HCPCS Code Details - J0476

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0476
Description

Long description:
Injection, baclofen, 50 mcg for intrathecal trial

Short description:
Baclofen intrathecal trial

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 1999
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J0476

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
January 1, 2019 - March 31, 2019 50 MCG 44.354 - - - - - -
October 1, 2018 - December 31, 2018 50 MCG 54.655 - - - - - -
July 1, 2018 - September 30, 2018 50 MCG 59.392 - - - - - -
April 1, 2018 - June 30, 2018 50 MCG 45.978 - - - - - -
January 1, 2018 - March 31, 2018 50 MCG 42.884 - - - - - -

See also


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”