A7520 HCPCS code: Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each
A7520 is the HCPCS Level II code for tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each. The 2026 Medicare DMEPOS fee schedule pays $67.66 to $81.18 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 13 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 | C — Carrier judgment |
| Pricing indicator | 37 — DMEPOS: ostomy, tracheostomy and urological supplies |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2004-01-01 |
| Last action effective | 2004-01-01 |
2026 Medicare DMEPOS fee schedule for A7520
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $67.66 | $81.18 | $67.66 | $57.51 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $67.66 | — |
| AL | — | $67.66 | — |
| AR | — | $67.66 | — |
| AZ | — | $67.66 | — |
| CA | — | $67.66 | — |
| CO | — | $67.66 | — |
| CT | — | $67.66 | — |
| DC | — | $67.66 | — |
| DE | — | $67.66 | — |
| FL | — | $67.66 | — |
| GA | — | $67.66 | — |
| HI | — | $67.66 | — |
| IA | — | $67.66 | — |
| ID | — | $67.66 | — |
| IL | — | $67.66 | — |
| IN | — | $67.66 | — |
| KS | — | $67.66 | — |
| KY | — | $67.66 | — |
| LA | — | $67.66 | — |
| MA | — | $67.66 | — |
| MD | — | $67.66 | — |
| ME | — | $67.66 | — |
| MI | — | $67.66 | — |
| MN | — | $67.66 | — |
| MO | — | $67.66 | — |
| MS | — | $67.66 | — |
| MT | — | $67.66 | — |
| NC | — | $67.66 | — |
| ND | — | $67.66 | — |
| NE | — | $67.66 | — |
| NH | — | $67.66 | — |
| NJ | — | $67.66 | — |
| NM | — | $67.66 | — |
| NV | — | $67.66 | — |
| NY | — | $67.66 | — |
| OH | — | $67.66 | — |
| OK | — | $67.66 | — |
| OR | — | $67.66 | — |
| PA | — | $67.66 | — |
| PR | — | $81.18 | — |
| RI | — | $67.66 | — |
| SC | — | $67.66 | — |
| SD | — | $67.66 | — |
| TN | — | $67.66 | — |
| TX | — | $67.66 | — |
| UT | — | $67.66 | — |
| VA | — | $67.66 | — |
| VI | — | $67.66 | — |
| VT | — | $67.66 | — |
| WA | — | $67.66 | — |
| WI | — | $67.66 | — |
| WV | — | $67.66 | — |
| WY | — | $67.66 | — |
How the A7520 fee compares
| Measure | Value |
|---|---|
| Rank among 16 A75 codes (lowest = 1) | 13 |
| 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 | 1 | Published Contractor Policy |
| outpatient hospital claims | 1 | Nature of Equipment |
What changed for A7520
- 2026-01-01: Average state fee rose 2.0%: $66.58 to $67.92
- 2004-01-01: A7520 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 A7520?
A7520 is the HCPCS Level II code for tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each. Short descriptor: "Trach/laryn tube non-cuffed".
How much does Medicare pay for A7520?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $67.66–$81.18. Rural fees can be higher.
Does Medicare cover A7520?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A7520 change in 2026?
The average non-rural state fee moved from $66.58 in 2025 to $67.92 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7520 can be billed per day?
1 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)
- A7502 — Replacement diaphragm/faceplate for tracheostoma valve, each ($71.15–$85.36)
- 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)
- 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 A7520
- Watch A7520 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7520
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.