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

HCPCS code

Name of the Procedure

Common Name(s): Contraceptive supply, spermicide
Technical/Medical Term: HCPCS A4269


This procedure involves providing a contraceptive supply of spermicide, available in forms like foam or gel. Spermicide is a chemical agent that inactivates sperm, preventing it from fertilizing an egg.


Conditions Addressed
  • Prevention of pregnancy
  • Provide an easy-to-use, accessible contraceptive option.


  • Women seeking temporary or non-hormonal contraception.
  • Individuals who may have contraindications to hormonal contraceptives.
Patient Criteria
  • Sexually active individuals looking for a non-permanent birth control method.
  • Patients willing to use a contraceptive method before each act of intercourse.


Pre-Procedure Instructions
  • Ensure proper understanding of the usage and application.
  • No fasting or medication adjustments are typically required.
  • Discuss any known allergies or sensitivities with a healthcare provider.
Diagnostic Tests/Assessments
  • No specific diagnostic tests required.
  • General health assessment and a discussion of contraceptive options with a healthcare provider.

Procedure Description

  1. Obtain the spermicide (foam, gel, etc.) from a healthcare provider or pharmacy.
  2. Read the instructions carefully before use.
  3. Apply the spermicide directly into the vagina using an applicator before intercourse.
  4. Reapply as necessary for each act of intercourse.
  • Applicator for foam or gel.
  • None required.


  • The application process takes approximately 5 minutes.
  • The spermicide remains effective for up to one hour after application.


  • Can be performed at home or in any private setting where intercourse is anticipated.


  • No healthcare professionals are required for the application, though initial guidance might be provided by a pharmacist or healthcare provider.

Risks and Complications

Common Risks
  • Vaginal irritation or discomfort.
  • Allergic reaction to spermicide ingredients.
Rare Risks
  • Infections if instructions are not followed properly.

    Possible Complications
  • Ineffective use leading to unintended pregnancy.
  • Management involves consulting a healthcare provider if irritation or allergic reactions occur.


Expected Benefits
  • Immediate contraception.
  • Non-hormonal and easy to use.
Realization Time
  • Effective immediately upon proper application.


Post-Procedure Care
  • No special post-procedure care needed.
  • Maintain normal vaginal hygiene.
Recovery Time
  • No downtime required.
  • Immediate return to daily activities.
  • No significant restrictions.
  • Follow-up with a healthcare provider if irritation persists or for periodic contraceptive counseling.


Other Treatment Options
  • Hormonal contraceptives (pills, patches, injections).
  • Intrauterine devices (IUDs).
  • Barrier methods (condoms, diaphragms).
Pros and Cons
  • Comparatively, spermicide offers ease of use but must be applied consistently for effectiveness, unlike long-term methods like IUDs.

    Patient Experience

    During the Procedure
  • May experience a cool sensation upon application.
  • Generally painless, though some may feel minor discomfort.
After the Procedure
  • Normal sensation with no significant discomfort.
  • Maintain comfortable practices for vaginal health and hygiene.
Pain Management
  • Over-the-counter pain relief not typically necessary.

This procedure provides a convenient and immediate contraceptive option, empowering individuals to make informed choices about their reproductive health.

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

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