MedicaidBilling CodesMedium impact
20-648 New Updates to the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 3rd Quarter 2020
Health Net·CA · Oncology, Hematology, Rheumatology +5 more·Pharmacy
Effective date
Nov 3, 2020
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table, adding 12 new injectable medications, updating 18 existing medication codes, and changing 1 DOFR category. These changes affect billing and coverage determination for injectable medications administered to Health Net members.
Action Required
By November 3, 2020: Billing team must update billing system with 12 new injectable medication HCPCS codes and their assigned DOFR categories. Update 18 existing HCPCS codes with new descriptions and category assignments. Verify proper DOFR category billing for Adakveo (J0791) which now includes Home Health/Infusion as secondary category. Download updated Injectable Medication HCPCS/DOFR Crosswalk Reference Table from Health Net Provider Library.