A7047 HCPCS code: Oral interface used with respiratory suction pump, each
A7047 is the HCPCS Level II code for oral interface used with respiratory suction pump, each. The 2026 Medicare DMEPOS fee schedule pays $172.31 to $206.76 (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 outpatient hospital claims. Its average fee ranks 37 of 37 A70 codes billed NU (family range $0.71–$172.96).
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 | 2014-01-01 |
| Last action effective | 2014-01-01 |
2026 Medicare DMEPOS fee schedule for A7047
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $172.31 | $206.76 | $172.31 | $146.46 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $172.31 | — |
| AL | NU | $172.31 | — |
| AR | NU | $172.31 | — |
| AZ | NU | $172.31 | — |
| CA | NU | $172.31 | — |
| CO | NU | $172.31 | — |
| CT | NU | $172.31 | — |
| DC | NU | $172.31 | — |
| DE | NU | $172.31 | — |
| FL | NU | $172.31 | — |
| GA | NU | $172.31 | — |
| HI | NU | $172.31 | — |
| IA | NU | $172.31 | — |
| ID | NU | $172.31 | — |
| IL | NU | $172.31 | — |
| IN | NU | $172.31 | — |
| KS | NU | $172.31 | — |
| KY | NU | $172.31 | — |
| LA | NU | $172.31 | — |
| MA | NU | $172.31 | — |
| MD | NU | $172.31 | — |
| ME | NU | $172.31 | — |
| MI | NU | $172.31 | — |
| MN | NU | $172.31 | — |
| MO | NU | $172.31 | — |
| MS | NU | $172.31 | — |
| MT | NU | $172.31 | — |
| NC | NU | $172.31 | — |
| ND | NU | $172.31 | — |
| NE | NU | $172.31 | — |
| NH | NU | $172.31 | — |
| NJ | NU | $172.31 | — |
| NM | NU | $172.31 | — |
| NV | NU | $172.31 | — |
| NY | NU | $172.31 | — |
| OH | NU | $172.31 | — |
| OK | NU | $172.31 | — |
| OR | NU | $172.31 | — |
| PA | NU | $172.31 | — |
| PR | NU | $206.76 | — |
| RI | NU | $172.31 | — |
| SC | NU | $172.31 | — |
| SD | NU | $172.31 | — |
| TN | NU | $172.31 | — |
| TX | NU | $172.31 | — |
| UT | NU | $172.31 | — |
| VA | NU | $172.31 | — |
| VI | NU | $172.31 | — |
| VT | NU | $172.31 | — |
| WA | NU | $172.31 | — |
| WI | NU | $172.31 | — |
| WV | NU | $172.31 | — |
| WY | NU | $172.31 | — |
How the A7047 fee compares
| Measure | Value |
|---|---|
| Rank among 37 A70 codes billed NU (lowest = 1) | 37 |
| Family fee range (average of state fees) | $0.71–$172.96 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Clinical: CMS Workgroup |
Medicare policy articles for this code
- A52519: Suction Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (8 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| J95.00 | Unspecified tracheostomy complication | 1 |
| J95.01 | Hemorrhage from tracheostomy stoma | 1 |
| J95.02 | Infection of tracheostomy stoma | 1 |
| J95.03 | Malfunction of tracheostomy stoma | 1 |
| J95.04 | Tracheo-esophageal fistula following tracheostomy | 1 |
| J95.09 | Other tracheostomy complication | 1 |
| Z43.0 | Encounter for attention to tracheostomy | 1 |
| Z93.0 | Tracheostomy status | 1 |
What changed for A7047
- 2026-01-01: Average state fee (NU) rose 2.0%: $169.57 to $172.96
- 2014-01-01: A7047 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 A7047?
A7047 is the HCPCS Level II code for oral interface used with respiratory suction pump, each. Short descriptor: "Resp suction oral interface".
How much does Medicare pay for A7047?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $172.31–$206.76. Rural fees can be higher.
Does Medicare cover A7047?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for A7047?
Medicare policy articles that cite A7047 list 8 covered ICD-10-CM diagnosis codes across 1 article. The most cited include J95.00 (Unspecified tracheostomy complication), J95.01 (Hemorrhage from tracheostomy stoma), J95.02 (Infection of tracheostomy stoma). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for A7047 change in 2026?
The average non-rural state fee for NU moved from $169.57 in 2025 to $172.96 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7047 can be billed per day?
1 on outpatient hospital 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 A7047
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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.