Breast Pump E0602

Breast Pump Coverage - Passport
Please note: Code E0604 Hospital Grade Breast Pump is rental only. Codes E0602 Manual Breast Pump and E0603 Personal Use Electric Breast Pump are purchase only. ... Retrieve Here

Clinical Policy Title: Breast Pumps
Manual breast pump purchase, CPT code E0602. Hospital-grade electric breast pump rental, CPT code E0604. Individual electric breast pump purchase, CPT code E0603. Example of a state benefit package: ... View Document

Connecticut WIC Program Manual WIC 300-12 SECTION: Nutrition ...
Connecticut WIC Program Manual WIC 300-12 SUBJECT: Guidelines for Breast Pump Issuance POLICY The WIC Program provides electric or manual breast pumps to participants that meet minimum HUSKY A covers manual breast pumps (E0602) and electric (E0603, AC and/or DC) ... View Document

Breast Pump Claim Form - Rmhp.org
Breast Pump Claim Form Complete all of the information below. Purchase – Breast Pump Manual (E0602) Purchase – Breast Pump Electric (E0603NU) Provide name, address and telephone number of supplier/retailer where Breast Pump was purchased: ... View Full Source

Electric Breast Pump - HealthPartners
Electric Breast Pump Med Nec Form 5/13; 12/14; 6/15; 9/30/15 Electric Breast Pump DME Medical Review Form To be completed by a Health Professional (MD, NP, etc.), not Vendor ... Fetch This Document

BREAST PUMPS HS-027 - Wellcarepdp.com
For babies who have congenital anomalies that interfere with feeding, breast pump rental is considered medically necessary for the first month after discharge from the hospital. ... Read Content

Coordination With HUSKY Health - Connecticut
Coordination with HUSKY Health HUSKY Health covers manual breast pumps (E0602) and electric (E0603, AC and/or DC) breast pumps with a health care providers’ prescription. breast pump, such as inverted nipples or mastitis, or ... Fetch Document

FEDERAL SUPPORT FOR BREASTFEEDING - AAP.org
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 Hand Expression . Author: Sonya Clay Keywords: ... Read Document

DEPARTMENT OF HEALTH AND HUMAN SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 CPT Code E0602 Hospital Grade Electric Breast Pump rental, CPT Code E0604 Individual Electric Breast Pump purchase, ... Get Document

Clinical Policy Title: Breast Pumps - Keystone First
Clinical Policy Title: Breast pumps . Clinical Policy Number: 12.02.01 . Effective Date: March 1, using a breast pump between nursing episodes to supplement their infant’s time directly at the Manual breast pump purchase, CPT code E0602. Hospital-grade electric breast pump ... Fetch Document

MedStar Health, Inc.
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL Policy Number: MP.053.MH A standard electric breast pump is considered medically necessary for any one of the E0602 Breast Pump, manual, any type E0603 Breast pump, electric (AC and/or DC), ... View This Document

HCPCS 2013 Updates Breast Pumps And Replacement Parts
HCPCS 2013 Updates. D. • Codes E0602 and E0603 are covered for all KMAP female beneficiaries ages 10 through 65. Breast pumps are limited to a combined total of no more than one pump every year. A prescription written by a physician must be kept in the ... Access Content

Supplements/Forms - CareSource - Health Care With Heart
Supplements/Forms Page Breast Pump Prescription CareSource will allow E0602 (Manual Breast Pump) for purchase if the below need is indicated: £ Mother returning to work/school OR £ E0603 – Breast Pump, Electric ... Access Doc

Ohio Department Of Job And Family Services CERTIFICATE OF ...
CERTIFICATE OF MEDICAL NECESSITY/PRESCRIPTION LACTATION PUMPS Instructions: E0602 Manual Breast Pump = no prior authorization needed, Document why is electric pump is necessary in lieu of a manual lactation pump. E0604 HD Breast Pump Hospital Grade ... View This Document

Medical Coverage Policy Hospital Grade Breast Pumps
Medical Coverage Policy Hospital Grade Breast Pumps A breast pump is a mechanical device used to extract milk from the breast of a lactating woman. Although E0602 Breast Pump, Manual, any type ... Fetch Content

Breastfeeding Support Services To Change For Texas Medicaid ...
A breast pump kit is included in the purchase or rental of a breast pump, and is not Requests for the replacement of a Texas Medicaid purchased personal-use breast pump (procedure code E0602 or E0603) must include the following documentation: ... Read Here

Www.UHCCommunityPlan.com For Complaints And Appeals, Write
Purchase of manual or personal-use electric breast pump. billed with HCPCS E0602 or E0603. High-quality, personal-use electric breast pumps have been shown to be as effective as, or potentially more effective than, hospital-grade pumps in ... Read More

Breast Pumps, Electric - Prevea360
1.0 Prevea360 Health Plan covers the purchase of one manual breast pumps (HCPCS code E0602) OR. one personal-use electric breast pump (HCPCS code E0603) per birth. This benefit . Breast Pumps, Electric Underwritten by Dean Health Plan, Inc. 3 of 3 ... Doc Retrieval

Welcome Providers!
•The purchase of a breast pump is limited to one every three years. •Providers must use procedure code E0602 or E0603 when billing for the purchase of a manual or non hospital-grade electric breast pump. Women, Infants and Children ... Return Document

Accessing Breast Pumps For L.A. Care Members
Accessing Breast Pumps for L.A. Care Members • Breast Pumps requested under codes E0602, E0603 are always approved automatically. • An approval letter is sent via fax to the requestor for delivery of the pump/approved items. ... View This Document