MedicaidBilling CodesMedium impact
22-068 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 1st Quarter 2022
Health Net·CA · Oncology, Family Medicine, Internal Medicine +3 more·Pharmacy
Effective date
Apr 18, 2022
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table, adding 11 new injectable medications, updating 16 existing medication procedure codes, and making 1 DOFR category change. This affects billing for injectable medications, vaccines, and chemotherapy drugs for Health Net participating physician groups and specific Medi-Cal counties.
Action Required
Before April 18, 2022: Billing team must update billing software and fee schedules with the new HCPCS codes for 11 new injectable medications (including Camcevi, Prevnar 20, Rylaze) and modify existing codes for 16 medications. Update encounter forms to reflect new codes J1952, C9087, J3590, J2046, 90677, J9021, C9086, Q0247, 90671, J1445, J3490. Replace outdated codes (J2430, J0890, J2940, J2941, J3315, J7310 are no longer manufactured). Contact Health Net Provider Services within 60 days if clarification needed.