Home Drug Codes J Codes J0476 · BACLOFEN
Updated July 1st, 2026

BACLOFEN J Code: J0476

Injection, baclofen, 50 mcg for intrathecal trial

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Q4 2026 Medicare Payment Limit for J0476, effective October 1, 2026: $46.539 per HCPCS billing unit, up 6.2% from $43.84. From CMS's final file.

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Medicare Payment Limit ?
$43.84
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Drug & Product Overview

HCPCS Descriptor Injection, baclofen, 50 mcg for intrathecal trial
HCPCS Added Date January 1, 1999
Manufacturer Multiple Manufacturers
Route of Administration Intrathecal
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About BACLOFEN

Baclofen is a medication aligned to the HCPCS J Code: J0476 for billing, pricing, and reimbursement purposes in the United States. Classified under Muscle Relaxant, it is 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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
25021-0681-71 Baclofen Sagent Pharmaceuticals 2 50 MCG / 1 ML
66794-0151-01 Gablofen Piramal Critical Care Inc 1 50 MCG / 1 ML
70121-2496-05 Lioresal (baclofen) Amneal Pharmaceuticals LLC 5 50 MCG / 1 ML
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BACLOFEN Pricing & Reimbursement

J0476 Private Payer Reimbursement
$59.38 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

BACLOFEN CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
62368 Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (e.g., fluoroscopy or CT)
JW / JZ modifiers apply

CMS has identified Baclofen (J0476) 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 J0476 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 mcg.

Practitioner Office & Hospital Outpatient
2 units / day
= 100 mcg 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 →

mcg Enter a dose to see how many billing units it is and whether it is under the limit.

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 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]

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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(J0476) 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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