Modifiers: Approved List (modif app) - Medi-Cal

Also used with HCPCS code A4269 to indicate the type of spermicide (vaginal film). See the Family Planning section in the appropriate Part 2 manual or the Family PACT PPBI manual for details. U4 Medicaid level of care 4, as defined by each state Also used with HCPCS code A4269 to indicate the type of spermicide (contraceptive sponge). ................
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