A4261 – Cervical cap for contraceptive use
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4261
- Long description
- Cervical cap for contraceptive use
- Short description
- Cervical cap contraceptive
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
SNon-covered by Medicare statute- BETOS category
Z2Undefined codes- Added
- January 1, 1999
- Last change
- January 1, 1999 – No change
Frequently asked questions
What is HCPCS code A4261?
A4261 is a HCPCS Level II code for cervical cap for contraceptive use.
Does Medicare cover A4261?
The HCPCS file lists coverage code S: Non-covered by Medicare statute. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- A4250 – Urine test or reagent strips or tablets (100 tablets or strips)
- A4252 – Blood ketone test or reagent strip, each
- A4253 – Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
- A4255 – Platforms for home blood glucose monitor, 50 per box
- A4256 – Normal, low and high calibrator solution / chips
- A4257 – Replacement lens shield cartridge for use with laser skin piercing device, each
- A4258 – Spring-powered device for lancet, each
- A4259 – Lancets, per box of 100
- A4262 – Temporary, absorbable lacrimal duct implant, each
- A4263 – Permanent, long term, non-dissolvable lacrimal duct implant, each
- A4264 – Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
- A4265 – Paraffin, per pound
- A4266 – Diaphragm for contraceptive use
- A4267 – Contraceptive supply, condom, male, each
- A4268 – Contraceptive supply, condom, female, each
- A4269 – Contraceptive supply, spermicide (e.g., foam, gel), each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.