FeeBase
Log inGet started
Menu

HCPCS code A4269: Spermicide, each supply2026 Medicare rate & RVUs

Reports a spermicide contraceptive supply, such as foam or gel, by each item furnished rather than as a procedure or drug dose.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · A4269

Spermicide, each supply

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for A4269 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What A4269 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What A4269 covers

A4269 identifies a spermicide product supplied for contraception, including foam and gel forms. It represents the supply rather than a counseling service or procedure. A supplier or clinician may report the item when furnishing spermicide; it can be used alone or with a diaphragm or cervical cap. The spermicide and the barrier device are distinct supplies: A4266 identifies a diaphragm, and A4261 identifies a cervical cap.

Medicare treats A4269 as status I: it is not a valid Medicare code, and Medicare uses a different code to report and pay for this service. Its HCPCS pricing designation says it is not separately priced by Medicare Part B, and its coverage designation says it is not payable by Medicare. The reporting unit is each spermicide supply item. A4266 and A4261 identify the barrier devices, while A4269 identifies the spermicide supply.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where A4269 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

A4269 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

A4269 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
A4269 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the A4269 rate is calculated

Each of A4269’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · A4269

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for A4269

A4269 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · A4269

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

A4269 isn’t priced in this setting.

A4269 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • A4269

    Spermicide, each supply0 wRVU

    Not priced

  • A4266

    Diaphragm, contraceptive use0 wRVU

    Not priced

  • A4261

    Cervical cap, contraceptive use0 wRVU

    Not priced

  • A4267

    Male condom, each0 wRVU

    Not priced

  • A4268

    Female condom, per condom0 wRVU

    Not priced

How to choose

A4266DiaphragmContraceptive use
A4266 identifies a diaphragm; A4269 identifies the spermicide supply that may be used with it.
A4261Cervical capContraceptive use
A4261 identifies a cervical cap. Use A4269 for the spermicide supply, not for the cap itself.
A4267Male condomEach
A4267 identifies a male condom, while A4269 identifies spermicide; they are different contraceptive supplies.
A4268Female condomPer condom
A4268 identifies a female condom, while A4269 identifies spermicide; they are different contraceptive supplies.

Codes related to A4269

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to A4269
CodeHow it relatesNational office range
Often billed with
A4266Diaphragm, contraceptive useA diaphragm may be used with spermicide; each code identifies a separate contraceptive supply.No office rate
A4261Cervical cap, contraceptive useA cervical cap may be used with spermicide; each code identifies a separate supply.No office rate
Used instead
A4267Male condom, eachA male condom is a different contraceptive supply and barrier method.No office rate
A4268Female condom, per condomA female condom is a different contraceptive supply and barrier method.No office rate

A4269 billing questions

What does one unit of A4269 represent?

One unit represents each spermicide supply item furnished.

How is A4269 different from the diaphragm or cervical-cap codes?

A4269 identifies the spermicide supply. A4266 identifies a diaphragm, and A4261 identifies a cervical cap; those are separate supplies that may be used with spermicide.

Does Medicare pay for A4269?

No. A4269 is not valid for Medicare and is not payable; Medicare uses a different code to report and pay for this service.

Can A4269 be reported for spermicide furnished with a diaphragm?

A4269 identifies the spermicide supply, while A4266 identifies the diaphragm. They are distinct supplies, and A4269 is not payable by Medicare.

Is spermicide part of the diaphragm code?

A4269 identifies spermicide, and A4266 identifies a diaphragm. They are distinct supplies, though they may be used together.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

Did this answer your question about what A4269 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put A4269 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist