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J7315 Ophthalmic mitomycin

J Codes (Drugs)

Also known as: mitomycin C ophthalmic, anti-scarring agent

Ophthalmic mitomycin preparation, an antiproliferative agent used during ophthalmic surgery to prevent scarring and fibrosis.

In Plain Language

eye surgery medication; scar prevention

Clinical Context

Used during ophthalmic procedures to reduce postoperative scarring in glaucoma filtration surgery and pterygium surgery.

RVU Information

CPT J7315 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.

Specialties

OphthalmologyGlaucoma SpecialistCornea Specialist

Frequently Asked Questions

What is CPT code J7315?

CPT J7315 (Ophthalmic mitomycin) is a J Codes (Drugs) code. Ophthalmic mitomycin preparation, an antiproliferative agent used during ophthalmic surgery to prevent scarring and fibrosis.

How is J7315 administered?

CPT J7315 is administered by a healthcare provider, typically via injection or infusion. Used during ophthalmic procedures to reduce postoperative scarring in glaucoma filtration surgery and pterygium surgery. It is used by Ophthalmology, Glaucoma Specialist, Cornea Specialist.

When is CPT J7315 used?

Used during ophthalmic procedures to reduce postoperative scarring in glaucoma filtration surgery and pterygium surgery.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.