A7049 HCPCS code: Expiratory positive airway pressure intranasal resistance valve
A7049 is the HCPCS Level II code for expiratory positive airway pressure intranasal resistance valve. Its Medicare coverage code is S (Non-covered by Medicare statute): Medicare is barred by law from covering it. The NCCI unit limit is 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | S — Non-covered by Medicare statute |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2023-04-01 |
| Last action effective | 2023-04-01 |
Related codes Medicare does pay
Medicare does not pay under A7049. These codes in the same A70 family carry a current DMEPOS fee:
- 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
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
| outpatient hospital claims | 1 | Nature of Equipment |
| practitioner claims | 1 | Nature of Equipment |
What changed for A7049
- 2023-04-01: A7049 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 A7049?
A7049 is the HCPCS Level II code for expiratory positive airway pressure intranasal resistance valve. Short descriptor: "Epap nasal valve".
Does Medicare cover A7049?
Coverage code S — Non-covered by Medicare statute. Medicare is barred by law from covering it.
Which related codes does Medicare pay instead of A7049?
Codes in the same A70 family with a DMEPOS fee include A7000 ($9.24–$13.39), A7001 ($40.06–$47.58), A7002 ($3.87–$5.47). Check the item matches the code's descriptor before billing.
How many units of A7049 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 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
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 A7049
- Watch A7049 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7049
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; 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.