A4264 HCPCS Level II code: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
A4264 is the HCPCS code for “Permanent implantable contraceptive intratubal occlusion device(s) and delivery system” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4264Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
Short description: Intratubal occlusion device
HCPCS · United States
Medicare details
The indicators CMS publishes with A4264 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jan 1, 2010
Where A4264 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4264Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
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 A4264 mean?
A4264 is the HCPCS code for “Permanent implantable contraceptive intratubal occlusion device(s) and delivery system” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4264?
CMS lists A4264’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. 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 A4264
All A codesA4257Replacement 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, eachA4263Permanent, long term, non-dissolvable lacrimal duct implant, eachA4265Paraffin, per poundA4266Diaphragm for contraceptive useA4267Contraceptive supply, condom, male, eachA4268Contraceptive supply, condom, female, eachA4269Contraceptive supply, spermicide (e.g., foam, gel), eachA4270Disposable endoscope sheath, each