MedicaidBilling CodesMedium impact
21-798 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 4th Quarter 2021
Health Net·CA · Oncology, Neurology, Endocrinology +3 more·Prior Authorization
Effective date
Jan 28, 2022
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR crosswalk with 15 new injectable medications and 35 code updates/changes for Medi-Cal patients in Fresno, Kings, and Madera counties. The changes include new codes for drugs like Aduhelm, Empaveli, and various flu vaccines, plus removal of obsolete codes and replacement of temporary codes with permanent ones.
Action Required
By January 28, 2022: Billing team must update system with new injectable medication HCPCS codes including C9399/J3590 for Aduhelm, J3490 for Empaveli and Wegovy, new flu vaccine codes 90662/90686/90687/90688, and remove obsolete codes like Q2035, Q0239, and various discontinued flu vaccine codes. Update encounter forms and billing software to reflect code replacements (e.g., J0741 replaces J3490 for Cabenuva, J1448 replaces J3490 for Cosela). Applies only to Medi-Cal patients in Fresno, Kings, and Madera counties.