How To Use HCPCS Code E0602
HCPCS code E0602 describes a manual breast pump, which can be of any type. This code is used to identify the specific equipment used for enteral support that is not otherwise classified. In this article, we will explore the details of HCPCS code E0602, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.
1. What is HCPCS E0602?
HCPCS code E0602 is used to identify a manual breast pump, regardless of its type. This code is specifically used for enteral support that is not otherwise classified. It is important to note that this code is not applicable for other types of breast pumps or equipment used for different purposes.
2. Official Description
The official description of HCPCS code E0602 is “Breast pump, manual, any type.” The short description for this code is “Enteral supp not otherwise c.”
3. Procedure
- Ensure that the patient is in a comfortable position.
- Assemble the manual breast pump according to the manufacturer’s instructions.
- Place the breast shield over the nipple and gently squeeze the handle to create suction.
- Continue pumping until the desired amount of breast milk has been expressed.
- Clean and sanitize the breast pump components after each use.
4. When to use HCPCS code E0602
HCPCS code E0602 should be used when a manual breast pump is provided to a patient for enteral support. This code is applicable when the breast pump is used to express breast milk for feeding purposes. It is important to ensure that the patient meets the eligibility criteria for enteral support and that the use of a manual breast pump is medically necessary.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code E0602, healthcare providers should ensure that the following documentation requirements are met:
- Medical records indicating the medical necessity of the manual breast pump.
- Documentation supporting the need for enteral support.
- Proof of purchase or rental agreement for the manual breast pump.
Providers should also follow the appropriate billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.
6. Historical Information and Code Maintenance
HCPCS code E0602 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.
7. Medicare and Insurance Coverage
HCPCS code E0602 is covered by Medicare. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement.
8. Examples
Here are five examples of when HCPCS code E0602 should be billed:
- A lactating mother with a medical condition that prevents her from breastfeeding directly uses a manual breast pump to express breast milk for enteral support.
- A premature infant in the neonatal intensive care unit requires enteral feeding and a manual breast pump is provided to the mother to express breast milk.
- A patient with a disability that affects their ability to breastfeed uses a manual breast pump for enteral support.
- A breastfeeding mother who is temporarily unable to breastfeed due to a medical procedure uses a manual breast pump to maintain her milk supply for enteral support.
- A patient with a medical condition that requires enteral feeding uses a manual breast pump to express breast milk as part of their nutritional plan.
