HCPCS code J1097 — Phenylep ketorolac opth soln.
Status: Active.
Effective Oct 1, 2019.
Source: CMS HCPCS Level II.
J1097
ActivePhenylep ketorolac opth soln
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Oct 1, 2019
Code type:
alphanumeric
OPPS Status:
K1
OPPS APC:
9324
MUE — Medically Unlikely Edits
Maximum units of J1097 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 | 4 |
| Practitioner Services | 4 |
Source: CMS Medicare NCCI Medically Unlikely Edits