Table of content for "Replacement breastpump valve" (HCPCS A4288)
General information on the “A4288” code
HCPCS Code: A4288
Long Description: Valve for breast pump, replacement
Short Description: Replacement breastpump valve
Original information is taken from A4288 page
Pricing indicators
Pricing Indicator Code 1: 46 – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20251001
Code Effective Date: 20251001
Action Code: A – Add procedure or modifier code