J9280

Code

J9280

Description

Injection, mitomycin, 5 mg

CMS HCPCS quarterly update

• 00143-9135-01 Mitomycin, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 4.
• 00143-9136-01 Mitomycin, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 8.
• 00143-9279-01 Mitomycin, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 4.
• 00143-9280-01 Mitomycin, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 8.
• 16729-0115-05 Mitomycin, Accord Healthcare Inc. Billable units per 11-digit NDC: 1.
• 25021-0250-20 Mitomycin, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 1.
• 25021-0251-50 Mitomycin, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 4.
• 25021-0252-51 Mitomycin, Sagent Pharmaceuticals. Billable units per 11-digit NDC: 8.
• 55150-0450-01 Mitomycin, Eugia US LLC. Billable units per 11-digit NDC: 1.
• 55150-0451-01 Mitomycin, Eugia US LLC. Billable units per 11-digit NDC: 4.
• 55150-0452-01 Mitomycin, Eugia US LLC. Billable units per 11-digit NDC: 8.
• 65219-0564-20 Mitomycin, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 1.
• 65219-0566-20 Mitomycin, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 4.
• 65219-0568-00 Mitomycin, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 8.
• 68001-0389-36 Mitomycin, BluePoint Laboratories. Billable units per 11-digit NDC: 1.
• 68001-0615-36 Mitomycin, BluePoint Laboratories. Billable units per 11-digit NDC: 1.
• 68001-0616-77 Mitomycin, BluePoint Laboratories. Billable units per 11-digit NDC: 4.
• 68001-0617-79 Mitomycin, BluePoint Laboratories. Billable units per 11-digit NDC: 8.
• 71288-0137-20 Mitomycin, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 1.
• 71288-0138-50 Mitomycin, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 4.
• 71288-0139-51 Mitomycin, Meitheal Pharmaceuticals Inc.. Billable units per 11-digit NDC: 8.
• 72819-0152-05 Mitomycin, Archis Pharma LLC. Billable units per 11-digit NDC: 1.
• 72819-0152-95 Mitomycin, Archis Pharma LLC. Billable units per 11-digit NDC: 1.
• 72819-0153-02 Mitomycin, Archis Pharma LLC. Billable units per 11-digit NDC: 4.
• 72819-0154-04 Mitomycin, Archis Pharma LLC. Billable units per 11-digit NDC: 8.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.