J1096 Dexametha opth insert 0.1 milligrams
Also known as: Dexamethasone eye insert, ocular implant
Dexamethasone ophthalmic insert supplied in 0.1 milligram units for ocular anti-inflammatory effects in the eye.
In Plain Language
Eye steroid insert
Clinical Context
Used for treatment of ocular inflammation, dry eye disease, and post-operative ocular inflammation with sustained release from subconjunctival implant.
RVU Information
CPT J1096 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J1096?
CPT J1096 (Dexametha opth insert 0.1 milligrams) is a J Codes (Drugs) code. Dexamethasone ophthalmic insert supplied in 0.1 milligram units for ocular anti-inflammatory effects in the eye.
How is J1096 administered?
CPT J1096 is administered by a healthcare provider, typically via injection or infusion. Used for treatment of ocular inflammation, dry eye disease, and post-operative ocular inflammation with sustained release from subconjunctival implant. It is used by Ophthalmology, Internal Medicine.
When is CPT J1096 used?
Used for treatment of ocular inflammation, dry eye disease, and post-operative ocular inflammation with sustained release from subconjunctival implant.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.