing team must access the updated Injectable Medication HCPCS/DOFR Crosswalk Reference Table (update 22-963) through the CalViva Health Provider Library at the provider website. Review and implement the 21 new injectable medication codes and 28 updated procedure codes in billing system. Update encounter forms and billing procedures for injectable medications. Contact CalViva Health at 888-893-1569 with questions.