A7041 HCPCS code: Water seal drainage container and tubing for use with implanted chest tube
A7041 is the HCPCS Level II code for water seal drainage container and tubing for use with implanted chest tube. The 2026 Medicare DMEPOS fee schedule pays $105.73 to $109.71 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 2 per day on outpatient hospital claims. Its average fee ranks 4 of 4 A70 codes (family range $0.41–$107.55).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2005-01-01 |
| Last action effective | 2005-01-01 |
2026 Medicare DMEPOS fee schedule for A7041
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $105.73 | $109.71 | $129.07 | $96.80 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AL | — | $108.93 | — |
| AR | — | $108.93 | — |
| AZ | — | $105.73 | — |
| CA | — | $105.73 | — |
| CO | — | $109.71 | — |
| CT | — | $105.73 | — |
| DC | — | $105.73 | — |
| DE | — | $105.73 | — |
| FL | — | $108.93 | — |
| GA | — | $108.93 | — |
| IA | — | $107.81 | — |
| ID | — | $105.73 | — |
| IL | — | $108.33 | — |
| IN | — | $108.33 | — |
| KS | — | $107.81 | — |
| KY | — | $108.93 | — |
| LA | — | $108.93 | — |
| MA | — | $105.73 | — |
| MD | — | $105.73 | — |
| ME | — | $105.73 | — |
| MI | — | $108.33 | — |
| MN | — | $108.33 | — |
| MO | — | $107.81 | — |
| MS | — | $108.93 | — |
| MT | — | $109.71 | — |
| NC | — | $108.93 | — |
| ND | — | $109.71 | — |
| NE | — | $107.81 | — |
| NH | — | $105.73 | — |
| NJ | — | $105.73 | — |
| NM | — | $108.93 | — |
| NV | — | $105.73 | — |
| NY | — | $105.73 | — |
| OH | — | $108.33 | — |
| OK | — | $108.93 | — |
| OR | — | $105.73 | — |
| PA | — | $105.73 | — |
| RI | — | $105.73 | — |
| SC | — | $108.93 | — |
| SD | — | $109.71 | — |
| TN | — | $108.93 | — |
| TX | — | $108.93 | — |
| UT | — | $109.71 | — |
| VA | — | $105.73 | — |
| VT | — | $105.73 | — |
| WA | — | $105.73 | — |
| WI | — | $108.33 | — |
| WV | — | $105.73 | — |
| WY | — | $109.71 | — |
How the A7041 fee compares
| Measure | Value |
|---|---|
| Rank among 4 A70 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $0.41–$107.55 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Clinical: Data |
| practitioner claims | 2 | Clinical: CMS Workgroup |
What changed for A7041
- 2026-01-01: Average state fee rose 2.0%: $105.45 to $107.55
- 2005-01-01: A7041 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 A7041?
A7041 is the HCPCS Level II code for water seal drainage container and tubing for use with implanted chest tube. Short descriptor: "Water seal drain container".
How much does Medicare pay for A7041?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $105.73–$109.71. Rural fees can be higher.
Does Medicare cover A7041?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A7041 change in 2026?
The average non-rural state fee moved from $105.45 in 2025 to $107.55 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7041 can be billed per day?
2 on outpatient hospital claims; 2 on practitioner claims (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 A7041
- Watch A7041 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7041
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.