A4264 Intratubal occlusion device
Also known as: Essure, tubal occlusion, permanent contraception
Intratubal Occlusion Device, a minimally invasive permanent contraceptive device for transcervical fallopian tube occlusion.
In Plain Language
tube blocker; permanent birth control
Clinical Context
Placed via hysteroscopy for permanent sterilization without surgical incision, providing effective long-term contraception.
RVU Information
CPT A4264 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 A4264?
CPT A4264 (Intratubal occlusion device) is a A Codes code. Intratubal Occlusion Device, a minimally invasive permanent contraceptive device for transcervical fallopian tube occlusion.
Does Medicare cover A4264?
Medicare coverage for A4264 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Placed via hysteroscopy for permanent sterilization without surgical incision, providing effective long-term contraception. A physician order is typically required.
When is CPT A4264 used?
Placed via hysteroscopy for permanent sterilization without surgical incision, providing effective long-term contraception.
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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.