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Breast pump, hospital grade, electric (ac and / or dc), any type

HCPCS code

Name of the Procedure:

Common: Hospital Grade Breast Pump
Technical: Breast pump, hospital grade, electric (ac and / or dc), any type (E0604)

Summary

A hospital-grade electric breast pump is a device used by mothers to extract milk from their breasts. It is typically more powerful and efficient than standard personal-use breast pumps and is often used in medical settings or rented for home use.

Purpose

This procedure addresses issues including:

  • Inadequate milk supply
  • Feeding difficulties in infants
  • Maternal or infant illness
    The goal is to ensure that the mother can provide breast milk to her baby, promoting optimal nutrition and bonding.

Indications

  • Premature infants or babies unable to nurse effectively
  • Mothers with low milk supply
  • Temporary separation of mother and infant due to health issues
  • Nipple pain or damage requiring rest from direct breastfeeding

Preparation

  • Wash hands and ensure all pump parts are clean and sterilized
  • Assemble pump according to manufacturer instructions
  • Find a comfortable and quiet space for pumping
  • Ensure proper hydration and relaxation

Procedure Description

  1. Setup: Connect the pump to a power source (AC or DC) and assemble any necessary tubing and bottles.
  2. Positioning: Place the pump flanges over the breasts, centering the nipples within the flanges.
  3. Operation: Turn on the device and adjust the suction settings gradually to a comfortable level.
  4. Pumping: Allow the pump to operate for 15-20 minutes, or until milk flow diminishes.
  5. Completion: Turn off the pump, carefully remove the flanges, and store the expressed milk appropriately.

Tools: Electric hospital-grade breast pump, collection bottles, tubing, flanges

Duration

Typically, each pumping session lasts about 15-20 minutes, varying by individual circumstances and milk flow.

Setting

This procedure can be performed in a hospital, outpatient clinic, or at home with a rented or purchased pump.

Personnel

While often self-administered, lactation consultants, nurses, or other healthcare professionals can assist initially to ensure proper technique and equipment usage.

Risks and Complications

  • Breast or nipple soreness and irritation
  • Potential for infection if pump parts are not adequately cleaned
  • Difficulty in achieving let-down reflex with a pump rather than the baby

Benefits

  • Ensures the baby receives the benefits of breast milk when direct breastfeeding is not possible
  • Helps maintain or increase milk supply
  • Supports mothers returning to work or unable to be with the baby full-time

Expected benefits can often be realized immediately but optimize over a few days to weeks of regular use.

Recovery

  • Clean pump parts thoroughly after each use
  • Store milk safely and label clearly
  • Monitor for any breast or nipple issues and consult healthcare providers if problems arise

Alternatives

  • Manual breast pumps: Less expensive but might be less efficient
  • Direct breastfeeding: Ideal if possible but not always feasible due to various conditions
  • Formula feeding: Alternative for those who cannot breastfeed or pump, though it lacks some of the benefits of breast milk

Patient Experience

During the procedure, the sensation involves suction, which may feel unusual initially but should not be painful if correctly set. Patients may feel some breast fullness relief and emotional reassurance from providing breast milk for their baby.

Post-procedure, minor breast soreness might occur, manageable with appropriate nipple creams and ensuring proper flange size and suction settings.

Medical Policies and Guidelines for Breast pump, hospital grade, electric (ac and / or dc), any type

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