CommercialBilling CodesHigh impact
26-333sum Summary Update: 1st Quarter 2026 Injectable Medication HCPCS/DOFR Crosswalk
Health Net·CA·Pharmacy
Effective date
May 15, 2026
We identified it
Jun 20, 2026
Summary
Health Net updated their Injectable Medication HCPCS/Division of Financial Responsibility Crosswalk for Q1 2026, adding 11 new injectable medications, 98 code updates, 8 new biosimilars, and 13 new generic drugs. This affects how injectable medications are categorized for billing and financial responsibility determination.
Action Required
Before May 15, 2026: Billing team must access and download the complete update 26-333 from Health Net's Provider Library to review all 130 injectable medication code changes. Update billing software with new HCPCS codes for the 11 new injectable medications, 8 biosimilars, and 13 generic drugs. Review the 98 updated procedure codes and modify existing billing rules accordingly. Contact Health Net Provider Services if clarification is needed on specific code changes.