A4261 Cervical cap contraceptive
Also known as: cervical cap, contraceptive cap, birth control cap
Cervical Cap Contraceptive, a FDA-approved mechanical barrier contraceptive device worn over the cervix during sexual intercourse.
In Plain Language
cervical barrier; contraceptive cap
Clinical Context
Used as reversible contraceptive method requiring proper fitting and spermicide application for pregnancy prevention.
RVU Information
CPT A4261 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4261?
CPT A4261 (Cervical cap contraceptive) is a A Codes code. Cervical Cap Contraceptive, a FDA-approved mechanical barrier contraceptive device worn over the cervix during sexual intercourse.
Does Medicare cover A4261?
Medicare coverage for A4261 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used as reversible contraceptive method requiring proper fitting and spermicide application for pregnancy prevention. A physician order is typically required.
When is CPT A4261 used?
Used as reversible contraceptive method requiring proper fitting and spermicide application for pregnancy prevention.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.