AHA Coding Clinic® for HCPCS - 2016 Issue 4; For Your Information

Medicare reporting guidance for Mitomycin

Medicare has provided the following instruction for hospital outpatient departments for the reporting of HCPCS code J7315, Mitomycin, ophthalmic, 0.2 mg, or HCPCS code J7999, Compounded drug, not otherwise classified, for the topical application of Mitomycin during or following ophthalmic surgery.  Hospitals may report HCPCS code J7315 only if the hospital uses Mitomycin with the trade name Mitosol®. HCPCS code J7999 would be reported for any other topical Mitomycin. Additionally, hospitals are not permitted to report HCPCS code J9280, Injection, mitomycin, 5 mg, for the topical application of Mitomycin. Please note: Other payers should be contacted regarding...

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