BACLOFEN J Code: J0475

Drug & Product Overview

HCPCS Descriptor Injection, baclofen, 10 mg

HCPCS Added Date January 1, 1994

Manufacturer Multiple Manufacturers

Route of Administration Intrathecal

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Solution | Kit | Not Available

About BACLOFEN

Baclofen is a medication aligned to the HCPCS J Code: J0475 for billing, pricing, and reimbursement purposes in the United States. It is a Muscle Relaxant drug administered via the intrathecal route and manufactured by multiple companies.

According to CMS Drug Use Information: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, cerebral palsy, spinal cord injury/disease). It works by helping to relax the muscles. Baclofen injection is used by patients who do not respond to or who cannot tolerate the side effects of baclofen taken by mouth.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 24 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
14789-0161-05	Baclofen	Nexus Pharmaceuticals LLC	4	40 MG / 20 ML
25021-0678-20	Baclofen	Sagent Pharmaceuticals	1	10 MG / 20 ML
66794-0155-01	Gablofen	Piramal Critical Care Inc	1	10 MG / 20 ML
67457-0562-20	Baclofen	Mylan Institutional LLC	1	10 MG / 20 ML
70121-2501-01	Lioresal (baclofen)	Amneal Pharmaceuticals LLC	1	Kit
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BACLOFEN Pricing & Reimbursement

J0475 Private Payer Reimbursement

$181.35 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

BACLOFEN CPT Administration Codes

CPT Code	Description
96450	Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture

JW / JZ modifiers apply

CMS has identified Baclofen (J0475) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

BACLOFEN Medically Unlikely Edits (MUE)

The most billing units of J0475 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient

8 units / day

= 80 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

BACLOFEN Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Severe Spasticity Spasticity of Cerebral Origin Spasticity of Spinal Cord Origin severe spasticity severe spasticity of cerebral origin severe spasticity of spinal cord origin

Drug Class

GABA A Agonists [MoA]GABA B Agonists [MoA]gamma-Aminobutyric Acid-ergic Agonist [EPC]

Frequently Asked Questions

Is there an available Baclofen billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for BACLOFEN.

Are there any available Baclofen patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for BACLOFEN.

Where can I find Baclofen prescribing information?

BACLOFEN prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Baclofen side effect information?

Our team has not yet identified a source of side effects information for BACLOFEN. Please check back in a few weeks.

Does billing BACLOFEN require JZ/JW wastage modifiers?

CMS has identified BACLOFEN(J0475) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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