A7025 HCPCS code: High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each
A7025 is the HCPCS Level II code for high frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each. The 2026 Medicare DMEPOS fee schedule pays $61.99 to $74.42 (RR, rental (monthly)) 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 1 per day on DME suppliers. In 2023, 2 suppliers billed Medicare for A7025 (rentals), serving 0 beneficiaries. Its average fee ranks 3 of 3 A70 codes billed RR (family range $1.56–$62.22).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2003-01-01 |
| Last action effective | 2014-04-01 |
2026 Medicare DMEPOS fee schedule for A7025
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $61.99 | $74.42 | $61.99 | $52.69 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $61.99 | — |
| AL | RR | $61.99 | — |
| AR | RR | $61.99 | — |
| AZ | RR | $61.99 | — |
| CA | RR | $61.99 | — |
| CO | RR | $61.99 | — |
| CT | RR | $61.99 | — |
| DC | RR | $61.99 | — |
| DE | RR | $61.99 | — |
| FL | RR | $61.99 | — |
| GA | RR | $61.99 | — |
| HI | RR | $61.99 | — |
| IA | RR | $61.99 | — |
| ID | RR | $61.99 | — |
| IL | RR | $61.99 | — |
| IN | RR | $61.99 | — |
| KS | RR | $61.99 | — |
| KY | RR | $61.99 | — |
| LA | RR | $61.99 | — |
| MA | RR | $61.99 | — |
| MD | RR | $61.99 | — |
| ME | RR | $61.99 | — |
| MI | RR | $61.99 | — |
| MN | RR | $61.99 | — |
| MO | RR | $61.99 | — |
| MS | RR | $61.99 | — |
| MT | RR | $61.99 | — |
| NC | RR | $61.99 | — |
| ND | RR | $61.99 | — |
| NE | RR | $61.99 | — |
| NH | RR | $61.99 | — |
| NJ | RR | $61.99 | — |
| NM | RR | $61.99 | — |
| NV | RR | $61.99 | — |
| NY | RR | $61.99 | — |
| OH | RR | $61.99 | — |
| OK | RR | $61.99 | — |
| OR | RR | $61.99 | — |
| PA | RR | $61.99 | — |
| PR | RR | $74.42 | — |
| RI | RR | $61.99 | — |
| SC | RR | $61.99 | — |
| SD | RR | $61.99 | — |
| TN | RR | $61.99 | — |
| TX | RR | $61.99 | — |
| UT | RR | $61.99 | — |
| VA | RR | $61.99 | — |
| VI | RR | $61.99 | — |
| VT | RR | $61.99 | — |
| WA | RR | $61.99 | — |
| WI | RR | $61.99 | — |
| WV | RR | $61.99 | — |
| WY | RR | $61.99 | — |
How the A7025 fee compares
| Measure | Value |
|---|---|
| Rank among 3 A70 codes billed RR (lowest = 1) | 3 |
| Family fee range (average of state fees) | $1.56–$62.22 |
| Rural fee uplift | — |
Who bills A7025 (2023)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 2 |
| Suppliers billing purchases | — |
| Referring clinicians | 3 |
| Medicare beneficiaries | 0 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 2 | 0 |
| 2023 | 2 | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A7025, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 11 | 0 | $43.55 | $34.18 |
| 2023 | 11 | 0 | $43.39 | $30.93 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Clinical: Data |
Medicare policy articles for this code
- A52494: High Frequency Chest Wall Oscillation Devices - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (80 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| A15.0 | Tuberculosis of lung | 1 |
| B91 | Sequelae of poliomyelitis | 1 |
| E74.02 | Pompe disease | 1 |
| E74.05 | Lysosome-associated membrane protein 2 [LAMP2] deficiency | 1 |
| E84.0 | Cystic fibrosis with pulmonary manifestations | 1 |
| E84.9 | Cystic fibrosis, unspecified | 1 |
| G12.0 | Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] | 1 |
| G12.1 | Other inherited spinal muscular atrophy | 1 |
| G12.20 | Motor neuron disease, unspecified | 1 |
| G12.21 | Amyotrophic lateral sclerosis | 1 |
Showing 10 of 80. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for A7025
- 2026-01-01: Average state fee (RR) rose 2.0%: $61.00 to $62.22
- 2003-01-01: A7025 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 A7025?
A7025 is the HCPCS Level II code for high frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each. Short descriptor: "Replace chest compress vest".
How much does Medicare pay for A7025?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $61.99–$74.42. Rural fees can be higher.
Does Medicare cover A7025?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for A7025?
Medicare policy articles that cite A7025 list 80 covered ICD-10-CM diagnosis codes across 1 article. The most cited include A15.0 (Tuberculosis of lung), B91 (Sequelae of poliomyelitis), E74.02 (Pompe disease). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for A7025 change in 2026?
The average non-rural state fee for RR moved from $61.00 in 2025 to $62.22 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7025 can be billed per day?
1 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)
- 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
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 A7025
- Watch A7025 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7025
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.