MedicaidBilling CodesMedium impact
20-646 New Updates to the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 3rd Quarter 2020
Health Net·CA · Oncology, Hematology, Endocrinology +4 more·Prior Authorization
Effective date
Nov 3, 2020
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table effective November 3, 2020, adding 12 new injectable medications, updating 18 existing medication procedure codes, and changing 1 DOFR category. This affects Medi-Cal billing in Fresno, Kings and Madera counties for participating physician groups.
Action Required
By November 3, 2020: Billing team must update system with new HCPCS codes for 12 new injectable medications and revise existing codes for 18 updated medications. Download updated Injectable Medication HCPCS/DOFR Crosswalk Reference Table from Health Net Provider Library. Update encounter forms and billing software to reflect new codes and DOFR categories. Contact CalViva Health at 1-888-893-1569 with questions.