2025 HCPCS code J1885
Injection, ketorolac tromethamine, per 15 mg
Yes, modifiers can be applied to J1885 to indicate specific circumstances of the administration, such as the anatomical location of the injection site if given IM. Always refer to the current year's HCPCS and CPT coding guidelines for appropriate modifier usage.
Medical necessity for J1885 must be supported by documentation of the patient's condition and the severity of their pain. The documentation should clearly indicate why the medication is necessary and that other pain management options have been considered or tried.
The clinician is responsible for determining the appropriate dosage of ketorolac tromethamine based on the patient's pain level and medical history. They must also ensure the drug is administered safely and monitor the patient for adverse effects. The clinical responsibility includes proper documentation of the administration, including dosage, route, and patient response.
In simple words: This code represents an injection of 15mg of Ketorolac, a medicine used to relieve moderate to severe pain. It's usually given for a short time, up to five days. Ketorolac belongs to a group of drugs called NSAIDs, which reduce pain, fever, and swelling.
Injection, ketorolac tromethamine, per 15 mg. Ketorolac tromethamine is a nonsteroidal anti-inflammatory drug (NSAID) administered intravenously or intramuscularly for short-term pain management, typically for five days or less. It reduces hormones that cause inflammation and pain.
Example 1: A patient presents to the emergency department with severe renal colic. The physician orders an intramuscular injection of 30 mg of ketorolac tromethamine (J1885 x 2 units) for pain relief., A patient is recovering from a surgical procedure and experiencing moderate pain. The physician orders intravenous ketorolac tromethamine 15 mg (J1885 x 1 unit) every six hours as needed for pain control., A patient with a history of migraines presents to the urgent care clinic with a severe migraine. To alleviate the pain, the provider administers 30 mg of ketorolac tromethamine (J1885 x 2 units) intramuscularly.
Documentation must include the dosage administered, route of administration (IV or IM), the medical necessity for the medication, and the diagnosis being treated. Any complications or adverse reactions should also be noted.
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