A4269 Spermicide
Also known as: spermicide, nonoxynol-9, N-9
Spermicide, a chemical contraceptive agent containing active ingredients such as nonoxynol-9 that inactivates sperm and prevents fertilization.
In Plain Language
sperm-killing gel or foam; chemical birth control
Clinical Context
Used as a contraceptive agent, typically applied vaginally before intercourse. Often combined with other barrier methods like diaphragms. Low effectiveness as sole contraceptive.
RVU Information
CPT A4269 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 A4269?
CPT A4269 (Spermicide) is a A Codes code. Spermicide, a chemical contraceptive agent containing active ingredients such as nonoxynol-9 that inactivates sperm and prevents fertilization.
Does Medicare cover A4269?
Medicare coverage for A4269 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used as a contraceptive agent, typically applied vaginally before intercourse. Often combined with other barrier methods like diaphragms. Low effectiveness as sole contraceptive. A physician order is typically required.
When is CPT A4269 used?
Used as a contraceptive agent, typically applied vaginally before intercourse. Often combined with other barrier methods like diaphragms. Low effectiveness as sole contraceptive.
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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.