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HCPCS code J9280: Mitomycin injection, per 5 mg2026 Medicare rate & RVUs

Reports injectable mitomycin used in cancer treatment, with each HCPCS unit representing 5 mg of the drug.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J9280

Mitomycin injection, per 5 mg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J9280 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J9280 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J9280 covers

Mitomycin is an antineoplastic drug used in cancer treatment and is typically administered intravenously. Oncology clinicians administer it in hospital outpatient departments, infusion centers, or physician offices. The treating practitioner or facility reports the drug based on the amount administered. A chemotherapy administration service is reported separately when appropriate to the documented administration method.

CMS assigns J9280 physician fee schedule status E, excluding it from the physician fee schedule. When Medicare covers the drug, payment is made under another payment method. CMS classifies it as a Part B drug that is generally priced using the quarterly Average Sales Price drug pricing files. Medicare coverage is subject to special coverage instructions. One unit represents 5 mg, so a documented 20 mg dose represents 4 units.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where J9280 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J9280 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J9280 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J9280 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J9280 rate is calculated

Each of J9280’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · J9280

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for J9280

J9280 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · J9280

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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J9280 isn’t priced in this setting.

J9280 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J9280

    Mitomycin injection, per 5 mg0 wRVU

    Not priced

  • J9281

    Mitomycin instillation, per 1 mg0 wRVU

    Not priced

  • J9282

    Mitomycin instillation, intravesical, per 1 mg0 wRVU

    Not priced

  • J9293

    Mitoxantrone injection, per 5 mg0 wRVU

    Not priced

How to choose

J9281Mitomycin instillationPer 1 mg
J9281 identifies a mitomycin instillation form. J9280 identifies injectable mitomycin; distinguish them by the form administered.
J9282Mitomycin instillationIntravesical, per 1 mg
J9282 identifies intravesical mitomycin instillation. Use J9280 for injectable mitomycin rather than the intravesical instillation form.
J9293Mitoxantrone injectionPer 5 mg
J9293 identifies mitoxantrone hydrochloride, a different antineoplastic drug. Similar code numbering and a 5 mg unit do not make it interchangeable with mitomycin.

Codes related to J9280

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to J9280
CodeHow it relatesNational office range
Used instead
J9281Mitomycin instillation, per 1 mgIdentifies a mitomycin instillation form rather than injectable mitomycin.No office rate
J9282Mitomycin instillation, intravesical, per 1 mgIdentifies intravesical mitomycin instillation rather than injectable mitomycin.No office rate
Often billed with
96409Chemotherapy push, single or initial drugChemotherapy administration by intravenous push may accompany a qualifying drug administration.$90.24–$146.28
96413Chemo IV infusion, initial drug, first hourChemotherapy administration by infusion may accompany a qualifying drug administration.$114.99–$186.95

J9280 billing questions

How many units should be reported?

Each unit represents 5 mg of mitomycin. Divide the documented amount administered by 5 mg; for example, 20 mg is 4 units.

When should J9280 be used instead of J9281 or J9282?

J9280 identifies injectable mitomycin. J9281 and J9282 identify mitomycin instillation forms, with J9282 specifically identifying intravesical instillation; select the code that matches the form administered.

Is the chemotherapy administration service included in J9280?

J9280 reports the drug, not the administration service. A separately reportable chemotherapy administration service depends on the documented administration method.

Does Medicare pay J9280 under the physician fee schedule?

No. CMS assigns status E, excluding J9280 from the physician fee schedule; when Medicare covers the drug, it pays under another method.

How does Medicare price the drug when it is covered?

CMS classifies J9280 as a Part B drug that is generally priced using its quarterly Average Sales Price drug pricing files. Medicare coverage is subject to special coverage instructions.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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