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    HCPCS Details

    HCPC J1097
    Short Description Phenylep ketorolac opth soln
    Long Description Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
    Pricing indicator 51
    Coverage code C
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2019-10-01
    Date Added 2019-10-01