J1097 HCPCS Level II Code: Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Medicare Coverage & Payment
- CMS short descriptor: Phenylep ketorolac opth soln
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Drugs (pricing indicator 51)
- BETOS: O1E — Other drugs
- Last CMS action effective: October 1, 2019
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Change history
- October 1, 2019Added to the code setPhenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Contextual Map
Every relationship of J1097 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (16)
- J1000 — Injection, depo-estradiol cypionate, up to 5 mg[Sibling]
- J1010 — Injection, methylprednisolone acetate, 1 mg[Sibling]
- J1020 — Injection, methylprednisolone acetate, 20 mg[Sibling]
- J1030 — Injection, methylprednisolone acetate, 40 mg[Sibling]
- J1040 — Injection, methylprednisolone acetate, 80 mg[Sibling]
- J1050 — Injection, medroxyprogesterone acetate, 1 mg[Sibling]
- J1060 — Injection, testosterone cypionate and estradiol cypionate, up to 1 ml[Sibling]
- J1070 — Injection, testosterone cypionate, up to 100 mg[Sibling]
- and 8 more
Change history
- October 1, 2019 — Added to the code set [Change history]
Nearest Codes in This Family
Official HCPCS Level II classifications closest to J1097 in its code family, with their registry titles.
- J1060 — Injection, testosterone cypionate and estradiol cypionate, up to 1 ml
- J1070 — Injection, testosterone cypionate, up to 100 mg
- J1071 — Injection, testosterone cypionate, 1 mg
- J1072 — Injection, testosterone cypionate (azmiro), 1 mg
- J1073 — Testosterone pellet, implant, 75 mg
- J1080 — Injection, testosterone cypionate, 1 cc, 200 mg
- J1094 — Injection, dexamethasone acetate, 1 mg
- J1095 — Injection, dexamethasone 9 percent, intraocular, 1 microgram
- J1096 — Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
- J1098 — Articaine ophthalmic, 8% solution, 0.4 ml