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


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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