A7030 HCPCS code: Full face mask used with positive airway pressure device, each

A7030 is the HCPCS Level II code for full face mask used with positive airway pressure device, each. The 2026 Medicare DMEPOS fee schedule pays $109.52 to $200.55 (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 rose 7% from 2022 to 2024 (1,886,213 to 2,020,250 services). In 2024, 4,498 suppliers billed Medicare for A7030 (purchases), serving 862,429 beneficiaries; Florida, Texas, California accounted for 19% of services. Its average fee ranks 33 of 37 A70 codes billed NU (family range $0.71–$172.96); rural fees run 52% higher.

Code details

2026 Medicare DMEPOS fee schedule for A7030

How the A7030 fee compares

Who bills A7030 (2024)

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

Medicare utilization for A7030, 2022–2024

States with the most A7030 services (2024)

NCCI unit limits (MUE)

What changed for A7030

• 2026-01-01: Average state fee (NU) rose 2.6%: $114.23 to $117.25
• 2003-01-01: A7030 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 A7030?

A7030 is the HCPCS Level II code for full face mask used with positive airway pressure device, each. Short descriptor: "Cpap full face mask".

How much does Medicare pay for A7030?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $109.52–$200.55. Rural fees can be higher.

Does Medicare cover A7030?

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

Did the Medicare fee for A7030 change in 2026?

The average non-rural state fee for NU moved from $114.23 in 2025 to $117.25 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of A7030 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 A7030
• Watch A7030 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for A7030

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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