A4284 HCPCS Level II code: Breast shield and splash protector for use with breast pump, replacement
A4284 is the HCPCS code for “Breast shield and splash protector for use with breast pump, replacement” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4284Breast shield and splash protector for use with breast pump, replacement
Short description: Replcmnt breast pump shield
HCPCS · United States
Medicare details
The indicators CMS publishes with A4284 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jan 1, 2003
Where A4284 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4284Breast shield and splash protector for use with breast pump, replacement
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A4284 mean?
A4284 is the HCPCS code for “Breast shield and splash protector for use with breast pump, replacement” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4284?
CMS lists A4284’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A4284
All A codesA4270Disposable endoscope sheath, eachA4271Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 testsA4280Adhesive skin support attachment for use with external breast prosthesis, eachA4281Tubing for breast pump, replacementA4282Adapter for breast pump, replacementA4283Cap for breast pump bottle, replacementA4285Polycarbonate bottle for use with breast pump, replacementA4286Locking ring for breast pump, replacementA4287Disposable collection and storage bag for breast milk, any size, any type, eachA4288Valve for breast pump, replacementA4290Sacral nerve stimulation test lead, eachA4295Intermittent urinary catheter; straight tip, hydrophilic coating, each