Table of content for "Baclofen intrathecal trial" (HCPCS J0476)
General information on the “J0476” code
HCPCS Code: J0476
Long Description: Injection, baclofen, 50 mcg for intrathecal trial
Short Description: Baclofen intrathecal trial
Original information is taken from J0476 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19990101
Code Effective Date: 20190101
Action Code: N – No maintenance for this code