A7002 HCPCS code: Tubing, used with suction pump, each
A7002 is the HCPCS Level II code for tubing, used with suction pump, each. The 2026 Medicare DMEPOS fee schedule pays $3.87 to $5.47 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 30 per day on DME suppliers. Medicare volume fell 13% from 2022 to 2024 (150,444 to 131,513 services). In 2024, 2,107 suppliers billed Medicare for A7002 (purchases), serving 14,501 beneficiaries; California, Texas, New York accounted for 41% of services. Its average fee ranks 9 of 37 A70 codes billed NU (family range $0.71–$172.96).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2000-01-01 |
| Last action effective | 2000-01-01 |
2026 Medicare DMEPOS fee schedule for A7002
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $3.87 | $5.47 | $5.47 | $4.65 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $4.98 | — |
| AL | NU | $4.65 | — |
| AR | NU | $4.65 | — |
| AZ | NU | $5.47 | — |
| CA | NU | $5.47 | — |
| CO | NU | $4.65 | — |
| CT | NU | $5.19 | — |
| DC | NU | $5.47 | — |
| DE | NU | $4.95 | — |
| FL | NU | $4.65 | — |
| GA | NU | $4.65 | — |
| HI | NU | $5.34 | — |
| IA | NU | $5.47 | — |
| ID | NU | $5.47 | — |
| IL | NU | $5.47 | — |
| IN | NU | $5.47 | — |
| KS | NU | $5.47 | — |
| KY | NU | $4.65 | — |
| LA | NU | $4.65 | — |
| MA | NU | $5.18 | — |
| MD | NU | $5.47 | — |
| ME | NU | $5.31 | — |
| MI | NU | $5.47 | — |
| MN | NU | $5.47 | — |
| MO | NU | $5.47 | — |
| MS | NU | $4.65 | — |
| MT | NU | $5.47 | — |
| NC | NU | $4.65 | — |
| ND | NU | $5.47 | — |
| NE | NU | $5.47 | — |
| NH | NU | $4.95 | — |
| NJ | NU | $4.95 | — |
| NM | NU | $4.65 | — |
| NV | NU | $5.47 | — |
| NY | NU | $4.95 | — |
| OH | NU | $5.47 | — |
| OK | NU | $4.65 | — |
| OR | NU | $5.47 | — |
| PA | NU | $4.95 | — |
| PR | NU | $3.87 | — |
| RI | NU | $4.95 | — |
| SC | NU | $4.65 | — |
| SD | NU | $5.47 | — |
| TN | NU | $4.65 | — |
| TX | NU | $4.65 | — |
| UT | NU | $5.47 | — |
| VA | NU | $5.47 | — |
| VI | NU | $4.95 | — |
| VT | NU | $5.12 | — |
| WA | NU | $5.47 | — |
| WI | NU | $5.47 | — |
| WV | NU | $5.47 | — |
| WY | NU | $5.47 | — |
How the A7002 fee compares
| Measure | Value |
|---|---|
| Rank among 37 A70 codes billed NU (lowest = 1) | 9 |
| Family fee range (average of state fees) | $0.71–$172.96 |
| Rural fee uplift | — |
Who bills A7002 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 2,107 |
| Referring clinicians | 12,355 |
| Medicare beneficiaries | 14,501 |
| States with claims | 52 |
| Share of services in top 3 states (California, Texas, New York) | 41% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 2,209 | 14,810 |
| 2023 | 2,152 | 14,441 |
| 2024 | 2,107 | 14,501 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A7002, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 150,444 | 14,810 | $4.28 | $3.29 |
| 2023 | 134,241 | 14,441 | $4.66 | $3.57 |
| 2024 | 131,513 | 14,501 | $4.79 | $3.65 |
States with the most A7002 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 21,948 | $3.98 |
| Texas | 18,906 | $3.34 |
| New York | 13,134 | $3.63 |
| Florida | 8,554 | $3.44 |
| New Jersey | 5,119 | $3.62 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 30 | Clinical: Data |
Medicare policy articles for this code
- A52519: Suction Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (8 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| J95.00 | Unspecified tracheostomy complication | 1 |
| J95.01 | Hemorrhage from tracheostomy stoma | 1 |
| J95.02 | Infection of tracheostomy stoma | 1 |
| J95.03 | Malfunction of tracheostomy stoma | 1 |
| J95.04 | Tracheo-esophageal fistula following tracheostomy | 1 |
| J95.09 | Other tracheostomy complication | 1 |
| Z43.0 | Encounter for attention to tracheostomy | 1 |
| Z93.0 | Tracheostomy status | 1 |
What changed for A7002
- 2026-01-01: Average state fee (NU) rose 2.0%: $5.02 to $5.12
- 2000-01-01: A7002 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 A7002?
A7002 is the HCPCS Level II code for tubing, used with suction pump, each. Short descriptor: "Tubing used w suction pump".
How much does Medicare pay for A7002?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $3.87–$5.47. Rural fees can be higher.
Does Medicare cover A7002?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for A7002?
Medicare policy articles that cite A7002 list 8 covered ICD-10-CM diagnosis codes across 1 article. The most cited include J95.00 (Unspecified tracheostomy complication), J95.01 (Hemorrhage from tracheostomy stoma), J95.02 (Infection of tracheostomy stoma). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for A7002 change in 2026?
The average non-rural state fee for NU moved from $5.02 in 2025 to $5.12 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7002 can be billed per day?
30 on DME suppliers (NCCI medically unlikely edits).
Related A70 codes
- A7000 — Canister, disposable, used with suction pump, each ($9.24–$13.39)
- A7001 — Canister, non-disposable, used with suction pump, each ($40.06–$47.58)
- A7003 — Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ($1.86–$3.26)
- A7004 — Small volume nonfiltered pneumatic nebulizer, disposable ($1.51–$2.08)
- A7005 — Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ($11.77–$29.20)
- A7006 — Administration set, with small volume filtered pneumatic nebulizer ($8.19–$14.94)
- A7007 — Large volume nebulizer, disposable, unfilled, used with aerosol compressor ($3.47–$5.87)
- A7008 — Large volume nebulizer, disposable, prefilled, used with aerosol compressor ($12.46–$18.09)
- A7009 — Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ($54.00–$66.77)
- A7010 — Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ($17.61–$27.19)
- A7011 — Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet
- A7012 — Water collection device, used with large volume nebulizer ($3.25–$5.03)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A7002
- Watch A7002 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7002
Sources: CMS HCPCS Level II release October 2025; 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.