HCPCS Level II · Drugs administered other than oral method
J1097Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About J1097
J1097 is an HCPCS Level II code in the J series (drugs administered other than oral method), describing phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml.
It was added to HCPCS effective 10/01/2019.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Phenylep ketorolac opth soln
- Date added
- 10/01/2019
- Action effective
- 10/01/2019
- BETOS
- O1E
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Common questions about J1097
Is HCPCS J1097 still valid?
- Yes. J1097 is active in the CMS October 2026 HCPCS file.
Does Medicare cover J1097?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.