HCPCS Level II drug code
J1097 — Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
In short
J1097 is the HCPCS Level II code for phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml. One billing unit is 1 ml.
Code
CMS HCPCS fileHCPCS codeJ1097
Billing unit1 ml
- Descriptor
- Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
- Short descriptor
- Phenylep ketorolac opth soln
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Oct 1, 2019
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
J1097: common questions
- Is J1097 a CPT code?
- No. J1097 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
- What is one billing unit of J1097?
- One unit of J1097 is 1 ml, as stated in the code's descriptor. Units to report = dose given ÷ 1 ml. J-code billing units.