MyMedi-AI

A7002 — Tubing, used with suction pump, each

HCPCS Level II A-code · short descriptor: “Tubing used w suction 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
Face-to-face & WOPD
Not on the required list
MUE unit limit
30
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

A7002 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $3.87 to $5.47 depending on state and rural status.

Former-CBA payment limits: ceiling $5.47 · floor $4.65

StateNon-ruralRural
AK$4.98—
AL$4.65—
AR$4.65—
AZ$5.47—
CA$5.47—
CO$4.65—
CT$5.19—
DC$5.47—
DE$4.95—
FL$4.65—
GA$4.65—
HI$5.34—
IA$5.47—
ID$5.47—
IL$5.47—
IN$5.47—
KS$5.47—
KY$4.65—
LA$4.65—
MA$5.18—
MD$5.47—
ME$5.31—
MI$5.47—
MN$5.47—
MO$5.47—
MS$4.65—
MT$5.47—
NC$4.65—
ND$5.47—
NE$5.47—
NH$4.95—
NJ$4.95—
NM$4.65—
NV$5.47—
NY$4.95—
OH$5.47—
OK$4.65—
OR$5.47—
PA$4.95—
PR$3.87—
RI$4.95—
SC$4.65—
SD$5.47—
TN$4.65—
TX$4.65—
UT$5.47—
VA$5.47—
VI$4.95—
VT$5.12—
WA$5.47—
WI$5.47—
WV$5.47—
WY$5.47—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps A7002 at 30 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.

Common denial codes to watch

Related A-codes

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