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Breast shield and splash protector for use with breast pump, replacement

HCPCS code

Name of the Procedure:

Breast shield and splash protector for use with breast pump, replacement (HCPCS Code: A4284)


A breast shield and splash protector is a replacement part designed for use with a breast pump. It ensures a proper fit and prevents milk from splashing during the pumping process, helping to maintain hygiene and comfort.


This procedure addresses the need for new or additional breast shields and splash protectors for mothers using breast pumps. The goal is to ensure efficient milk expression, maintain hygiene, and provide comfort during pumping sessions.


  • Breastfeeding mothers using a breast pump.
  • Need for a replacement due to wear and tear, loss, or damage of the current breast shield and splash protector.
  • Requirement for a different size to ensure a proper fit and comfort.


  • Ensure that all parts of the breast pump are clean and sterilized.
  • Verify the correct shield size for comfort and efficiency.
  • No special fasting or medication adjustments are required.

Procedure Description

  1. Cleaning: Sterilize the new breast shield and splash protector before use.
  2. Assembly: Attach the new shield to the breast pump according to the manufacturer's instructions.
  3. Fitting: Place the shield over the breast to ensure a snug, comfortable fit.
  4. Pumping: Begin the pumping session, monitoring for any discomfort or leaks.

Tools/Equipment: Breast pump, replacement breast shield, splash protector.

Anesthesia or Sedation: Not applicable.


The replacement and assembly process typically take about 5-10 minutes.


This procedure can be performed at home or any location where the breast pump is used.


No healthcare professionals are required; the procedure can be done by the breastfeeding mother herself.

Risks and Complications

  • Irritation: Improper fit may cause nipple or skin irritation.
  • Infection: Rare, but possible if the breast shield is not adequately cleaned and sterilized.
  • Inefficiency: An ill-fitting shield might reduce milk expression efficiency.


  • Improved comfort and efficiency during milk expression.
  • Maintained hygiene and cleanliness.
  • Prolonged usability of the breast pump by replacing worn-out parts.


  • No specific recovery is needed.
  • Follow routine sterilization practices and monitor for any signs of irritation or discomfort.
  • No activity restrictions; continue regular pumping schedule.


  • Using a different brand or model of breast shield compatible with the breast pump.
  • Manual milk expression without using a breast pump, although it may be less efficient.
  • Note: Consider the fit and comfort when exploring alternative shields.

Patient Experience

  • During: Minimal discomfort should be experienced if the breast shield fits properly.
  • After: Potential relief and increased efficiency during milk expression. Pain management and comfort measures: Ensure correct shield size to minimize discomfort and avoid prolonged pumping sessions.

Medical Policies and Guidelines for Breast shield and splash protector for use with breast pump, replacement

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