J1097 Phenylep ketorolac opth soln
Also known as: Ophthalmic decongestant, phenylephrine/ketorolac
Phenylephrine and ketorolac ophthalmic solution, a combination decongestant and nonsteroidal anti-inflammatory for ocular use.
In Plain Language
Eye drops for inflammation and redness
Clinical Context
Used perioperatively in ophthalmology to reduce ocular redness, inflammation, and improve visualization during and after eye surgery.
RVU Information
CPT J1097 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 J1097?
CPT J1097 (Phenylep ketorolac opth soln) is a J Codes (Drugs) code. Phenylephrine and ketorolac ophthalmic solution, a combination decongestant and nonsteroidal anti-inflammatory for ocular use.
How is J1097 administered?
CPT J1097 is administered by a healthcare provider, typically via injection or infusion. Used perioperatively in ophthalmology to reduce ocular redness, inflammation, and improve visualization during and after eye surgery. It is used by Ophthalmology, Surgery.
When is CPT J1097 used?
Used perioperatively in ophthalmology to reduce ocular redness, inflammation, and improve visualization during and after eye surgery.
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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.