MedicaidBilling CodesHigh impact
22-661 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 3rd Quarter 2022
Health Net·CA · Oncology, Endocrinology, Ophthalmology +3 more·Pharmacy
Effective date
Oct 31, 2022
We identified it
Jun 20, 2026
Summary
Health Net/CalViva Health updated their Injectable Medication HCPCS/DOFR Crosswalk for Q3 2022, adding 10 new injectable medications, updating 20 existing medication codes, and changing 2 DOFR categories. Many medications moved from temporary codes (J3490, J3590) to permanent specific codes.
Action Required
By October 31, 2022: Billing team must update billing system with new specific HCPCS codes for injectable medications, replacing temporary codes J3490 and J3590 with permanent codes where specified. Update encounter forms and drug coding references. Delete obsolete cyclophosphamide codes (J9080, J9090, J9091, J9092, C9087). Verify DOFR category assignments for chemotherapy drugs requiring cancer diagnosis codes C00.0-C96.9.