A7009 — Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer
HCPCS Level II A-code · short descriptor: “Nebulizer reservoir bottle”
- 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.
A7009 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $54.00 to $66.77 depending on state and rural status.
Former-CBA payment limits: ceiling $59.94 · floor $50.95
| State | Non-rural | Rural |
|---|---|---|
| AK | $54.59 | — |
| AL | $59.54 | — |
| AR | $59.03 | — |
| AZ | $59.94 | — |
| CA | $59.94 | — |
| CO | $59.28 | — |
| CT | $56.94 | — |
| DC | $59.94 | — |
| DE | $54.00 | — |
| FL | $55.64 | — |
| GA | $57.86 | — |
| HI | $58.38 | — |
| IA | $59.94 | — |
| ID | $59.94 | — |
| IL | $59.94 | — |
| IN | $59.94 | — |
| KS | $59.94 | — |
| KY | $58.43 | — |
| LA | $59.94 | — |
| MA | $56.69 | — |
| MD | $59.94 | — |
| ME | $57.82 | — |
| MI | $59.94 | — |
| MN | $59.94 | — |
| MO | $59.94 | — |
| MS | $59.03 | — |
| MT | $59.94 | — |
| NC | $57.32 | — |
| ND | $59.94 | — |
| NE | $59.94 | — |
| NH | $54.00 | — |
| NJ | $54.00 | — |
| NM | $58.75 | — |
| NV | $59.94 | — |
| NY | $54.00 | — |
| OH | $59.94 | — |
| OK | $58.55 | — |
| OR | $59.94 | — |
| PA | $54.00 | — |
| PR | $66.77 | — |
| RI | $54.00 | — |
| SC | $58.43 | — |
| SD | $59.94 | — |
| TN | $59.94 | — |
| TX | $55.64 | — |
| UT | $59.94 | — |
| VA | $59.94 | — |
| VI | $54.00 | — |
| VT | $56.19 | — |
| WA | $59.94 | — |
| WI | $59.94 | — |
| WV | $59.94 | — |
| WY | $59.94 | — |
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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