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J0476 HCPCS Level II Code: Injection, baclofen, 50 mcg for intrathecal trial

Coding at a Glance

Drug products
3 NDC products

Medicare Coverage & Payment

  • CMS short descriptor: Baclofen intrathecal trial
  • Medicare coverage: Special coverage instructions apply (CMS coverage code D)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2019

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Change history

  • January 1, 1999
    Added to the code set
    Injection, baclofen, 50 mcg for intrathecal trial

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $43.84

25021-0681-71 — Baclofen — Sagent Pharmaceuticals (size 1 × qty 2 (50 MCG per billing unit))

66794-0151-01 — Gablofen — Piramal Critical Care Inc (size 1 × qty 1 (50 MCG per billing unit))

70121-2496-05 — Lioresal — Amneal Pharmaceuticals, LLC (size 1 × qty 5 (50 MCG per billing unit))

Related Codes

Same drug, other billing codes

CMS's ASP crosswalk lists these HCPCS codes for the same drug.

J0475 — Injection, baclofen, 10 mg

From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.

Contextual Map

Every relationship of J0476 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (15)

Change history

  • January 1, 1999 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0476 in its code family, with their registry titles.