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A7000 — Canister, disposable, used with suction pump, each

HCPCS Level II A-code · short descriptor: “Disposable canister for pump”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

A7000 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $9.24 to $12.42 depending on state and rural status.

StateNon-ruralRural
AK$9.24—
AL$10.50$11.58
AR$10.50$11.58
AZ$10.53$11.58
CA$10.37$11.58
CO$10.93$11.58
CT$10.09$10.79
DC$9.83$10.44
DE$9.83$10.23
FL$10.50$11.20
GA$10.50$11.54
HI$9.90—
IA$10.54$11.58
ID$10.93$11.58
IL$10.44$10.44
IN$10.57$10.98
KS$10.54$11.58
KY$10.50$11.58
LA$10.50$11.58
MA$10.09$10.73
MD$9.83$10.44
ME$10.09$10.93
MI$10.57$10.89
MN$10.44$10.44
MO$10.54$11.58
MS$10.50$11.58
MT$10.93$11.58
NC$10.50$11.48
ND$10.54$11.58
NE$10.54$11.58
NH$10.09$10.23
NJ$9.83$10.23
NM$10.53$11.58
NV$10.37$11.58
NY$9.83$10.23
OH$10.57$11.07
OK$10.53$11.58
OR$10.37$11.58
PA$9.83$10.23
PR$12.42—
RI$10.09$10.23
SC$10.50$11.58
SD$10.54$11.58
TN$10.50$11.58
TX$10.53$11.20
UT$10.93$11.58
VA$10.44$10.44
VI$10.23—
VT$10.09$10.62
WA$10.37$11.58
WI$10.57$10.98
WV$10.44$10.44
WY$10.93$11.58

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $9.97 to $13.39 depending on state and rural status.

StateNon-ruralRural
AK$9.97—
AL—$12.43
AR—$12.43
AZ—$12.43
CA—$12.43
CO—$12.43
CT—$11.64
DC—$11.26
DE—$11.04
FL—$12.08
GA—$12.38
HI$10.68—
IA—$12.43
ID—$12.43
IL—$11.26
IN—$11.84
KS—$12.43
KY—$12.43
LA—$12.43
MA—$11.58
MD—$11.26
ME—$11.79
MI—$11.75
MN—$11.26
MO—$12.43
MS—$12.43
MT—$12.43
NC—$12.31
ND—$12.43
NE—$12.43
NH—$11.04
NJ—$11.04
NM—$12.43
NV—$12.43
NY—$11.04
OH—$11.94
OK—$12.43
OR—$12.43
PA—$11.04
PR$13.39—
RI—$11.04
SC—$12.43
SD—$12.43
TN—$12.43
TX—$12.08
UT—$12.43
VA—$11.26
VI$11.04—
VT—$11.46
WA—$12.43
WI—$11.84
WV—$11.26
WY—$12.43
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

CO-50 medical necessity

Related A-codes

A7001A7002A7003A7004A7005A7006A7007A7008A7009A7010A7012A7013

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