J9281 – Mitomycin pyelocalyceal instillation, 1 mg

HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method

Active code Carrier judgment

HCPCS codeJ9281
Long description
Mitomycin pyelocalyceal instillation, 1 mg
Short description
Mitomycin instillation
Pricing indicator
51 Drugs
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
O1D Chemotherapy
ASC
Approved for ambulatory surgical centers
Added
January 1, 2021
Last change
January 1, 2021 – No change

Frequently asked questions

What is HCPCS code J9281?

J9281 is a HCPCS Level II code for mitomycin pyelocalyceal instillation, 1 mg.

Does Medicare cover J9281?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby J codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.