A4263 HCPCS Level II code: Permanent, long term, non-dissolvable lacrimal duct implant, each
A4263 is the HCPCS code for “Permanent, long term, non-dissolvable lacrimal duct implant, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4263Permanent, long term, non-dissolvable lacrimal duct implant, each
Short description: Permanent tear duct plug
HCPCS · United States
Medicare details
The indicators CMS publishes with A4263 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Physician fee schedule – Price established using national RVUs
- Type of service
- Other medical items or services
- BETOS category
- Other - Medicare fee schedule
- Added
- Jan 1, 1994
Where A4263 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4263Permanent, long term, non-dissolvable lacrimal duct implant, each
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A4263 mean?
A4263 is the HCPCS code for “Permanent, long term, non-dissolvable lacrimal duct implant, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4263?
CMS lists A4263’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Physician fee schedule – Price established using national RVUs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A4263
All A codesA4256Normal, low and high calibrator solution / chipsA4257Replacement lens shield cartridge for use with laser skin piercing device, eachA4258Spring-powered device for lancet, eachA4259Lancets, per box of 100A4261Cervical cap for contraceptive useA4262Temporary, absorbable lacrimal duct implant, eachA4264Permanent implantable contraceptive intratubal occlusion device(s) and delivery systemA4265Paraffin, per poundA4266Diaphragm for contraceptive useA4267Contraceptive supply, condom, male, eachA4268Contraceptive supply, condom, female, eachA4269Contraceptive supply, spermicide (e.g., foam, gel), each