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A4284 Replcmnt breast pump shield

A Codes

Also known as: pump shield, breast shield, flange

Replacement breast pump shield, a component that creates a seal over the areola and breast tissue during milk expression in breast pumping.

In Plain Language

breast cup for pumping; nipple shield

Clinical Context

Critical replacement part for breast pump comfort and effectiveness. Proper shield sizing improves milk expression and prevents nipple trauma.

RVU Information

CPT A4284 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.

Specialties

Obstetrics/GynecologyLactation

Frequently Asked Questions

What is CPT code A4284?

CPT A4284 (Replcmnt breast pump shield) is a A Codes code. Replacement breast pump shield, a component that creates a seal over the areola and breast tissue during milk expression in breast pumping.

Does Medicare cover A4284?

Medicare coverage for A4284 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Critical replacement part for breast pump comfort and effectiveness. Proper shield sizing improves milk expression and prevents nipple trauma. A physician order is typically required.

When is CPT A4284 used?

Critical replacement part for breast pump comfort and effectiveness. Proper shield sizing improves milk expression and prevents nipple trauma.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.