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Contraceptive supply, spermicide (e.g., foam, gel), each

HCPCS code

Medical Policies and Guidelines for Contraceptive supply, spermicide (e.g., foam, gel), each

Related policies from health plans

Preventive Care Services - (A004)

Similar Codes


ICD10CM codes

Z30.013 - Encounter for initial prescription of injectable contraceptive
Z30.017 - Encounter for initial prescription of implantable subdermal contraceptive
Z30.019 - Encounter for initial prescription of contraceptives, unspecified
Z30.01 - Encounter for initial prescription of contraceptives
Z30.42 - Encounter for surveillance of injectable contraceptive
Z30.011 - Encounter for initial prescription of contraceptive pills
Z30.46 - Encounter for surveillance of implantable subdermal contraceptive
Z30.40 - Encounter for surveillance of contraceptives, unspecified
Z30.018 - Encounter for initial prescription of other contraceptives
Z30.014 - Encounter for initial prescription of intrauterine contraceptive device

HCPCS codes

A4269 - Contraceptive supply, spermicide (e.g., foam, gel), each
A4267 - Contraceptive supply, condom, male, each
J7303 - Contraceptive supply, hormone containing vaginal ring, each
A4657 - Syringe, with or without needle, each
A4210 - Needle-free injection device, each
S4989 - Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies
A4332 - Lubricant, individual sterile packet, each
J7307 - Etonogestrel (contraceptive) implant system, including implant and supplies
A6025 - Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
A4356 - External urethral clamp or compression device (not to be used for catheter clamp), each

CPT4 codes

84150 - Prostaglandin, each
89353 - Thawing of cryopreserved; sperm/semen, each aliquot
89343 - Storage (per year); sperm/semen
55250 - Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s
89259 - Cryopreservation; sperm
86945 - Irradiation of blood product, each unit
00921 - Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate
86927 - Fresh frozen plasma, thawing, each unit
90284 - Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
82670 - Estradiol; total