HCPCS drug code · CMS crosswalk
Mitomycin J-Code / HCPCS Code
In short
Mitomycin is billed under HCPCS J9280 — Injection, mitomycin, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 25 Mitomycin NDCs under this code.
Reference
- J9280
- Injection, mitomycin, 5 mgBilling unit: 5 mg
- Labelers
- Accord Healthcare Inc; Archis Pharma LLC; BluePoint Laboratories; Eugia US LLC; FreseniUS Kabi USA, LLC; Hikma Pharmaceuticals USA Inc.; Meitheal Pharmaceuticals Inc.; Sagent Pharmaceuticals
Medicare Part B payment limit
CMS ASP filePayment limit per unit$34.838
Per5 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Mitomycin units and claim line
Enter the dose given to get the J9280 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Mitomycin NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00143-9135-01 | J9280 | Hikma Pharmaceuticals USA Inc. | 1 | 4 |
| 00143-9136-01 | J9280 | Hikma Pharmaceuticals USA Inc. | 1 | 8 |
| 00143-9279-01 | J9280 | Hikma Pharmaceuticals USA Inc. | 1 | 4 |
| 00143-9280-01 | J9280 | Hikma Pharmaceuticals USA Inc. | 1 | 8 |
| 16729-0115-05 | J9280 | Accord Healthcare Inc | 1 | 1 |
| 25021-0250-20 | J9280 | Sagent Pharmaceuticals | 1 | 1 |
| 25021-0251-50 | J9280 | Sagent Pharmaceuticals | 1 | 4 |
| 25021-0252-51 | J9280 | Sagent Pharmaceuticals | 1 | 8 |
| 55150-0450-01 | J9280 | Eugia US LLC | 1 | 1 |
| 55150-0451-01 | J9280 | Eugia US LLC | 1 | 4 |
| 55150-0452-01 | J9280 | Eugia US LLC | 1 | 8 |
| 65219-0564-20 | J9280 | FreseniUS Kabi USA, LLC | 1 | 1 |
| 65219-0566-20 | J9280 | FreseniUS Kabi USA, LLC | 1 | 4 |
| 65219-0568-00 | J9280 | FreseniUS Kabi USA, LLC | 1 | 8 |
| 68001-0389-36 | J9280 | BluePoint Laboratories | 1 | 1 |
| 68001-0615-36 | J9280 | BluePoint Laboratories | 1 | 1 |
| 68001-0616-77 | J9280 | BluePoint Laboratories | 1 | 4 |
| 68001-0617-79 | J9280 | BluePoint Laboratories | 1 | 8 |
| 71288-0137-20 | J9280 | Meitheal Pharmaceuticals Inc. | 1 | 1 |
| 71288-0138-50 | J9280 | Meitheal Pharmaceuticals Inc. | 1 | 4 |
| 71288-0139-51 | J9280 | Meitheal Pharmaceuticals Inc. | 1 | 8 |
| 72819-0152-05 | J9280 | Archis Pharma LLC | 1 | 1 |
| 72819-0152-95 | J9280 | Archis Pharma LLC | 1 | 1 |
| 72819-0153-02 | J9280 | Archis Pharma LLC | 1 | 4 |
| 72819-0154-04 | J9280 | Archis Pharma LLC | 1 | 8 |
Mitomycin: common questions
- What is the J-code for Mitomycin?
- Mitomycin is billed under HCPCS J9280 — Injection, mitomycin, 5 mg. One billing unit is 5 mg. CMS's crosswalk lists 25 Mitomycin NDCs under this code.
- How many J9280 billing units are in a package of Mitomycin?
- CMS lists 1 to 8 billing units per package, depending on the NDC, where one unit is 5 mg. Units to report are based on the dose given, not the package.
- Is J9280 a CPT code?
- No. J9280 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.