E0604 — Breast pump, hospital grade, electric (ac and / or dc), any type
E0604 is a HCPCS Level II code for breast pump, hospital grade, electric (ac and / or dc), any type. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of E0604 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for E0604
- Long descriptor
- Breast pump, hospital grade, electric (ac and / or dc), any type
- Short descriptor
- Hosp grade elec breast pump
- Added
- January 1, 2002
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to E0604
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0604 is not quite right, the correct code is very often within a few positions of it.
- E0574Ultrasonic/electronic aerosol generator with small volume nebulizer
- E0575Nebulizer, ultrasonic, large volume
- E0580Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter
- E0585Nebulizer, with compressor and heater
- E0600Respiratory suction pump, home model, portable or stationary, electric
- E0601Continuous positive airway pressure (cpap) device
- E0602Breast pump, manual, any type
- E0603Breast pump, electric (ac and/or dc), any type
- E0605Vaporizer, room type
- E0606Postural drainage board
- E0607Home blood glucose monitor
- E0610Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)
- E0615Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems
- E0616Implantable cardiac event recorder with memory, activator and programmer
- E0617External defibrillator with integrated electrocardiogram analysis
- E0618Apnea monitor, without recording feature
Questions about E0604
What is HCPCS code E0604?
E0604 is a HCPCS Level II code for breast pump, hospital grade, electric (ac and / or dc), any type. It sits in the Durable Medical Equipment section.
Does Medicare cover E0604?
The CMS HCPCS file marks E0604 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.