A7044 HCPCS code: Oral interface used with positive airway pressure device, each
A7044 is the HCPCS Level II code for oral interface used with positive airway pressure device, each. The 2026 Medicare DMEPOS fee schedule pays $98.74 to $146.47 (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. Its average fee ranks 32 of 37 A70 codes billed NU (family range $0.71–$172.96); rural fees run 24% higher.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2003-01-01 |
| Last action effective | 2003-01-01 |
2026 Medicare DMEPOS fee schedule for A7044
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $98.74 | $146.47 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $131.63 | — |
| AL | NU | $106.22 | $131.93 |
| AR | NU | $106.22 | $131.93 |
| AZ | NU | $99.64 | $131.93 |
| CA | NU | $111.90 | $131.93 |
| CO | NU | $102.46 | $131.93 |
| CT | NU | $103.50 | $131.93 |
| DC | NU | $98.74 | $131.93 |
| DE | NU | $98.74 | $131.93 |
| FL | NU | $106.22 | $131.93 |
| GA | NU | $106.22 | $131.93 |
| HI | NU | $131.63 | — |
| IA | NU | $102.75 | $131.93 |
| ID | NU | $102.46 | $131.93 |
| IL | NU | $109.13 | $131.93 |
| IN | NU | $109.13 | $131.93 |
| KS | NU | $102.75 | $131.93 |
| KY | NU | $106.22 | $131.93 |
| LA | NU | $106.22 | $131.93 |
| MA | NU | $103.50 | $131.93 |
| MD | NU | $98.74 | $131.93 |
| ME | NU | $103.50 | $131.93 |
| MI | NU | $109.13 | $131.93 |
| MN | NU | $102.75 | $131.93 |
| MO | NU | $102.75 | $131.93 |
| MS | NU | $106.22 | $131.93 |
| MT | NU | $102.46 | $131.93 |
| NC | NU | $106.22 | $131.93 |
| ND | NU | $102.75 | $131.93 |
| NE | NU | $102.75 | $131.93 |
| NH | NU | $103.50 | $131.93 |
| NJ | NU | $98.74 | $131.93 |
| NM | NU | $99.64 | $131.93 |
| NV | NU | $111.90 | $131.93 |
| NY | NU | $98.74 | $131.93 |
| OH | NU | $109.13 | $131.93 |
| OK | NU | $99.64 | $131.93 |
| OR | NU | $111.90 | $131.93 |
| PA | NU | $98.74 | $131.93 |
| PR | NU | $146.47 | — |
| RI | NU | $103.50 | $131.93 |
| SC | NU | $106.22 | $131.93 |
| SD | NU | $102.75 | $131.93 |
| TN | NU | $106.22 | $131.93 |
| TX | NU | $99.64 | $131.93 |
| UT | NU | $102.46 | $131.93 |
| VA | NU | $106.22 | $131.93 |
| VI | NU | $131.63 | — |
| VT | NU | $103.50 | $131.93 |
| WA | NU | $111.90 | $131.93 |
| WI | NU | $109.13 | $131.93 |
| WV | NU | $106.22 | $131.93 |
| WY | NU | $102.46 | $131.93 |
How the A7044 fee compares
| Measure | Value |
|---|---|
| Rank among 37 A70 codes billed NU (lowest = 1) | 32 |
| Family fee range (average of state fees) | $0.71–$172.96 |
| Rural fee uplift | 23.7% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Clinical: Data |
What changed for A7044
- 2026-01-01: Average state fee (NU) rose 2.7%: $103.89 to $106.66
- 2003-01-01: A7044 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 A7044?
A7044 is the HCPCS Level II code for oral interface used with positive airway pressure device, each. Short descriptor: "Pap oral interface".
How much does Medicare pay for A7044?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $98.74–$146.47. Rural fees can be higher.
Does Medicare cover A7044?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A7044 change in 2026?
The average non-rural state fee for NU moved from $103.89 in 2025 to $106.66 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7044 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 A7044
- Watch A7044 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7044
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.