Does J9282 require prior authorization?

Yes, J9282 requires prior authorization (high confidence). At least one active policy explicitly requires prior authorization.

What is the Medicare reimbursement rate for J9282?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

Prior Auth Required

At least one active policy explicitly requires prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

ARKBLUE-MITOMYCIN-INTRAVESICAL-SOLUTION-E-G-ZUSDURI-975E9BEAF3, Mitomycin Intravesical Solution (e.g., Zusduri)

HEALTHNET_OR-HNOR-MITOMYCIN-INSTILLATION-SOLUTION-JELMYTO-ZUSDURI-CP-PHAR-673101ECD5, Mitomycin Instillation Solution (Jelmyto, Zusduri); CP.PHAR.495

MODA-ZUSDURI-D137427D83, Zusduri (mitomycin)

EVICORE-HPLAN-CIGNA-729A536F50C8, Q3 - 2026 Cigna MedOnc Master Drug List.pdf

EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-4BC80209CCC5, Q3 - 2026 Jefferson Health Plans MedOnc Master Drug List

BCBSTN-0b2495143c, Mitomycin (Zusduri)

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