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   Is Your Breast Pump Covered By Insurance




Home ›› Breast Pumping FAQ's

There are many reasons that moms have to begin breast pumping for their babies. Most moms certainly have the intentions of bringing baby to breast, however, for various reasons, many are not able to. But, how many moms realize that because you must breast pump for our babies that you may be able to get reimbursed for the cost of your breast pump?

There is some footwork that needs to be done to find out if your breast pump will be covered by your insurance.

  1. If possible, find out if your insurance will pay for the pump prior to getting the pump;
  2. Speak with your doctor to get a prescription for the breast pump;
  3. Make sure that your doctor or hospital has filled out the office billing form correctly, and checked all appropriate diagnosis codes for the breast pump reimbursement

    HCPCS Codes

    E0602 - Breast pump, manual, any type

    E0603 - Breast pump, electric (AC and/or DC), any type

    A4281 - A4286 - Breast pump supplies

    E0604 - Breast pump, heavy duty, hospital grade, piston operated, pulsatile vacuum suction/release cycles, vacuum regulator, supplies, transformer, electric (AC and/or DC)

    ICD-9 Codes

    779.3 - Feeding problems in newborn

    783.3 - Feeding difficulties and mismanagement

    749.00 - 749.25 - Cleft palate and cleft lip

    750.0 - 750.19 - Tongue tie and other anomalies of tongue

    750.21 -750.29 - Other specified anomalies of mouth and pharynx

  4. Speak with your insurance company again to make sure that they have received all the necessary paperwork, and discuss your individual needs for the breast pump.

 

 

 
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