Question:

What codes should hospital outpatient departments use to bill for the topical application of mitomycin during or following ophthalmic surgery?

Answer:

Hospital outpatient departments should should not bill HCPCS code J9280 (injection, mitomycin, 5 mg) for the topical application of mitomycin. Instead, they should assign the following codes:

• For use of mitomycin with the trade name Mitosol®, report J7315—mitomycin, ophthalmic, 0.2 mg.
• For use of any other topical mitomycin, report J7999—compounded drug, not otherwise classified.

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