HCPCS J9280

Injection, mitomycin, 5 mg

HCPCS Information
HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J9280: The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J9280 identifies the type of service or supply used while any of the 36 NDC codes below could be used to specify the exact drug used.
Short Description: Mitomycin injection
Long Description: Injection, mitomycin, 5 mg
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Special coverage instructions apply
BETOS Type of Service: Chemotherapy
Medicare Payment Limit: $28.27
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC	Proprietary Name	Non-Proprietary Name	Dosage Form	Route Name	Company Name	Status
0143-9135	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Hikma Pharmaceuticals Usa Inc.	ACTIVE
0143-9136	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Hikma Pharmaceuticals Usa Inc.	ACTIVE
0143-9279	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Hikma Pharmaceuticals Usa Inc.	ACTIVE
0143-9280	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Hikma Pharmaceuticals Usa Inc.	ACTIVE
16729-115	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Accord Healthcare, Inc.	ACTIVE
16729-116	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Accord Healthcare, Inc.	ACTIVE
25021-250	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Sagent Pharmaceuticals	ACTIVE
25021-251	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Sagent Pharmaceuticals	ACTIVE
25021-252	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Sagent Pharmaceuticals	ACTIVE
55150-450	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Eugia Us Llc	ACTIVE
55150-451	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Eugia Us Llc	ACTIVE
55150-452	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Eugia Us Llc	ACTIVE
65219-564	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
65219-566	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
65219-568	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Fresenius Kabi Usa, Llc	ACTIVE
67457-518	Mitomycin				Mylan Institutional Llc
67457-519	Mitomycin				Mylan Institutional Llc
67457-520	Mitomycin				Mylan Institutional Llc
67457-996	Mitomycin				Mylan Institutional Llc
67457-997	Mitomycin				Mylan Institutional Llc
68001-389	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Bluepoint Laboratories	ACTIVE
68001-390	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Bluepoint Laboratories	ACTIVE
68001-391	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Bluepoint Laboratories	ACTIVE
68001-615	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Bluepoint Laboratories	ACTIVE
68001-616	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Bluepoint Laboratories	ACTIVE
68001-617	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Bluepoint Laboratories	ACTIVE
69448-001	Mutamycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Accord Biopharma Inc.	ACTIVE
69448-002	Mutamycin				Accord Biopharma Inc.
69448-003	Mutamycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Accord Biopharma Inc.	ACTIVE
71288-137	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Meitheal Pharmaceuticals Inc.	ACTIVE
71288-138	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Meitheal Pharmaceuticals Inc.	ACTIVE
71288-139	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Meitheal Pharmaceuticals Inc.	ACTIVE
72819-152	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Archis Pharma Llc	ACTIVE
72819-152	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Archis Pharma Llc	ACTIVE
72819-153	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Archis Pharma Llc	ACTIVE
72819-154	Mitomycin	Mitomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Archis Pharma Llc	ACTIVE

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HCPCS Information

HCPCS Crossover to NDC Codes