A4619 HCPCS code: Face tent
A4619 is the HCPCS Level II code for face tent. The 2026 Medicare DMEPOS fee schedule pays $2.57 to $2.88 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 3 per day on DME suppliers. Its average fee ranks 2 of 13 A46 codes billed NU (family range $2.30–$66.87); rural fees run 1% higher.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1990-01-01 |
| Last action effective | 2011-07-01 |
2026 Medicare DMEPOS fee schedule for A4619
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $2.57 | $2.88 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $2.61 | — |
| AL | NU | $2.57 | $2.61 |
| AR | NU | $2.57 | $2.61 |
| AZ | NU | $2.57 | $2.61 |
| CA | NU | $2.57 | $2.61 |
| CO | NU | $2.57 | $2.61 |
| CT | NU | $2.57 | $2.61 |
| DC | NU | $2.57 | $2.61 |
| DE | NU | $2.57 | $2.61 |
| FL | NU | $2.57 | $2.61 |
| GA | NU | $2.57 | $2.61 |
| HI | NU | $2.61 | — |
| IA | NU | $2.57 | $2.61 |
| ID | NU | $2.57 | $2.61 |
| IL | NU | $2.57 | $2.61 |
| IN | NU | $2.57 | $2.61 |
| KS | NU | $2.57 | $2.61 |
| KY | NU | $2.57 | $2.61 |
| LA | NU | $2.57 | $2.61 |
| MA | NU | $2.57 | $2.61 |
| MD | NU | $2.57 | $2.61 |
| ME | NU | $2.57 | $2.61 |
| MI | NU | $2.57 | $2.61 |
| MN | NU | $2.57 | $2.61 |
| MO | NU | $2.57 | $2.61 |
| MS | NU | $2.57 | $2.61 |
| MT | NU | $2.57 | $2.61 |
| NC | NU | $2.57 | $2.61 |
| ND | NU | $2.57 | $2.61 |
| NE | NU | $2.57 | $2.61 |
| NH | NU | $2.57 | $2.61 |
| NJ | NU | $2.57 | $2.61 |
| NM | NU | $2.57 | $2.61 |
| NV | NU | $2.57 | $2.61 |
| NY | NU | $2.57 | $2.61 |
| OH | NU | $2.57 | $2.61 |
| OK | NU | $2.57 | $2.61 |
| OR | NU | $2.57 | $2.61 |
| PA | NU | $2.57 | $2.61 |
| PR | NU | $2.88 | — |
| RI | NU | $2.57 | $2.61 |
| SC | NU | $2.57 | $2.61 |
| SD | NU | $2.57 | $2.61 |
| TN | NU | $2.57 | $2.61 |
| TX | NU | $2.57 | $2.61 |
| UT | NU | $2.57 | $2.61 |
| VA | NU | $2.57 | $2.61 |
| VI | NU | $2.61 | — |
| VT | NU | $2.57 | $2.61 |
| WA | NU | $2.57 | $2.61 |
| WI | NU | $2.57 | $2.61 |
| WV | NU | $2.57 | $2.61 |
| WY | NU | $2.57 | $2.61 |
How the A4619 fee compares
| Measure | Value |
|---|---|
| Rank among 13 A46 codes billed NU (lowest = 1) | 2 |
| Family fee range (average of state fees) | $2.30–$66.87 |
| Rural fee uplift | 1.2% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 3 | Published Contractor Policy |
| outpatient hospital claims | 1 | Clinical: Data |
Medicare policy articles for this code
- A52514: Oxygen and Oxygen Equipment - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for A4619
- 2026-01-01: Average state fee (NU) rose 2.8%: $2.51 to $2.58
- 1990-01-01: A4619 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A4619?
A4619 is the HCPCS Level II code for face tent. Short descriptor: "Face tent".
How much does Medicare pay for A4619?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $2.57–$2.88. Rural fees can be higher.
Does Medicare cover A4619?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for A4619 change in 2026?
The average non-rural state fee for NU moved from $2.51 in 2025 to $2.58 in 2026 (+2.8%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A4619 can be billed per day?
3 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related A46 codes
- A4600 — Sleeve for intermittent limb compression device, replacement only, each
- A4601 — Lithium ion battery, rechargeable, for non-prosthetic use, replacement
- A4602 — Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ($5.31–$6.33)
- A4604 — Tubing with integrated heating element for use with positive airway pressure device ($49.31–$76.79)
- A4605 — Tracheal suction catheter, closed system, each ($23.31–$27.99)
- A4606 — Oxygen probe for use with oximeter device, replacement
- A4608 — Transtracheal oxygen catheter, each ($71.44–$85.73)
- A4611 — Battery, heavy duty; replacement for patient owned ventilator
- A4612 — Battery cables; replacement for patient-owned ventilator
- A4613 — Battery charger; replacement for patient-owned ventilator
- A4614 — Peak expiratory flow rate meter, hand held ($33.89–$40.68)
- A4615 — Cannula, nasal ($1.04–$1.25)
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Next steps
- Run a reimbursement report for a device billed under A4619
- Watch A4619 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A4619
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.