MedicaidBilling CodesMedium impact
21-797 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 4th Quarter 2021
Health Net·CA · Oncology, Endocrinology, Neurology +4 more·Pharmacy
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. This affects billing for injectable medications including new drugs like Aduhelm, Empaveli, and Wegovy, plus removal of many inactive flu vaccine codes.
Action Required
By January 28, 2022: Billing team must update billing system with new HCPCS codes for 15 new injectable medications (including Aduhelm C9399/J3590, Empaveli C9399/J3490, Wegovy J3490) and remove 35 inactive codes (primarily flu vaccine codes). Update encounter forms to reflect new drug codes and DOFR categories. Contact Health Net Provider Services within 60 days with questions.