All PlansBilling CodesMedium impact
21-356 Stay Current with the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 1st Quarter 2021
Health Net·CA · Oncology, Hematology, Infectious Disease +4 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/updates. This affects billing for injectable medications with specific DOFR category assignments and includes new HCPCS codes that must be used for proper reimbursement.
Action Required
By July 16, 2021: Billing team must update billing software with 16 new injectable medication HCPCS codes and 9 code changes. Update encounter forms and coding references to reflect new DOFR categories for therapeutic injections, chemotherapy drugs, and self-injections. Ensure proper code assignment based on primary and secondary categories to avoid claim denials.