CommercialBilling CodesMedium impact
21-357 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 1st Quarter 2021
Health Net·CA · Oncology, Endocrinology, Infectious Disease +3 more·Pharmacy
Effective date
Jul 16, 2021
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table with 16 new injectable medications and 9 code changes, effective July 16, 2021. This affects billing for injectable medications administered to Health Net participating physician groups, with new HCPCS codes and updated existing codes for various therapeutic injections and chemotherapy drugs.
Action Required
By July 16, 2021: Billing team must update HCPCS code assignments for injectable medications per Health Net's new crosswalk table. Update billing system with 16 new injectable medication codes and 9 code changes. Verify proper DOFR category assignments for therapeutic injections, chemotherapy drugs, and self-injections. Reference the updated Injectable Medication HCPCS/DOFR Crosswalk Reference Table for all Health Net participating physician group claims.