A7006 HCPCS code: Administration set, with small volume filtered pneumatic nebulizer

A7006 is the HCPCS Level II code for administration set, with small volume filtered pneumatic nebulizer. The 2026 Medicare DMEPOS fee schedule pays $8.19 to $14.94 (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 3 per day on DME suppliers. Medicare volume fell 49% from 2022 to 2024 (288 to 148 services). In 2024, 9 suppliers billed Medicare for A7006 (purchases), serving 21 beneficiaries. Its average fee ranks 11 of 37 A70 codes billed NU (family range $0.71–$172.96); rural fees run 24% higher.

Code details

2026 Medicare DMEPOS fee schedule for A7006

How the A7006 fee compares

Who bills A7006 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for A7006, 2022–2024

States with the most A7006 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52466: Nebulizers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

Covered diagnoses (215 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

Showing 10 of 215. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for A7006

• 2026-01-01: Average state fee (NU) rose 2.7%: $9.11 to $9.35
• 2000-01-01: A7006 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 A7006?

A7006 is the HCPCS Level II code for administration set, with small volume filtered pneumatic nebulizer. Short descriptor: "Filtered nebulizer admin set".

How much does Medicare pay for A7006?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $8.19–$14.94. Rural fees can be higher.

Does Medicare cover A7006?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Which diagnoses support coverage for A7006?

Medicare policy articles that cite A7006 list 215 covered ICD-10-CM diagnosis codes across 1 article. The most cited include A15.0 (Tuberculosis of lung), A22.1 (Pulmonary anthrax), A37.01 (Whooping cough due to Bordetella pertussis with pneumonia). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for A7006 change in 2026?

The average non-rural state fee for NU moved from $9.11 in 2025 to $9.35 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of A7006 can be billed per day?

3 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)
• A7002 — Tubing, used with suction pump, each ($3.87–$5.47)
• 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)
• 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)

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Next steps

• Run a reimbursement report for a device billed under A7006
• Watch A7006 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for A7006

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.

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