HCPCS code A4284 — Replcmnt breast pump shield. Status: Active. Effective Jan 1, 2007. Source: CMS HCPCS Level II.

A4284

Active

Replcmnt breast pump shield

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

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2007
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of A4284 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 0
Outpatient Hospital 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits