HCPCS code A4269: Spermicide, each supply2026 Medicare rate & RVUs in Florida
Reports a spermicide contraceptive supply, such as foam or gel, by each item furnished rather than as a procedure or drug dose.
CMS doesn’t publish an office rate for A4269 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
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
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
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A4269 isn’t priced in this setting.
A4269 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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