BACLOFEN J Code: J0476
Injection, baclofen, 50 mcg for intrathecal trial
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.
Drug & Product Overview
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 |
BACLOFEN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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) |
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.
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.
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.
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Frequently Asked Questions
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