CommercialBilling CodesMedium impact
21-581 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 3rd Quarter 2021
Health Net·CA · Oncology, Hematology, Infectious Disease +3 more·Pharmacy
Effective date
Oct 21, 2021
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table with 10 new injectable medications, 19 code updates/changes, and 2 category changes. This affects billing for injectable medications with new HCPCS codes and reassigned existing codes.
Action Required
By October 21, 2021: Billing team must update coding system to use new HCPCS codes for 10 new injectable medications and update 19 existing injectable medication codes per the crosswalk. Update billing software to reflect code changes from temporary C codes to permanent J codes. Verify proper DOFR category assignment for reimbursement responsibility between Health Net and providers.