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MedicaidBilling CodesMedium impact

20-379 New Updates to the Injectable Medication HCPCS/DOFR Crosswalk Reference Table - 2nd Quarter 2020

Health Net·CA · Oncology, Hematology, Neurology +1 more·Prior Authorization
Effective date
Jul 9, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Health Net updated their Injectable Medication HCPCS/DOFR Crosswalk Reference Table with 8 new injectable medications, 8 procedure code updates, and 16 category changes. These updates affect how injectable medications are coded and categorized for billing purposes in Fresno, Kings and Madera counties.

Action Required

Action needed
By July 9, 2020: Billing team must update billing software with new HCPCS codes for 8 new injectable medications including Asceniv (C9399), Giapreza (J3490), and Neulasta Onpro kit (J2505). Replace deleted codes J9212 and J9213 with updated alternatives. Update code mappings for Andexxa (now C9041 instead of J3590) and Avonex (now J1826 instead of Q3025). Remove discontinued medications from active billing lists.

Affected Billing Codes

C9399
J3490
J2505
J9999
J3590
C9041
J1826
J9212
J0945
J3420
J2355
J9213
J0593
C9058
Q5111
Q5108
Q5101
J1447
Q5110
J1442
Q3025