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A4269 Spermicide

A Codes

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

Obstetrics/GynecologyFamily Medicine

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.