A4263 Permanent, long term, non-dissolvable lacrimal duct implant, each

Short descriptor: Permanent tear duct plug

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A4263 is the HCPCS Level II code for Permanent, long term, non-dissolvable lacrimal duct implant, each (2026). It belongs to Section A — Transportation, Medical & Surgical Supplies. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Priced using national RVUs (physician fee schedule).

Classification & CMS Attributes

Medicare Coverage
Special coverage instructions apply (code D)
Part B Pricing
Priced using national RVUs (physician fee schedule) (indicator 11)
Type of Service
Other medical items or services
Effective Date
1998-01-01
2026 Maintenance
No change this year

References

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A4263 — Permanent, long term, non-dissolvable lacrimal duct implant, each. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A4263

Canonical URL: https://icd10codingpro.com/hcpcs-codes/A4263

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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