MedicaidCoverageMedium impact
Billing of Non-Hospital Grade Breast Pumps pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid providers can now bill non-hospital grade breast pumps (codes E0602 and E0603) before labor and delivery occurs, unlike hospital-grade pumps (E0604) which are billed after discharge. Providers must verify no other supplier has billed for a breast pump in the previous 24 months using the online portal.
Action Required
Immediately: DME providers must verify breast pump claim history for the previous 24 months before billing E0602 or E0603 by logging into www.ctdssmap.com portal and checking Claims > Claim History for Specific Services > DME-Rent to Purchase. Update billing workflows to allow E0602/E0603 billing before inpatient admission for labor and delivery.