prescription for breast pump icd 10 code

Full Answer

What is the HCPCS code for breast pump?

HCPCS Codes: E0602 – Breast pump, manual, any type E0603 – Breast pump, electric (AC and/or DC), any type E0604 – Breast pump, hospital grade, electric (AC and/or DC) any type A4281 – Replacement Breast Pump Tube A4282 – Replacement Breast Pump Adapter A4283 – Replacement Breast Pump Cap A4284 – Replacement Breast Pump Shield

What is not an accepted term for a breast pump?

Acceptable phrases are simply “breast pump,” “double-electric breast pump,” or “bilateral breast pump.” “Hospital-grade” is not an accepted term. Diagnosis code. A diagnosis code is a necessity for your script to be valid.

What is the HNFs code for breast pump?

To be accurately reimbursed, providers billing for breast pump supplies using unlisted Healthcare Common Procedure Coding System (HCPCS) codes A9900 or A9999. You must also include the following modifiers. These modifiers will let HNFS know specifically which supplies were provided to the beneficiary.

Do I need a prescription for a breast pump?

There are requirements, however, that must be met in order for your insurance company to cover your breast pump. One of those requirements is a breast pump prescription. Navigating the baby-related medical paperwork after childbirth can be a daunting task, but Ameda has you covered.

What is the ICD-10 code for breast pump?

HCPCSE0603Breast pump, electric (AC and/or DC), any typeE0604Breast pump, hospital grade, electric (AC and/or DC), any typeE1399Durable medical equipment, miscellaneous [when specified as a wireless or wearable breast pump]ICD-10 Diagnosis2 more rows

How do you write prescription for breast pump?

Your script must specifically have a request for a breast pump on it. Acceptable phrases are simply “breast pump,” “double-electric breast pump,” or “bilateral breast pump.” “Hospital-grade” is not an accepted term.

Is there an ICD-10 code for breastfeeding?

Encounter for care and examination of lactating mother. Z39. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is diagnosis code Z34 83?

ICD-10 code Z34. 83 for Encounter for supervision of other normal pregnancy, third trimester is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Why do I need a prescription for a breast pump?

Whether you order directly through your insurance or use a provider like Pumps for Mom, a prescription is required because breast pumps are considered medical devices. Pumps for Mom makes the process easy.

Can midwives write prescriptions for breast pump?

How to Get Your Prescription for a Breast Pump. Prior to placing your order, you'll be asked to provide a breast pump prescription from your healthcare professional. This can be written by your OBGYN, primary care doctor, midwife, nurse practitioner, or if you've already given birth, by your baby's pediatrician.

What is the CPT code for a breast pump?

Billing and Reimbursement To be accurately reimbursed, providers billing for breast pump supplies using unlisted Healthcare Common Procedure Coding System (HCPCS) codes A9900 or A9999. You must also include the following modifiers.

What is the ICD-10 code for breast feeding difficulties?

Commonly Reported ICD-10-CM Codes Related to BreastfeedingBABYICD-10-CM CodesNeonatal difficulty in feeding at breastP92.5Other feeding problems of newbornP92.8Feeding problem of newborn, unspecifiedP92.9Vomiting, unspecified (>28 days old)R11.1036 more rows

What is the ICD-10 code for Mastodynia?

ICD-10 code: N64. 4 Mastodynia | gesund.bund.de.

What is diagnosis code Z34 90?

Encounter for supervision of normal pregnancy, unspecified90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester.

What is the ICD-10 code for pregnancy?

Encounter for supervision of normal pregnancy, unspecified, unspecified trimester. Z34. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z34.

What is the ICD-10 code for high risk pregnancy?

O09. 90 - Supervision of high risk pregnancy, unspecified, unspecified trimester. ICD-10-CM.

Does hospital give you a breast pump?

In short, no. Hospitals will not give you a breast pump. They will, however, have a pump available for your use while you're in their care if you need to pump — especially if your baby is in the NICU. Also, many hospitals have breast pumps that you're able to rent and take home with you.

Is breast pump covered by insurance in Canada?

Most insurance providers will only cover the cost of a breast pump or lactation consultant services within 60-90 days after you give birth, so do the legwork now to be prepared.

Which breast pumps are hospital grade?

Hospital grade breastpumps are without a doubt the strongest and most durable breastpumps available to breastfeeding moms....Hospital grade pumps available today:Ameda Elite.Ameda Lact-e.Ameda SMB.Hygeia EnDeare.Medela Classic.Medela Lactina.Medela Symphony.

Should you get a new breast pump with each pregnancy?

We suggest getting a new breast pump with each pregnancy. Most insurance plans will cover one breast pump in conjunction with each new pregnancy. If you kept your breast pump clean and sanitized, safely stored it, and bought new breast pump parts, you could reuse the old breast pump.

How to contact Ameda Direct for breast pump?

Helping mothers meet their breastfeeding goals is our passion, and educating mothers on topics that impact their breastfeeding journey is important to us! Give us a call at 1-877-791-0064 to learn more breast pump prescriptions and receiving your free pump through Ameda Direct.

What is the code for breast pump?

Commonly used codes are Z39.10, Z34.80 and Z34.00. An original signature. Your prescription must be signed by your doctor – it can’t be a stamp! With these tips, you’ll soon be ready to receive your free breast pump provided by insurance.

What is the diagnosis code for a pregnancy?

Your physician can use any code which is applicable to your pregnancy, but it may differ based on their knowledge of your pregnancy and lactation needs. Commonly used codes are Z39.10, Z34.80 and Z34.00. An original signature.

Does insurance cover breast pump?

There are requirements, however, that must be met in order for your insurance company to cover your breast pump. One of those requirements is a breast pump prescription.

What are some products that allow hands free pump operation?

Garments or other products that allow hands-free pump operation. Nursing bras, bra pads, breast shells, nipple shields, and other similar products. Travel bags, and other similar travel or carrying accessories.

When is a breast pump needed for Aetna?

Aetna considers purchase of a manual or standard electric breast pump medically necessary during pregnancy or at any time following delivery for breastfeeding. Aetna considers purchase of a manual or standard electric breast pump medically necessary for women who plan to breastfeed an adopted infant when the above listed criteria are met.

What is the most common problem with a breast pump?

The most commonly reported problem was that the pump did not extract enough milk and the most commonly reported injury was sore nipples. Using a battery-operated pump and intending to breast-feed less than 12 months were associated with higher risks of pump-related problems and injury.

Is Aetna a breast pump rental?

Aetna considers breast pump rental medically necessary for infants while they are detained in the hospital. Breast pumps used in the hospital are specifically designed for reuse (sterilizable) and are not sold commercially.

Is Aetna pumping necessary?

Aetna considers purchase of heavy duty electrical (hospital grade) breast pumps not medically necessary. Background. Breast-fed infants have a lower risk of diarrhea and otitis media than bottle-fed infants during the first year of life.

Is a breast pump necessary for a prior pregnancy?

For women using a breast pump from a prior pregnancy, a new set of breast pump supplies is considered medically necessary with each subsequent pregnancy for initiation or continuation of breastfeeding during pregnancy or following delivery. A replacement manual or standard electrical breast pump is considered medically necessary for each subsequent ...

What hormones are used to stimulate milk production?

In addition, hormonal therapy, such as supplemental estrogen or progesterone, may be prescribed to mimic the effects of pregnancy. Typically, hormone therapy for induced lactation is discontinued shortly before breast-feeding begins. At that point, the infant's suckling is thought to stimulate and maintain milk production.

Prescription Requirement

The prescription must be included when submitting claims for breast pumps and supplies (when applicable) to HNFS. This prescription must specify the type of breast pump and indicate the number of weeks the beneficiary is pregnant or the age of the infant.

Billing and Reimbursement

To be accurately reimbursed, providers billing for breast pump supplies using unlisted Healthcare Common Procedure Coding System (HCPCS) codes A9900 or A9999. You must also include the following modifiers. These modifiers will let HNFS know specifically which supplies were provided to the beneficiary.