MedicaidBilling CodesMedium impact
22-376 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 updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table for Q2 2022, which provides the mapping between injectable medication HCPCS codes and their corresponding drug formulary references. This crosswalk is essential for proper billing and coverage determination of injectable medications for participating physician groups and Medi-Cal providers in specified counties.
Action Required
By July 19, 2022: Billing team must download and implement the updated Injectable Medication HCPCS/DOFR Crosswalk Reference Table from the HealthNet provider portal. Update billing system references to ensure proper code mapping for injectable medications. Review current injectable medication billing practices against the new crosswalk to ensure compliance and proper reimbursement.