MedicaidBilling CodesHigh impact
21-582 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 3rd Quarter 2021
Health Net·CA · Oncology, Hematology, Infectious Disease +4 more·Prior Authorization
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 procedure code updates/changes, and 2 DOFR category changes. The updates include new chemotherapy drugs, code replacements for existing medications, and removal of one FDA-discontinued drug.
Action Required
By October 21, 2021: Billing team must update billing system with all new HCPCS codes and replace outdated codes per the crosswalk table. Update encounter forms to reflect new injectable medication codes. Verify DOFR categories for prior authorization requirements. Remove discontinued Bamlanivimab (Q0239) from system as it's no longer FDA-approved.