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1 Jul, 2022

Breast Pumps – Hospital Grade

Effective 01/08/2022, the authorization requirement is being removed from HCPCS code E0604 for hospital grade breast pumps from Medicare Advantage Plans and Commercial Products. The device will be a covered service. Please be aware that BCBSRI will be monitoring utilization of hospital grade breast pumps as a result of lifting prior authorization to ensure there is not a significant increase in utilization and that providers continue to use general medical appropriateness guidelines when ordering hospital grade pumps. Please refer to the medical policy for details by clicking here.

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