Breastpumps May Be Reimbursable

Congratulations on your new blessing!  Breastfeeding your baby is such a wonderful experience!  Remember to think of it in terms of years rather than weeks or months.  http://www.askdrsears.com/

Many women purchase breast pumps for many different reasons, but few know that it MAY be an expense that is reimbursable by your insurance company, either in part or in full.  It is best to check with your insurance before purchasing a pump; however, you may be able to be reimbursed after your purchase as well.

Speak with your insurance company to see if they cover the cost of a breast pump for medically necessary reasons (this may include physical separation from baby);
Speak with your doctor and get a prescription for the breast pump;
Make sure that your doctor or hospital has filled out the office billing form correctly, and checked all appropriate diagnosis codes for the breast pump reimbursement;
Speak with your insurance company again to follow up on necessary paperwork if it is approved;
If your request was not approved, remember, you are allowed to appeal.

Helpful Codes to Know (Common ICD-9 Codes/Diagnosis Codes):

For Mother
__ Abscess of breast 675.1
__ Abscess of nipple 675.03
__ Cracked nipple 676.1
__ Dermatitis Contact 692
__ Engorgement of breasts 676.2
__ Infections of nipple 675.04
__ Nonpurulent mastitis 675.2
__ Other and unspecified disorder of breast 676.3
__ Other disorders of lactation 676.8
__ Other specified infection of breast and nipple 675.8
__ Retracted nipple 676.0
__ Suppressed lactation 676.5
__ Twin pregnancy post-partum condition or
complication 651.04
__ Unspecified disorder of lactation 676.9
__ Unspecified infection of the breast and nipple 675.9
 
For Baby
__Abnormal loss of weight 783.2
__Abnormal Tongue Position 750.1
__Breastmilk Jaundice 774.39
__Cleft Palate/Lip 749
__Down's Syndrome 758
__Dysphagia 787.2
__Failure to thrive 784.4
__Feeding difficulty - infant 783.3
__Feeding problems in newborn 779.3
__Neonatal candida infection 771.7
__Other transitory neonatal 775.5
__ Suck Reflex Abnormal 796.1

We hope this helps!  If you do not have insurance or your insurance does not cover your pump, please remember you have paid for your pump in just a few months by breastfeeding alone versus the cost of formula!  Keep up the good work!

We are here to answer any questions that you may have and help you become or stay a happy & healthy mom!

Blessings!

Amber - "Mommy" to 3 breastfed blessings
AfterBaby.com
877.4FATLOSS
877.432.8567

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