A7527 HCPCS code: Tracheostomy/laryngectomy tube plug/stop, each
A7527 is the HCPCS Level II code for tracheostomy/laryngectomy tube plug/stop, each. The 2026 Medicare DMEPOS fee schedule pays $5.10 to $6.11 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 2 per day on DME suppliers. Medicare volume rose 23% from 2022 to 2024 (485 to 598 services). In 2024, 124 suppliers billed Medicare for A7527 (purchases), serving 199 beneficiaries; California, Colorado, Illinois accounted for 38% of services. Its average fee ranks 8 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 | D1A — Medical/surgical supplies |
| Added | 2005-01-01 |
| Last action effective | 2005-01-01 |
2026 Medicare DMEPOS fee schedule for A7527
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $5.10 | $6.11 | $5.10 | $4.34 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $5.10 | — |
| AL | — | $5.10 | — |
| AR | — | $5.10 | — |
| AZ | — | $5.10 | — |
| CA | — | $5.10 | — |
| CO | — | $5.10 | — |
| CT | — | $5.10 | — |
| DC | — | $5.10 | — |
| DE | — | $5.10 | — |
| FL | — | $5.10 | — |
| GA | — | $5.10 | — |
| HI | — | $5.10 | — |
| IA | — | $5.10 | — |
| ID | — | $5.10 | — |
| IL | — | $5.10 | — |
| IN | — | $5.10 | — |
| KS | — | $5.10 | — |
| KY | — | $5.10 | — |
| LA | — | $5.10 | — |
| MA | — | $5.10 | — |
| MD | — | $5.10 | — |
| ME | — | $5.10 | — |
| MI | — | $5.10 | — |
| MN | — | $5.10 | — |
| MO | — | $5.10 | — |
| MS | — | $5.10 | — |
| MT | — | $5.10 | — |
| NC | — | $5.10 | — |
| ND | — | $5.10 | — |
| NE | — | $5.10 | — |
| NH | — | $5.10 | — |
| NJ | — | $5.10 | — |
| NM | — | $5.10 | — |
| NV | — | $5.10 | — |
| NY | — | $5.10 | — |
| OH | — | $5.10 | — |
| OK | — | $5.10 | — |
| OR | — | $5.10 | — |
| PA | — | $5.10 | — |
| PR | — | $6.11 | — |
| RI | — | $5.10 | — |
| SC | — | $5.10 | — |
| SD | — | $5.10 | — |
| TN | — | $5.10 | — |
| TX | — | $5.10 | — |
| UT | — | $5.10 | — |
| VA | — | $5.10 | — |
| VI | — | $5.10 | — |
| VT | — | $5.10 | — |
| WA | — | $5.10 | — |
| WI | — | $5.10 | — |
| WV | — | $5.10 | — |
| WY | — | $5.10 | — |
How the A7527 fee compares
| Measure | Value |
|---|---|
| Rank among 16 A75 codes (lowest = 1) | 8 |
| Family fee range (average of state fees) | $0.46–$150.23 |
| Rural fee uplift | — |
Who bills A7527 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 124 |
| Referring clinicians | 209 |
| Medicare beneficiaries | 199 |
| States with claims | 17 |
| Share of services in top 3 states (California, Colorado, Illinois) | 38% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 115 | 172 |
| 2023 | 112 | 193 |
| 2024 | 124 | 199 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A7527, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 485 | 172 | $4.29 | $3.19 |
| 2023 | 553 | 193 | $4.66 | $3.57 |
| 2024 | 598 | 199 | $4.83 | $3.61 |
States with the most A7527 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 68 | $3.71 |
| Colorado | 60 | $3.82 |
| Illinois | 53 | $3.68 |
| Minnesota | 39 | $3.05 |
| New York | 36 | $3.82 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Published Contractor Policy |
| outpatient hospital claims | 1 | Nature of Equipment |
What changed for A7527
- 2026-01-01: Average state fee rose 2.0%: $5.02 to $5.12
- 2005-01-01: A7527 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 A7527?
A7527 is the HCPCS Level II code for tracheostomy/laryngectomy tube plug/stop, each. Short descriptor: "Trach/laryn tube plug/stop".
How much does Medicare pay for A7527?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $5.10–$6.11. Rural fees can be higher.
Does Medicare cover A7527?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A7527 change in 2026?
The average non-rural state fee moved from $5.02 in 2025 to $5.12 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A7527 can be billed per day?
2 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)
- 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)
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 A7527
- Watch A7527 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A7527
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.