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J9281 Mitomycin instillation

J Codes (Drugs)

Also known as: mitomycin instillation, intraoperative mitomycin

Injection of mitomycin administered via instillation route. Topical mitomycin for preventing scar formation and hyperplasia.

In Plain Language

scar prevention injection; tissue scarring treatment

Clinical Context

Used intraoperatively during glaucoma surgery, pterygium surgery, and other ocular procedures to prevent fibroblast proliferation and scarring.

RVU Information

CPT J9281 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

OphthalmologySurgeryOtolaryngology

Frequently Asked Questions

What is CPT code J9281?

CPT J9281 (Mitomycin instillation) is a J Codes (Drugs) code. Injection of mitomycin administered via instillation route. Topical mitomycin for preventing scar formation and hyperplasia.

How is J9281 administered?

CPT J9281 is administered by a healthcare provider, typically via injection or infusion. Used intraoperatively during glaucoma surgery, pterygium surgery, and other ocular procedures to prevent fibroblast proliferation and scarring. It is used by Ophthalmology, Surgery, Otolaryngology.

When is CPT J9281 used?

Used intraoperatively during glaucoma surgery, pterygium surgery, and other ocular procedures to prevent fibroblast proliferation and scarring.

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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.