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

HCPCS code

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

Related policies from health plans

Breast Pumps - Manual and Electric (CG002)
Preventive Care Services - (A004)

Similar Codes


ICD10CM codes

Z44.31 - Encounter for fitting and adjustment of external right breast prosthesis
Z44.32 - Encounter for fitting and adjustment of external left breast prosthesis
T85.41XA - Breakdown (mechanical) of breast prosthesis and implant, initial encounter
T85.43 - Leakage of breast prosthesis and implant
Z44.3 - Encounter for fitting and adjustment of external breast prosthesis
T85.43XA - Leakage of breast prosthesis and implant, initial encounter
T85.43XS - Leakage of breast prosthesis and implant, sequela
T85.41 - Breakdown (mechanical) of breast prosthesis and implant
T85.42XA - Displacement of breast prosthesis and implant, initial encounter
T85.43XD - Leakage of breast prosthesis and implant, subsequent encounter

HCPCS codes

A4284 - Breast shield and splash protector for use with breast pump, replacement
A4285 - Polycarbonate bottle for use with breast pump, replacement
A4283 - Cap for breast pump bottle, replacement
A4286 - Locking ring for breast pump, replacement
E0602 - Breast pump, manual, any type
E0603 - Breast pump, electric (ac and/or dc), any type
A4220 - Refill kit for implantable infusion pump
E0604 - Breast pump, hospital grade, electric (ac and / or dc), any type
L8010 - Breast prosthesis, mastectomy sleeve
Q0501 - Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only

CPT4 codes

96521 - Refilling and maintenance of portable pump
36583 - Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutane
19325 - Breast augmentation with implant
36578 - Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central
19328 - Removal of intact breast implant
19357 - Tissue expander placement in breast reconstruction, including subsequent expansion(s)
33430 - Replacement, mitral valve, with cardiopulmonary bypass
19342 - Insertion or replacement of breast implant on separate day from mastectomy
33475 - Replacement, pulmonary valve
00567 - Anesthesia for direct coronary artery bypass grafting; with pump oxygenator