Back to dashboard
CommercialBilling CodesMedium impact

22-962 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 4th Quarter 2022

Health Net·CA · Oncology, Rheumatology, Endocrinology +4 more·Pharmacy
Effective date
Jan 23, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net has updated their Injectable Medication HCPCS/Division of Financial Responsibility (DOFR) Crosswalk Reference Table for Q4 2022, adding 21 new injectable medications and updating 28 existing procedure codes. These changes affect how injectable medications are categorized and billed under Health Net's provider participation agreements.

Action Required

Action needed
Before January 23, 2023: Billing team must access the complete update 22-962 from Health Net's Provider Library to review the 21 new injectable medications and 28 updated procedure codes. Update billing system with new HCPCS codes and DOFR categories. Contact Health Net Provider Services Center within 60 days if clarification is needed on specific injectable medication billing codes.