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J9282

J9282 – Mitomycin intravesical inst · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 1 NDC crosswalked per 1 MG $274.342/unit ASP+6%

📋 J9282 summary

J9282 is a HCPCS Level II J-code used to bill Mitomycin intravesical inst, billed per 1 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Brand names associated with J9282: Zusduri

Code J9282 Billing unit 1 MG Payment limit $274.342/unit NDC-Crosswalk 1 Quarter Q3 2026 RxCUI Atlas Trace the drug concept →

⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.

🗂️ Key billing facts

HCPCS codeJ9282
DescriptorMitomycin intravesical inst
Billing unit1 MG
Payment limit / unit$274.342
Est. ASP / unit$258.813 est.
Mapped NDCs1
Data periodQ3 2026
Last updated2026-09-20

💊 About Mitomycin DRUG GUIDE

The use depends on the product.

Mitomycin and Mutamycin (intravenous injection) are used with other approved chemotherapy drugs for disseminated (spread) adenocarcinoma of the stomach or pancreas.

They are also used as palliative treatment (to ease the disease) when other approaches have failed.Other mitomycin products have different uses.

Zusduri is for adults with recurrent low-grade intermediate-risk non-muscle invasive bladder cancer.

Read the full Mitomycin drug guide →
Clinical overview from our editorial drug guide for Mitomycin. For billing reference, see the sections above.

🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026

📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$274.342
Est. ASP / unit
$258.813 est.
Est. after 2% sequester
$268.855
HCPCS dosage
1 MG
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J9282 = 1 mg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.

🔁 NDCs that bill under J9282 WITH EST. MEDICARE PAY

1 NDC map to J9282. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($274.342/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
72493-0106-03 ZUSDURI Mitomycin KIT UroGen 1 KIT in 1 CARTON (72493-106-03) * 1 POW... — 80 $21,947.36 — ● Active CMS ASP
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.

📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)

Total Part B spend
$14.54M
Claims
747
Beneficiaries
228
Spend / beneficiary
$63,760.46
Spend / claim
$19,461.02
Where J9282 ranks among Part B drugs · 2026 (Q1) · neighbors ±5

Full breakdown by period (1)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $14.54M 228 747 $63,760.46 $19,461.02
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.

🗺️ Where J9282 is utilized

⏳
The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.

🗃️ Data sources & freshness

Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Not available in current dataset
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-09-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk
1 NDC mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.

⚠️ Practical billing caveats

  • A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
  • Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
  • Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
  • Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
  • The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
  • Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.

❓ J9282 billing FAQ

What is HCPCS code J9282?
J9282 is a HCPCS Level II J-code used to bill Mitomycin intravesical inst under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J9282?
One unit of J9282 represents 1 MG. Report the number of units equal to the dose administered divided by 1 MG.
How many units of J9282 should I bill?
Divide the dose administered by the code's unit size (1 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J9282?
The Medicare Part B payment limit is $274.342 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $268.855 per unit. Payment limits are revised quarterly.
Which NDCs bill under J9282?
1 NDC currently map to J9282 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J9282 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.