CommercialBilling CodesMedium impact
20-380 New Updates to the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 2nd Quarter 2020
Health Net·CA · Oncology, Hematology, Endocrinology +1 more·Prior Authorization
Effective date
Jul 9, 2020
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table effective July 9, 2020, adding 8 new injectable medications, updating 8 procedure codes, and changing 16 existing DOFR categories. This affects billing and prior authorization requirements for injectable medications under Health Net plans.
Action Required
By July 9, 2020: Billing team must update HCPCS code mappings in billing system for all listed injectable medications, including new codes C9399, updated J2505 Neulasta Onpro kit, and discontinued codes J9212 and J9213. Update prior authorization workflows to reflect new DOFR categories. Verify Health Net provider portal access for real-time prior authorization status checks.