HCPCS code A4264 — Intratubal occlusion device. Status: Active. Effective Jan 1, 2010. Source: CMS HCPCS Level II.

A4264

Active

Intratubal occlusion device

Permanent implantable contraceptive intratubal occlusion device(s) and delivery system

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2010
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of A4264 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits