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A4264 Intratubal occlusion device

A Codes

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

GynecologyObstetricsInterventional Radiology

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.