A4284 – Breast shield and splash protector for use with breast pump, replacement

Long description

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

Short description

Replcmnt breast pump shield

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2003

Last change

January 1, 2007 – No change

Nearby A codes

• A4268 – Contraceptive supply, condom, female, each
• A4269 – Contraceptive supply, spermicide (e.g., foam, gel), each
• A4270 – Disposable endoscope sheath, each
• A4271 – Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
• A4280 – Adhesive skin support attachment for use with external breast prosthesis, each
• A4281 – Tubing for breast pump, replacement
• A4282 – Adapter for breast pump, replacement
• A4283 – Cap for breast pump bottle, replacement
• A4285 – Polycarbonate bottle for use with breast pump, replacement
• A4286 – Locking ring for breast pump, replacement
• A4287 – Disposable collection and storage bag for breast milk, any size, any type, each
• A4288 – Valve for breast pump, replacement
• A4290 – Sacral nerve stimulation test lead, each
• A4295 – Intermittent urinary catheter; straight tip, hydrophilic coating, each
• A4296 – Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each
• A4297 – Intermittent urinary catheter; hydrophilic coating, with insertion supplies