Does insurance cover ITB therapy?

Because ITB is approved by the FDA, it is often covered by healthcare insurance, including Medicare and Medicaid. However, since coverage varies greatly between individual insurance plans, we encourage you to check with your insurance ahead of time.

In summary:

  • ITB can be very effective on severe spasticity and can markedly improve quality of life.
  • Because ITB is a surgical treatment with known risks, thorough testing and education are needed before starting this therapy.
  • Compliance with follow-up visits, and with rehabilitation and home exercise, are essential to maximize the chances of success and to minimize the risk of adverse effects or complications.

Last reviewed by a Cleveland Clinic medical professional on 01/28/2019.


  • National Multiple Sclerosis Society. Intrathecal Baclofen (ITB Therapy). Accessed 4/8/2019.
  • Rekand T, Grønning M. Treatment of spasticity related to multiple sclerosis with intrathecal baclofen: a long-term follow-up. J Rehabil Med. 2011;43(6):511-4.

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