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    HCPCS Details

    HCPC J0476
    Short Description Baclofen intrathecal trial
    Long Description Injection, baclofen, 50 mcg for intrathecal trial
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2019-01-01
    Date Added 1999-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    25021068171 J0476 Baclofen intrathecal trial BACLOFEN SAGENT PHARMACEUTICALS INC 50 MCG 1 2 1 2
    66794015101 J0476 Baclofen intrathecal trial GABLOFEN PIRAMAL CRITICAL CARE 50 MCG 1 1 1 1
    70121249605 J0476 Baclofen intrathecal trial LIORESAL AMNEAL PHARMACEUTICALS INC 50 MCG 1 5 1 5
    70257056255 J0476 Baclofen intrathecal trial Lioresal SAOL THERAPEUTICS 50 MCG 1 5 1 5
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 50 MCG
    HCPCS/CPT Billing Units 0.02
    Total doses ordered
    Billing Units 0.02

    Drug Details

    • Baclofen is used to treat pain and certain types of spasticity (muscle stiffness and tightness) from multiple sclerosis, spinal cord injuries, or other spinal cord diseases. Baclofen is in a class of medications called skeletal muscle relaxants. Baclofen acts on the spinal cord nerves and decreases the number and severity of muscle spasms caused by multiple sclerosis or spinal cord conditions. It also relieves pain and improves muscle movement.