Z93.0: Tracheostomy status
Z93.0, tracheostomy status, is listed as a covered diagnosis in 5 Medicare billing and coding articles that apply to 92 HCPCS Level II codes, including A4217 (Sterile water/saline, 500 ml), A9999 (Miscellaneous dme supply or accessory, not otherwise…), A7047 (Oral interface used with respiratory suction pump, each). 47 of these codes have a 2026 DMEPOS fee schedule amount; A4217 pays $2.18 to $4.93 depending on the state. The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with Z93.0 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| A4217 | Sterile water/saline, 500 ml | Special coverage instructions apply | $2.18–$4.93 | 2 |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | Carrier judgment | — | 2 |
| A7047 | Oral interface used with respiratory suction pump, each | Carrier judgment | $172.31–$206.76 (NU) | 1 |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | Special coverage instructions apply | $55.46–$96.87 (RR) | 1 |
| E2000 | Gastric suction pump, home model, portable or stationary, electric | Carrier judgment | $62.79–$86.61 (RR) | 1 |
| A4605 | Tracheal suction catheter, closed system, each | Carrier judgment | $23.31–$27.99 (NU) | 1 |
| A7000 | Canister, disposable, used with suction pump, each | Carrier judgment | $9.24–$13.39 (NU) | 1 |
| A4628 | Oral and/or oropharyngeal suction catheter, each | Carrier judgment | $5.20–$6.27 (NU) | 1 |
| A7002 | Tubing, used with suction pump, each | Carrier judgment | $3.87–$5.47 (NU) | 1 |
| A4624 | Tracheal suction catheter, any type other than closed system, each | Carrier judgment | $1.75–$4.21 (NU) | 1 |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | Special coverage instructions apply | $0.53–$0.99 | 1 |
| E0486 | Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment | Carrier judgment | — | 1 |
| A9272 | Wound suction, disposable, includes dressing, all accessories and components, any type, each | Special coverage instructions apply | — | 1 |
| E0485 | Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment | Carrier judgment | — | 1 |
| K0743 | Suction pump, home model, portable, for use on wounds | Carrier judgment | — | 1 |
| K0744 | Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less | Carrier judgment | — | 1 |
| K0745 | Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches | Carrier judgment | — | 1 |
| K0746 | Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches | Carrier judgment | — | 1 |
| A7501 | Tracheostoma valve, including diaphragm, each | Special coverage instructions apply | $149.66–$179.61 | 1 |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | Carrier judgment | $67.66–$81.18 | 1 |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | Carrier judgment | $67.04–$80.49 | 1 |
| A7522 | Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each | Carrier judgment | $64.36–$77.22 | 1 |
| A4625 | Tracheostomy care kit for new tracheostomy | Special coverage instructions apply | $8.39–$63.09 | 1 |
| A7503 | Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each | Special coverage instructions apply | $16.17–$19.42 | 1 |
| A4629 | Tracheostomy care kit for established tracheostomy | Special coverage instructions apply | $6.59–$7.73 | 1 |
67 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing Z93.0
- A52519: Suction Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC); 18 Level II codes). LCD with the same title: L33612
- A52492: Tracheostomy Care Supplies - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC); 21 Level II codes). LCD with the same title: L33832
- A52466: Nebulizers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC); 53 Level II codes). LCD with the same title: L33370
- A56717: Billing and Coding: Respiratory Therapy (Respiratory Care) (Palmetto GBA (MAC - Part A); 3 Level II codes). LCD with the same title: L34430
- A57224: Billing and Coding: Respiratory Care (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L34149
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Frequently asked questions
Does Medicare cover Z93.0 (Tracheostomy status)?
Medicare covers items and services, not diagnoses. 5 Medicare billing and coding articles list Z93.0 as a covered diagnosis for 92 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 Z93.0?
The Level II codes from the policies most specific to this diagnosis are A4217 (Sterile water/saline, 500 ml, 2 articles); A9999 (Miscellaneous dme supply or accessory, not otherwise…, 2 articles); A7047 (Oral interface used with respiratory suction pump, each, 1 article); E0600 (Respiratory suction pump, home model, portable or…, 1 article); E2000 (Gastric suction pump, home model, portable or stationary…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
What does Medicare pay for equipment billed with Z93.0?
Under the 2026 DMEPOS fee schedule (non-rural state fees): A4217 $2.18 to $4.93; A7047 $172.31 to $206.76 (NU); E0600 $55.46 to $96.87 (RR); E2000 $62.79 to $86.61 (RR). Medicare pays 80% of the allowed amount after the Part B deductible.
Which Medicare policy articles list Z93.0?
A52519 (Suction Pumps - Policy Article); A52492 (Tracheostomy Care Supplies - Policy Article); A52466 (Nebulizers - Policy Article), and 2 more articles.
What is ICD-10-CM code Z93.0?
Z93.0 is the ICD-10-CM code for tracheostomy status, in category Z93 (Artificial opening status), chapter 22: Factors influencing health status and contact with health services.
Next steps
- Run a reimbursement report for a device billed under A4217
- Watch A4217 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A4217
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 22: Factors influencing health status and contact with health services · All diagnoses · HCPCS lookup