A4268 Female condom
Also known as: female condom, vaginal sheath, FC2
Female condom, a polyurethane or nitrile sheath inserted into the vagina before sexual intercourse to line the vaginal canal and prevent pregnancy and sexually transmitted infections.
In Plain Language
internal protection during sex; female barrier contraceptive
Clinical Context
Used for contraception and STI prevention in women who cannot use or prefer not to use male condoms. Provides woman-controlled protection option.
RVU Information
CPT A4268 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 A4268?
CPT A4268 (Female condom) is a A Codes code. Female condom, a polyurethane or nitrile sheath inserted into the vagina before sexual intercourse to line the vaginal canal and prevent pregnancy and sexually transmitted infections.
Does Medicare cover A4268?
Medicare coverage for A4268 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for contraception and STI prevention in women who cannot use or prefer not to use male condoms. Provides woman-controlled protection option. A physician order is typically required.
When is CPT A4268 used?
Used for contraception and STI prevention in women who cannot use or prefer not to use male condoms. Provides woman-controlled protection option.
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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.