Breastfeeding Support Supplies and Lactation Counseling

Breast Pump Billing Guidelines

Breast pump and supplies benefits must be submitted with the mother as the patient. BCBSNE does not provide breast pump benefits to the baby.      

The HCPCS code for the breast pump must be appended with modifier RR or NU to indicate rental versus purchase. Benefits will be provided for one pump per pregnancy, at no cost to the member. This includes pump and supplies included in a starter kit.  Replacements and additional supplies are not covered.          

Because federal law mandates 100% coverage for breast pumps, BCBSNE does not allow providers to balance bill members for any of the breast pump models. Providers are not allowed to have members sign waivers accepting additional liability and BCBSNE will not accept any such waiver.      

FEP members must obtain breastfeeding pump kits by visiting www.fepblue.org/maternity or by calling 800-411-2583. 

Breastfeeding Support and Counseling Billing Guidelines  

Lactation services, including breast pumps and supplies, provided to a covered member during an inpatient hospitalization are considered inclusive in the reimbursement made to the hospital and cannot be billed separately.