what icd 10 diagnosis code should be use for breast pump

by Antone Kassulke 4 min read

Claims for breast pumps (E0602 for manual and E0603 for electric) must indicate v24.1 as the primary diagnosis code. Breast pumps must be purchased from in-network DME providers.

Z39.1

Full Answer

What is the ICD 10 code for neoplasm of breast?

Encounter for screening mammogram for malignant neoplasm of breast. Z12. 31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z12.

What is the ICD 10 code for encounter for screening mammogram?

Z12. 31 is a billable ICD code used to specify a diagnosis of encounter for screening mammogram for malignant neoplasm of breast. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

What is the ICD 10 code for lactation?

Diagnosis Index entries containing back-references to Z39.1: Care (of) (for) (following) lactating mother Z39.1 Examination (for) (following) (general) (of) (routine) Z00.00 ICD-10-CM Diagnosis Code Z00.00 Lactation, lactating (breast) (puerperal, postpartum) mother Z39.1 (care and/or examination) Supervision (of) lactation Z39.1

What is the ICD 10 code for DX?

2018/2019 ICD-10-CM Diagnosis Code Z39.1. Encounter for care and examination of lactating mother. 2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt. Z39.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the diagnosis 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

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 CPT code for breast pump?

HCPCS code E0603 for Breast pump, electric (AC and/or DC), any type as maintained by CMS falls under Breast Pumps .

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 .

How do I bill for lactation services?

CPT Codes for Lactation Consultation ServicesCPT code 99341: Low severity, 20 minutes with patient.CPT code 99342: Moderate severity, 30 minutes with patient.CPT code 99343: Moderate to high severity, 45 minutes with patient.

What is the ICD-10 code for right breast pain?

ICD-10-CM Code for Mastodynia N64. 4.

Are breast pumps medically necessary?

A standard, non-hospital grade, electric breast pump is considered medically necessary when there is documentation of ongoing breastfeeding.

What is Hcpcs code E0603?

Short Description: Electric breast pump. Long Description: BREAST PUMP, ELECTRIC (AC AND/OR DC), ANY TYPE.

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.

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 code Z34 82?

Encounter for supervision of other normal pregnancy82 Encounter for supervision of other normal pregnancy, second trimester.

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.

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 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.

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 ...

Is a breast pump rental considered medically necessary?

For the period of time that a newborn is detained in the hospital after the mother is discharged; breast pump rental is not considered medically necessary once the newborn is discharged; or.

Does Aetna cover breast pump?

Additional replacement supplies for comfort and convenience are not covered. Aetna does not cover the following breast pump-related items: Baby weight scales. Batteries, battery-powered adaptors, and battery packs. Breast milk storage bags, ice-packs, labels, labeling lids, and other similar products.