What is reimbursement for j0696?

Answer 1

J0696 refers to the billing code for the administration of 1 mg of ketorolac tromethamine, an anti-inflammatory medication often used for pain management. Reimbursement for J0696 varies based on the payer, including Medicare and private insurance policies, and depends on factors like the location of service, provider type, and whether the service meets medical necessity criteria. Providers typically submit claims for reimbursement under this code, which may be subject to specific documentation and coding guidelines. It's essential for healthcare providers to check with individual insurers for precise reimbursement rates and policies.