A7027 HCPCS code: Combination oral/nasal mask, used with continuous positive airway pressure device, each

A7027 is the HCPCS Level II code for combination oral/nasal mask, used with continuous positive airway pressure device, each. The 2026 Medicare DMEPOS fee schedule pays $142.24 to $218.86 (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 1 per day on DME suppliers. Medicare volume fell 84% from 2022 to 2024 (2,522 to 398 services). In 2024, 128 suppliers billed Medicare for A7027 (purchases), serving 281 beneficiaries; Texas, Mississippi, Illinois accounted for 48% of services. Its average fee ranks 36 of 37 A70 codes billed NU (family range $0.71–$172.96); rural fees run 38% higher.

Code details

2026 Medicare DMEPOS fee schedule for A7027

How the A7027 fee compares

Who bills A7027 (2024)

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

Medicare utilization for A7027, 2022–2024

States with the most A7027 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52467: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
• A52517: Respiratory Assist Devices - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

Covered diagnoses (1 ICD-10-CM codes)

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

What changed for A7027

• 2026-01-01: Average state fee (NU) rose 2.7%: $151.12 to $155.13
• 2008-01-01: A7027 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 A7027?

A7027 is the HCPCS Level II code for combination oral/nasal mask, used with continuous positive airway pressure device, each. Short descriptor: "Combination oral/nasal mask".

How much does Medicare pay for A7027?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $142.24–$218.86. Rural fees can be higher.

Does Medicare cover A7027?

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

Which diagnoses support coverage for A7027?

Medicare policy articles that cite A7027 list 1 covered ICD-10-CM diagnosis codes across 2 articles. The most cited include G47.33 (Obstructive sleep apnea (adult) (pediatric)). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for A7027 change in 2026?

The average non-rural state fee for NU moved from $151.12 in 2025 to $155.13 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of A7027 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

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Next steps

• Run a reimbursement report for a device billed under A7027
• Watch A7027 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for A7027

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.

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