MedicaidBilling CodesMedium impact
22-375 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 2nd Quarter 2022
Health Net·CA·Pharmacy
Effective date
Jul 19, 2022
We identified it
Jun 20, 2026
Summary
HealthNet California has updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table for Q2 2022, affecting how injectable medications are coded and billed for Participating Physician Groups in specific California counties. The crosswalk table helps determine proper HCPCS codes for injectable drugs and their corresponding dates of first release (DOFR).
Action Required
By July 19, 2022: Billing team must download and implement the updated Injectable Medication HCPCS/DOFR Crosswalk Reference Table PDF for all injectable drug billing. Update billing system references and staff training materials to reflect Q2 2022 changes. Affects only Participating Physician Groups serving Medi-Cal patients in Fresno, Kings and Madera counties.