HCPCS Level II A4287: Disposable Breast Milk Collection and Storage Bag - OpenPayer

Summary & Overview

HCPCS Level II A4287: Disposable Breast Milk Collection and Storage Bag

HCPCS Level II code A4287 designates a disposable collection and storage bag for expressed breast milk, an item commonly used in postpartum care, lactation support, and neonatal feeding programs. Access to safe, single-use milk storage options supports infant nutrition, infection control, and continuity of breastfeeding, making this code relevant across clinical, home health, and hospital settings nationwide. Key national payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a concise overview of what A4287 represents, where the supply is typically used, and why it matters in maternal-newborn care. The publication outlines payer coverage considerations, common modifiers, and practical billing context. It also summarizes benchmarks and policy updates when available, and provides clinical context about the role of disposable milk storage in lactation management and neonatal safety. Data not provided in the input—such as specific payer coverage rules, associated taxonomies, or linked ICD-10 diagnoses—is identified as unavailable. This piece serves as a national reference for clinicians, coders, and billing professionals seeking clarity on the billing designation and operational uses of HCPCS Level II code A4287.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareA4287HCPCS Level IIbreast milk storagelactation suppliespostpartumneonatal feedingmedical suppliesdurable medical equipmentbilling

Billing Code Overview

HCPCS Level II code A4287 denotes a disposable collection and storage bag for breast milk, any size, any type, each. This item is a single-use medical supply intended for the collection, transport and storage of expressed human milk.

Service Type: Durable medical/supplies - disposable breast milk collection and storage

Typical Site of Service: Home, outpatient clinics, lactation support centers, hospitals (maternity/postpartum units)

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A lactating parent requests single-use breast milk collection and storage bags for expressed milk at home and during short-term hospital stays. Typical workflow: an obstetrician, pediatrician, lactation consultant, or hospital supply clinician identifies need during prenatal or postpartum care. The parent expresses milk by hand or with an electric breast pump; the expressed milk is transferred into a A4287 disposable collection and storage bag, labeled with date/time and infant identifiers, and refrigerated or frozen per facility guidelines. In a neonatal intensive care unit (NICU) or well-baby nursery, nursing staff may use A4287 bags to store donated or parent-supplied milk for feeding preterm or ill neonates. Use cases include established breastfeeding with expressed milk storage, temporary separation of parent and infant (eg, maternal hospitalization), and supplemental feeding when direct breastfeeding is not possible.

Coding Specifications

Modifier	Description	When to Use
`00`	Standard default	Use when no other modifier applies to the supply claim.
`52`

HCPCS A4262: Temporary, Absorbable Lacrimal Duct Implant, Each

HCPCS-A4395-OSTOMY-DEODORANT-TABLET-OSTOMY-POUCH-ACCESSORY

HCPCS A4395: Ostomy Deodorant Tablet for Ostomy Pouch

HCPCS-A7033-PILLOW-NASAL-CANNULA-REPLACEMENT-PAIR

HCPCS A7033: Pillow for Nasal Cannula Interface, Replacement Pair

HCPCS-A4265-PARAFFIN-PER-POUND-THERAPEUTIC-SUPPLY

HCPCS A4265: Paraffin, Per Pound

HCPCS-A6207-STERILE-CONTACT-LAYER-DRESSING-17-48-SQ-IN

HCPCS A6207: Sterile Contact Layer Dressing, 17–48 sq. in.

HCPCS-A7027-COMBINATION-ORAL-NASAL-CPAP-MASK

HCPCS A7027: Combination Oral/Nasal CPAP Mask

HCPCS-A4387-CLOSED-OSTOMY-POUCH-ONE-PIECE-CONVEX

HCPCS A4387: Closed One-Piece Ostomy Pouch with Built-In Convexity

HCPCS-A6246-HYDROGEL-WOUND-DRESSING-17-48-SQ-IN

HCPCS A6246: Hydrogel Wound Dressing, 16–48 sq. in.

HCPCS-A7018-DISTILLED-WATER-LARGE-VOLUME-NEBULIZER-1000ML

HCPCS A7018: Distilled Water for Large-Volume Nebulizer, 1000 ml

HCPCS-A6599-GRADIENT-COMPRESSION-BANDAGE-ROLL-SHORT-STRETCH

HCPCS A6599: Gradient Compression Bandage Roll, Inelastic Short Stretch

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Taxonomy Code	Specialty	Notes
`251200000X`	Obstetrics & Gynecology	Prenatal counseling and postpartum lactation support; orders supplies.
`251E00000X`	Maternal and Fetal Medicine	High-risk obstetric care where expressed milk storage may be required for neonatal care.
`207Q00000X`	Pediatrics	Neonatal and well-baby care; coordinates feeding with expressed milk.
`367A00000X`	Lactation Consultant	Provides lactation education and may supply storage bags during outpatient visits.
`164W00000X`	Nursing (Hospital)	Inpatient nursing staff in NICU/well-baby nursery who handle expressed milk and supplies.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`O92.5`	Other specified disorders of lactation	Common reason to provide breast milk storage bags when lactation is managed or supported.
`O91.9`	Infection of breast associated with childbirth, unspecified	Mothers with mastitis or breast infection may express and store milk while receiving treatment.
`Z39.2`	Encounter for routine postpartum follow-up care	Postpartum visits where lactation support and supplies are commonly provided.
`P07.32`	Preterm newborn, gestational age 32 completed weeks	Preterm infants frequently receive expressed breast milk stored in disposable bags in the NICU.
`Z76.89`	Persons encountering health services in other specified circumstances	May cover situations like parental hospitalization requiring expressed milk storage and transport.
`Z38.00`	Single liveborn infant, delivered in hospital, delivered vaginally	Standard newborn encounter where parents may be taught expression and given storage bags.
`Z32.01`	Encounter for pregnancy test, result positive	Early prenatal visits where lactation education and anticipatory supply discussions can occur.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99406`	Smoking and tobacco use cessation counseling, intermediate, greater than 3 minutes up to 10 minutes	Not directly related to breast milk storage; included as an example of education services sometimes billed during postpartum counseling visits where supplies may also be provided.
`99407`	Smoking and tobacco use cessation counseling, intensive, greater than 10 minutes	See relationship note for `99406`.
`99501`	Home visit for newborn care and circumcision supervision	May occur in care episodes where parents are supplied `A4287` bags for at-home feeding and storage.
`99499`	Unlisted evaluation and management service	Use when a specific counseling or supply coordination service associated with lactation is billed but no exact CPT exists.
`97161`	Physical therapy evaluation; low complexity	Included as an adjacent outpatient service code sometimes billed during postpartum visits that include counseling and supply provision.

Note: The input did not provide specific related CPT codes; the codes above are commonly associated outpatient or perinatal services that may be part of the clinical workflow when A4287 bags are supplied.

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