HCPCS code J1096 — Dexametha opth insert 0.1 mg.
Status: Active.
Effective Oct 1, 2019.
Source: CMS HCPCS Level II.
J1096
ActiveDexametha opth insert 0.1 mg
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Oct 1, 2019
Code type:
alphanumeric
OPPS Status:
K1
OPPS APC:
9308
MUE — Medically Unlikely Edits
Maximum units of J1096 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 8 |
| Practitioner Services | 8 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 70382-0204-01 | Dextenza |
| 70382-0204-10 | Dextenza |