A7007 — Large volume nebulizer, disposable, unfilled, used with aerosol compressor
HCPCS Level II A-code · short descriptor: “Lg vol nebulizer disposable”
- 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.
A7007 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $3.47 to $5.87 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.63 | — |
| AL | $4.17 | $5.35 |
| AR | $4.17 | $5.33 |
| AZ | $3.72 | $5.48 |
| CA | $3.47 | $5.48 |
| CO | $4.15 | $5.34 |
| CT | $4.01 | $5.19 |
| DC | $3.83 | $5.48 |
| DE | $3.83 | $5.02 |
| FL | $4.17 | $5.16 |
| GA | $4.17 | $5.27 |
| HI | $5.87 | — |
| IA | $3.74 | $5.48 |
| ID | $4.15 | $5.48 |
| IL | $4.37 | $5.48 |
| IN | $4.37 | $5.48 |
| KS | $3.74 | $5.48 |
| KY | $4.17 | $5.29 |
| LA | $4.17 | $5.42 |
| MA | $4.01 | $5.18 |
| MD | $3.83 | $5.48 |
| ME | $4.01 | $5.22 |
| MI | $4.37 | $5.48 |
| MN | $3.74 | $5.48 |
| MO | $3.74 | $5.48 |
| MS | $4.17 | $5.33 |
| MT | $4.15 | $5.48 |
| NC | $4.17 | $5.24 |
| ND | $3.74 | $5.48 |
| NE | $3.74 | $5.48 |
| NH | $4.01 | $5.02 |
| NJ | $3.83 | $5.02 |
| NM | $3.72 | $5.30 |
| NV | $3.47 | $5.48 |
| NY | $3.83 | $5.02 |
| OH | $4.37 | $5.48 |
| OK | $3.72 | $5.30 |
| OR | $3.47 | $5.48 |
| PA | $3.83 | $5.02 |
| PR | $5.72 | — |
| RI | $4.01 | $5.02 |
| SC | $4.17 | $5.29 |
| SD | $3.74 | $5.48 |
| TN | $4.17 | $5.37 |
| TX | $3.72 | $5.16 |
| UT | $4.15 | $5.48 |
| VA | $4.17 | $5.48 |
| VI | $5.02 | — |
| VT | $4.01 | $5.15 |
| WA | $3.47 | $5.48 |
| WI | $4.37 | $5.48 |
| WV | $4.17 | $5.48 |
| WY | $4.15 | $5.48 |
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
Related A-codes
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