A4269 – Contraceptive supply, spermicide (e.g., foam, gel), each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4269
- Long description
- Contraceptive supply, spermicide (e.g., foam, gel), each
- Short description
- Spermicide
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
INot payable by Medicare- BETOS category
Z2Undefined codes- Added
- January 1, 2003
- Last change
- January 1, 2003 – No change
Frequently asked questions
What is HCPCS code A4269?
A4269 is a HCPCS Level II code for contraceptive supply, spermicide (e.g., foam, gel), each.
Does Medicare cover A4269?
The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- A4261 – Cervical cap for contraceptive use
- 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
- A4270 – Disposable endoscope sheath, each
- A4271 – Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
- A4280 – Adhesive skin support attachment for use with external breast prosthesis, each
- A4281 – Tubing for breast pump, replacement
- A4282 – Adapter for breast pump, replacement
- A4283 – Cap for breast pump bottle, replacement
- A4284 – Breast shield and splash protector for use with breast pump, replacement
- A4285 – Polycarbonate bottle for use with breast pump, replacement
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.