A7502 HCPCS code: Replacement diaphragm/faceplate for tracheostoma valve, each
A7502 is the HCPCS Level II code for replacement diaphragm/faceplate for tracheostoma valve, each. The 2026 Medicare DMEPOS fee schedule pays $71.15 to $85.36 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 3 per day on DME suppliers. Its average fee ranks 14 of 16 A75 codes (family range $0.46–$150.23).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 37 — DMEPOS: ostomy, tracheostomy and urological supplies |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2001-01-01 |
| Last action effective | 2001-01-01 |
2026 Medicare DMEPOS fee schedule for A7502
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $71.15 | $85.36 | $71.15 | $60.48 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $71.15 | — |
| AL | — | $71.15 | — |
| AR | — | $71.15 | — |
| AZ | — | $71.15 | — |
| CA | — | $71.15 | — |
| CO | — | $71.15 | — |
| CT | — | $71.15 | — |
| DC | — | $71.15 | — |
| DE | — | $71.15 | — |
| FL | — | $71.15 | — |
| GA | — | $71.15 | — |
| HI | — | $71.15 | — |
| IA | — | $71.15 | — |
| ID | — | $71.15 | — |
| IL | — | $71.15 | — |
| IN | — | $71.15 | — |
| KS | — | $71.15 | — |
| KY | — | $71.15 | — |
| LA | — | $71.15 | — |
| MA | — | $71.15 | — |
| MD | — | $71.15 | — |
| ME | — | $71.15 | — |
| MI | — | $71.15 | — |
| MN | — | $71.15 | — |
| MO | — | $71.15 | — |
| MS | — | $71.15 | — |
| MT | — | $71.15 | — |
| NC | — | $71.15 | — |
| ND | — | $71.15 | — |
| NE | — | $71.15 | — |
| NH | — | $71.15 | — |
| NJ | — | $71.15 | — |
| NM | — | $71.15 | — |
| NV | — | $71.15 | — |
| NY | — | $71.15 | — |
| OH | — | $71.15 | — |
| OK | — | $71.15 | — |
| OR | — | $71.15 | — |
| PA | — | $71.15 | — |
| PR | — | $85.36 | — |
| RI | — | $71.15 | — |
| SC | — | $71.15 | — |
| SD | — | $71.15 | — |
| TN | — | $71.15 | — |
| TX | — | $71.15 | — |
| UT | — | $71.15 | — |
| VA | — | $71.15 | — |
| VI | — | $71.15 | — |
| VT | — | $71.15 | — |
| WA | — | $71.15 | — |
| WI | — | $71.15 | — |
| WV | — | $71.15 | — |
| WY | — | $71.15 | — |
How the A7502 fee compares
| Measure | Value |
|---|---|
| Rank among 16 A75 codes (lowest = 1) | 14 |
| Family fee range (average of state fees) | $0.46–$150.23 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 3 | Published Contractor Policy |
| outpatient hospital claims | 1 | Nature of Equipment |
What changed for A7502
- 2026-01-01: Average state fee rose 2.0%: $70.01 to $71.42
- 2001-01-01: A7502 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 A7502?
A7502 is the HCPCS Level II code for replacement diaphragm/faceplate for tracheostoma valve, each. Short descriptor: "Replacement diaphragm/fplate".
How much does Medicare pay for A7502?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $71.15–$85.36. Rural fees can be higher.
Does Medicare cover A7502?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for A7502 change in 2026?
The average non-rural state fee moved from $70.01 in 2025 to $71.42 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7502 can be billed per day?
3 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related A75 codes
- A7501 — Tracheostoma valve, including diaphragm, each ($149.66–$179.61)
- A7503 — Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ($16.17–$19.42)
- A7504 — Filter for use in a tracheostoma heat and moisture exchange system, each ($0.97–$1.15)
- A7505 — Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ($6.68–$7.99)
- A7506 — Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ($0.46–$0.52)
- A7507 — Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ($3.56–$4.34)
- A7508 — Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ($4.09–$4.95)
- A7509 — Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ($2.01–$2.37)
- A7520 — Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ($67.66–$81.18)
- A7521 — Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ($67.04–$80.49)
- A7522 — Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ($64.36–$77.22)
- A7523 — Tracheostomy shower protector, each
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Next steps
- Run a reimbursement report for a device billed under A7502
- Watch A7502 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7502
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.