Table of content for "Intratubal occlusion device" (HCPCS A4264)
General information on the “A4264” code
HCPCS Code: A4264
Long Description: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
Short Description: Intratubal occlusion device
Original information is taken from A4264 page
Pricing indicators
Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Certification and additional reference information
Coverage
Coverage: I – Not payable by Medicare
Type of service
Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20100101
Code Effective Date: 20100101
Action Code: N – No maintenance for this code