HCPCS code J9282: Mitomycin instillation, intravesical, per 1 mg2026 Medicare rate & RVUs

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

What J9282 covers

This code represents mitomycin administered directly into the bladder, rather than by systemic injection. Urologists and other qualified clinicians typically provide the instillation in an outpatient clinic or hospital setting, often as local chemotherapy for bladder tumors. The drug is delivered through a urinary catheter into the bladder; the drug code is distinct from the code for the instillation service.

Medicare assigns this HCPCS code physician fee schedule status E, meaning CMS excludes it from the physician fee schedule by regulation. When Medicare covers the drug, payment is under another payment method; the HCPCS pricing method identifies it as a Part B drug generally priced through CMS quarterly ASP drug pricing files. The Medicare contractor determines coverage. Report units according to the amount administered: each unit represents 1 mg of mitomycin.

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 J9282 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

J9282 rates by state

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

How the J9282 rate is calculated

Each of J9282’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.

Payment rules and modifiers for J9282

J9282 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.

J9282 compared with similar codes

How to choose

J9280Mitomycin injectionPer 5 mg

J9280 is the mitomycin injection code. J9282 is for mitomycin administered into the bladder.

J9281Mitomycin instillationPer 1 mg

Both codes concern mitomycin instillation. Select the code assigned to the specific drug product being administered rather than choosing solely by ingredient.

51720Bladder instillationAntineoplastic agent

CPT 51720 describes the bladder instillation service; J9282 identifies the mitomycin drug and its 1 mg billing unit.

Codes related to J9282

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

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