A7045 HCPCS code: Exhalation port with or without swivel used with accessories for positive airway devices, replacement only
A7045 is the HCPCS Level II code for exhalation port with or without swivel used with accessories for positive airway devices, replacement only. The 2026 Medicare DMEPOS fee schedule pays $14.11 to $22.69 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume fell 49% from 2022 to 2024 (3,401 to 1,731 services). In 2024, 85 suppliers billed Medicare for A7045 (purchases), serving 771 beneficiaries; Massachusetts, New Jersey, New Hampshire accounted for 85% of services. Its average fee ranks 17 of 37 A70 codes billed NU (family range $0.71–$172.96); rural fees run 31% higher.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2005-01-01 |
| Last action effective | 2005-01-01 |
2026 Medicare DMEPOS fee schedule for A7045
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $14.11 | $22.69 | — | — |
| RR | rental (monthly) | $1.41 | $2.27 | — | — |
| UE | used equipment, purchased | $10.58 | $17.03 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $20.30 | — |
| AL | NU | $14.62 | $20.35 |
| AR | NU | $14.62 | $20.35 |
| AZ | NU | $14.31 | $20.35 |
| CA | NU | $15.67 | $20.35 |
| CO | NU | $14.11 | $20.35 |
| CT | NU | $16.69 | $20.35 |
| DC | NU | $15.51 | $20.35 |
| DE | NU | $15.51 | $20.35 |
| FL | NU | $14.62 | $20.35 |
| GA | NU | $14.62 | $20.35 |
| HI | NU | $20.30 | — |
| IA | NU | $14.53 | $20.35 |
| ID | NU | $14.11 | $20.35 |
| IL | NU | $16.07 | $20.35 |
| IN | NU | $16.07 | $20.35 |
| KS | NU | $14.53 | $20.35 |
| KY | NU | $14.62 | $20.35 |
| LA | NU | $14.62 | $20.35 |
| MA | NU | $16.69 | $20.35 |
| MD | NU | $15.51 | $20.35 |
| ME | NU | $16.69 | $20.35 |
| MI | NU | $16.07 | $20.35 |
| MN | NU | $14.53 | $20.35 |
| MO | NU | $14.53 | $20.35 |
| MS | NU | $14.62 | $20.35 |
| MT | NU | $14.11 | $20.35 |
| NC | NU | $14.62 | $20.35 |
| ND | NU | $14.53 | $20.35 |
| NE | NU | $14.53 | $20.35 |
| NH | NU | $16.69 | $20.35 |
| NJ | NU | $15.51 | $20.35 |
| NM | NU | $14.31 | $20.35 |
| NV | NU | $15.67 | $20.35 |
| NY | NU | $15.51 | $20.35 |
| OH | NU | $16.07 | $20.35 |
| OK | NU | $14.31 | $20.35 |
| OR | NU | $15.67 | $20.35 |
| PA | NU | $15.51 | $20.35 |
| PR | NU | $22.69 | — |
| RI | NU | $16.69 | $20.35 |
| SC | NU | $14.62 | $20.35 |
| SD | NU | $14.53 | $20.35 |
| TN | NU | $14.62 | $20.35 |
| TX | NU | $14.31 | $20.35 |
| UT | NU | $14.11 | $20.35 |
| VA | NU | $14.62 | $20.35 |
| VI | NU | $20.30 | — |
| VT | NU | $16.69 | $20.35 |
| WA | NU | $15.67 | $20.35 |
| WI | NU | $16.07 | $20.35 |
| WV | NU | $14.62 | $20.35 |
| WY | NU | $14.11 | $20.35 |
| AK | RR | $2.03 | — |
| AL | RR | $1.46 | $2.03 |
| AR | RR | $1.46 | $2.03 |
| AZ | RR | $1.43 | $2.03 |
| CA | RR | $1.57 | $2.03 |
| CO | RR | $1.41 | $2.03 |
| CT | RR | $1.67 | $2.03 |
| DC | RR | $1.55 | $2.03 |
| DE | RR | $1.55 | $2.03 |
| FL | RR | $1.46 | $2.03 |
| GA | RR | $1.46 | $2.03 |
| HI | RR | $2.03 | — |
| IA | RR | $1.45 | $2.03 |
| ID | RR | $1.41 | $2.03 |
| IL | RR | $1.61 | $2.03 |
| IN | RR | $1.61 | $2.03 |
| KS | RR | $1.45 | $2.03 |
| KY | RR | $1.46 | $2.03 |
| LA | RR | $1.46 | $2.03 |
| MA | RR | $1.67 | $2.03 |
| MD | RR | $1.55 | $2.03 |
| ME | RR | $1.67 | $2.03 |
| MI | RR | $1.61 | $2.03 |
| MN | RR | $1.45 | $2.03 |
| MO | RR | $1.45 | $2.03 |
| MS | RR | $1.46 | $2.03 |
| MT | RR | $1.41 | $2.03 |
| NC | RR | $1.46 | $2.03 |
| ND | RR | $1.45 | $2.03 |
| NE | RR | $1.45 | $2.03 |
| NH | RR | $1.67 | $2.03 |
| NJ | RR | $1.55 | $2.03 |
| NM | RR | $1.43 | $2.03 |
| NV | RR | $1.57 | $2.03 |
| NY | RR | $1.55 | $2.03 |
| OH | RR | $1.61 | $2.03 |
| OK | RR | $1.43 | $2.03 |
| OR | RR | $1.57 | $2.03 |
| PA | RR | $1.55 | $2.03 |
| PR | RR | $2.27 | — |
| RI | RR | $1.67 | $2.03 |
| SC | RR | $1.46 | $2.03 |
| SD | RR | $1.45 | $2.03 |
| TN | RR | $1.46 | $2.03 |
| TX | RR | $1.43 | $2.03 |
| UT | RR | $1.41 | $2.03 |
| VA | RR | $1.46 | $2.03 |
| VI | RR | $2.03 | — |
| VT | RR | $1.67 | $2.03 |
| WA | RR | $1.57 | $2.03 |
| WI | RR | $1.61 | $2.03 |
| WV | RR | $1.46 | $2.03 |
| WY | RR | $1.41 | $2.03 |
| AK | UE | $15.23 | — |
| AL | UE | $10.97 | $15.27 |
| AR | UE | $10.97 | $15.27 |
| AZ | UE | $10.73 | $15.27 |
| CA | UE | $11.75 | $15.27 |
| CO | UE | $10.58 | $15.27 |
| CT | UE | $12.52 | $15.27 |
| DC | UE | $11.63 | $15.27 |
| DE | UE | $11.63 | $15.27 |
| FL | UE | $10.97 | $15.27 |
| GA | UE | $10.97 | $15.27 |
| HI | UE | $15.23 | — |
| IA | UE | $10.89 | $15.27 |
| ID | UE | $10.58 | $15.27 |
| IL | UE | $12.05 | $15.27 |
| IN | UE | $12.05 | $15.27 |
| KS | UE | $10.89 | $15.27 |
| KY | UE | $10.97 | $15.27 |
| LA | UE | $10.97 | $15.27 |
| MA | UE | $12.52 | $15.27 |
| MD | UE | $11.63 | $15.27 |
| ME | UE | $12.52 | $15.27 |
| MI | UE | $12.05 | $15.27 |
| MN | UE | $10.89 | $15.27 |
| MO | UE | $10.89 | $15.27 |
| MS | UE | $10.97 | $15.27 |
| MT | UE | $10.58 | $15.27 |
| NC | UE | $10.97 | $15.27 |
| ND | UE | $10.89 | $15.27 |
| NE | UE | $10.89 | $15.27 |
| NH | UE | $12.52 | $15.27 |
| NJ | UE | $11.63 | $15.27 |
| NM | UE | $10.73 | $15.27 |
| NV | UE | $11.75 | $15.27 |
| NY | UE | $11.63 | $15.27 |
| OH | UE | $12.05 | $15.27 |
| OK | UE | $10.73 | $15.27 |
| OR | UE | $11.75 | $15.27 |
| PA | UE | $11.63 | $15.27 |
| PR | UE | $17.03 | — |
| RI | UE | $12.52 | $15.27 |
| SC | UE | $10.97 | $15.27 |
| SD | UE | $10.89 | $15.27 |
| TN | UE | $10.97 | $15.27 |
| TX | UE | $10.73 | $15.27 |
| UT | UE | $10.58 | $15.27 |
| VA | UE | $10.97 | $15.27 |
| VI | UE | $15.23 | — |
| VT | UE | $12.52 | $15.27 |
| WA | UE | $11.75 | $15.27 |
| WI | UE | $12.05 | $15.27 |
| WV | UE | $10.97 | $15.27 |
| WY | UE | $10.58 | $15.27 |
How the A7045 fee compares
| Measure | Value |
|---|---|
| Rank among 37 A70 codes billed NU (lowest = 1) | 17 |
| Family fee range (average of state fees) | $0.71–$172.96 |
| Rural fee uplift | 30.8% |
Who bills A7045 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 85 |
| Referring clinicians | 313 |
| Medicare beneficiaries | 771 |
| States with claims | 11 |
| Share of services in top 3 states (Massachusetts, New Jersey, New Hampshire) | 85% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 64 | 2,005 |
| 2023 | 75 | 1,329 |
| 2024 | 85 | 771 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A7045, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,401 | 2,005 | $14.08 | $10.39 |
| 2023 | 2,500 | 1,329 | $14.87 | $10.83 |
| 2024 | 1,731 | 771 | $15.48 | $11.19 |
States with the most A7045 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Massachusetts | 972 | $11.82 |
| New Jersey | 310 | $9.63 |
| New Hampshire | 110 | $11.77 |
| California | 84 | $11.52 |
| North Carolina | 46 | $11.62 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Clinical: Data |
What changed for A7045
- 2026-01-01: Average state fee (NU) rose 2.7%: $15.16 to $15.56
- 2026-01-01: Average state fee (RR) rose 2.8%: $1.51 to $1.56
- 2026-01-01: Average state fee (UE) rose 2.6%: $11.37 to $11.67
- 2005-01-01: A7045 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 A7045?
A7045 is the HCPCS Level II code for exhalation port with or without swivel used with accessories for positive airway devices, replacement only. Short descriptor: "Repl exhalation port for pap".
How much does Medicare pay for A7045?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $14.11–$22.69; RR (rental (monthly)): $1.41–$2.27; UE (used equipment, purchased): $10.58–$17.03. Rural fees can be higher.
Does Medicare cover A7045?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for A7045 change in 2026?
The average non-rural state fee for NU moved from $15.16 in 2025 to $15.56 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7045 can be billed per day?
2 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 A7045
- Watch A7045 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7045
Sources: CMS HCPCS Level II release October 2026; 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.