J1097 – Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method
HCPCS codeJ1097
- Long description
- Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
- Short description
- Phenylep ketorolac opth soln
- Pricing indicator
51Drugs- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
O1EOther drugs- ASC
- Approved for ambulatory surgical centers
- Added
- October 1, 2019
- Last change
- October 1, 2019 – No change
Frequently asked questions
What is HCPCS code J1097?
J1097 is a HCPCS Level II code for phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml.
Does Medicare cover J1097?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
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Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.