Insurance to pay for your pump- For Breastfeeding Moms/Issue

[tgger007]

we did a lot of research with the pump for Aidan. Doing so, I learned a lot about different ways insurances will pay for a breast pump. This also worked with supplies needed. May 2008 I did the research.

Here are the codes and websites that can help.

http://www.breastpumps.com/breast_pumps ... _a/124.htm

http://www.breastpumpsdirect.com/Articles.asp?ID=148

http://www.pumpingmoms.org/adv-insur.html

Codes the insurance company's use to bill:

ICD-9 Codes Related to Breastfeeding

Your doctor uses ICD-9 Codes when communicating your diagnosis to the insurance company. Being able to identify which ICD-9 Code matches your situation can help when proving that your pump is medically necessary.

Diagnosis Code
Mother


Twin pregnancy post-partum condition or complication 651.04
Abscess of nipple 675.03
Infections of nipple 675.04
Abscess of breast 675.1
Nonpurulent mastitis 675.2
Other specified infection of breast and nipple 675.8
Unspecified infection of the breast and nipple 675.9
Retracted nipple 676
Cracked nipple 676.1
Engorgement of breasts 676.2
Other and unspecified disorder of breast 676.3
Suppressed lactation 676.5
Other disorders of lactation 676.8
Unspecified disorder of lactation 676.9
Dermatitis contact 692

Child


Cleft palate/lip 749
Abnormal tongue position 750.1
Down’s syndrome 758
Neonatal candida infection 771.7
Breastmilk jaundice 774.39
Other transitory neonatal 775.5
Feeding problems in newborn 779.3
Abnormal loss of weight 783.2
Feeding difficulty – infant 783.3
Failure to thrive 784.4
Dysphagia 787.2
Suck reflex abnormal 796.1

[OlisMommy]

I formula feed, but having these ICD-9 codes could be priceless as some docs dont want to figure them out. The right one v. the wrong one can make a huge difference.

[eliana1300]

Very interesting. Just curious: all the ICD-9 codes have to do with breast issues (sorry, duh moment but hear me out). My problem was retained placental fragments and I don't see a code for that. Any info? I would like to try to give my next child (in about 5-20 years) breastmilk.

[tgger007]

I've not found any codes for that. I'll look around more.

[tmijs789]

Interesting how once you learn some of the codes used by insurance companies you can word things just the way necessary to get covered on things. Reminds me of lawyers.

[shamsuthbegum]

Thanks for all your posting....
Its very clear and interesting to read..
............