Breast pump HCPCS code
A breast pump is usually billed under HCPCS code E0602 (Breast pump, manual, any type); related codes are E0603, E0604. The 2026 Medicare DMEPOS fee schedule pays $42.06 to $50.46 (NU, new equipment, purchased) for E0602, depending on the state. Breast pumps are mostly billed to Medicaid and commercial plans; Medicare rarely applies.
HCPCS codes for breast pump
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0602 | Breast pump, manual, any type | Carrier judgment | $42.06–$50.46 (NU) | — |
| E0603 | Breast pump, electric (ac and/or dc), any type | Carrier judgment | — | — |
| E0604 | Breast pump, hospital grade, electric (ac and / or dc), any type | Carrier judgment | — | — |
Supplies and accessories
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| A4281 | Tubing for breast pump, replacement | Carrier judgment | — | — |
| A4282 | Adapter for breast pump, replacement | Carrier judgment | — | — |
| A4283 | Cap for breast pump bottle, replacement | Carrier judgment | — | — |
| A4284 | Breast shield and splash protector for use with breast pump, replacement | Carrier judgment | — | — |
| A4285 | Polycarbonate bottle for use with breast pump, replacement | Carrier judgment | — | — |
| A4286 | Locking ring for breast pump, replacement | Carrier judgment | — | — |
| A4288 | Valve for breast pump, replacement | Carrier judgment | — | — |
Medicare revenue estimate for E0602
Units per month × state fee = monthly Medicare revenue. At 10 units a month, E0602 (NU) pays $504.60 in PR and $420.60 in AK, before the 20% patient coinsurance.
Frequently asked questions
What is the HCPCS code for a breast pump?
E0602: Breast pump, manual, any type. Other breast pump codes: E0603 (Electric breast pump); E0604 (Hosp grade elec breast pump).
Does Medicare cover a breast pump?
By HCPCS coverage code — E0602: Carrier judgment; E0603: Carrier judgment; E0604: Carrier judgment.
How much does Medicare pay for a breast pump?
Under the 2026 DMEPOS fee schedule (non-rural state fees): E0602 $42.06 to $50.46 (NU, new equipment, purchased).
Which supplies and accessories are billed with a breast pump?
A4281 (Replacement breastpump tube); A4282 (Replacement breastpump adpt); A4283 (Replacement breastpump cap); A4284 (Replcmnt breast pump shield); A4285 (Replcmnt breast pump bottle); A4286 (Replcmnt breastpump lok ring); A4288 (Replacement breastpump valve).
Next steps
- Run a reimbursement report for a device billed under E0602
- Watch E0602 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0602
Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.