A7015 — Aerosol mask, used with dme nebulizer
HCPCS Level II A-code · short descriptor: “Aerosol mask used w nebulize”
- 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
- 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.
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 (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
A7015 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1.46 to $2.50 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $1.89 | — |
| AL | $1.64 | $2.21 |
| AR | $1.64 | $2.21 |
| AZ | $1.53 | $2.21 |
| CA | $1.46 | $2.21 |
| CO | $1.65 | $2.21 |
| CT | $1.55 | $2.11 |
| DC | $1.52 | $2.04 |
| DE | $1.52 | $2.04 |
| FL | $1.64 | $2.21 |
| GA | $1.64 | $2.21 |
| HI | $1.95 | — |
| IA | $1.57 | $2.21 |
| ID | $1.65 | $2.21 |
| IL | $1.61 | $2.04 |
| IN | $1.61 | $2.09 |
| KS | $1.57 | $2.21 |
| KY | $1.64 | $2.21 |
| LA | $1.64 | $2.21 |
| MA | $1.55 | $2.09 |
| MD | $1.52 | $2.04 |
| ME | $1.55 | $2.14 |
| MI | $1.61 | $2.07 |
| MN | $1.57 | $2.09 |
| MO | $1.57 | $2.21 |
| MS | $1.64 | $2.21 |
| MT | $1.65 | $2.21 |
| NC | $1.64 | $2.21 |
| ND | $1.57 | $2.21 |
| NE | $1.57 | $2.21 |
| NH | $1.55 | $2.04 |
| NJ | $1.52 | $2.04 |
| NM | $1.53 | $2.21 |
| NV | $1.46 | $2.21 |
| NY | $1.52 | $2.04 |
| OH | $1.61 | $2.04 |
| OK | $1.53 | $2.21 |
| OR | $1.46 | $2.21 |
| PA | $1.52 | $2.04 |
| PR | $2.50 | — |
| RI | $1.55 | $2.04 |
| SC | $1.64 | $2.21 |
| SD | $1.57 | $2.21 |
| TN | $1.64 | $2.21 |
| TX | $1.53 | $2.21 |
| UT | $1.65 | $2.21 |
| VA | $1.64 | $2.04 |
| VI | $2.04 | — |
| VT | $1.55 | $2.09 |
| WA | $1.46 | $2.21 |
| WI | $1.61 | $2.09 |
| WV | $1.64 | $2.04 |
| WY | $1.65 | $2.21 |
Common denial codes to watch
Related A-codes
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