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A7017 — Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen

HCPCS Level II A-code · short descriptor: “Nebulizer not used w oxygen”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Special coverage instructions apply
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.

A7017 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $130.82 to $194.58 depending on state and rural status.

StateNon-ruralRural
AK$175.48—
AL$156.31$175.48
AR$156.31$175.48
AZ$130.82$175.48
CA$142.05$175.48
CO$151.83$175.48
CT$141.71$175.48
DC$140.42$175.48
DE$140.42$175.48
FL$156.31$175.48
GA$156.31$175.48
HI$175.48—
IA$133.10$175.48
ID$151.83$175.48
IL$154.79$175.48
IN$154.79$175.48
KS$133.10$175.48
KY$156.31$175.48
LA$156.31$175.48
MA$141.71$175.48
MD$140.42$175.48
ME$141.71$175.48
MI$154.79$175.48
MN$133.10$175.48
MO$133.10$175.48
MS$156.31$175.48
MT$151.83$175.48
NC$156.31$175.48
ND$133.10$175.48
NE$133.10$175.48
NH$141.71$175.48
NJ$140.42$175.48
NM$130.82$175.48
NV$142.05$175.48
NY$140.42$175.48
OH$154.79$175.48
OK$130.82$175.48
OR$142.05$175.48
PA$140.42$175.48
PR$194.58—
RI$141.71$175.48
SC$156.31$175.48
SD$133.10$175.48
TN$156.31$175.48
TX$130.82$175.48
UT$151.83$175.48
VA$156.31$175.48
VI$175.48—
VT$141.71$175.48
WA$142.05$175.48
WI$154.79$175.48
WV$156.31$175.48
WY$151.83$175.48

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $13.08 to $19.45 depending on state and rural status.

StateNon-ruralRural
AK$17.56—
AL$15.63$17.56
AR$15.63$17.56
AZ$13.08$17.56
CA$14.21$17.56
CO$15.18$17.56
CT$14.17$17.56
DC$14.04$17.56
DE$14.04$17.56
FL$15.63$17.56
GA$15.63$17.56
HI$17.56—
IA$13.31$17.56
ID$15.18$17.56
IL$15.48$17.56
IN$15.48$17.56
KS$13.31$17.56
KY$15.63$17.56
LA$15.63$17.56
MA$14.17$17.56
MD$14.04$17.56
ME$14.17$17.56
MI$15.48$17.56
MN$13.31$17.56
MO$13.31$17.56
MS$15.63$17.56
MT$15.18$17.56
NC$15.63$17.56
ND$13.31$17.56
NE$13.31$17.56
NH$14.17$17.56
NJ$14.04$17.56
NM$13.08$17.56
NV$14.21$17.56
NY$14.04$17.56
OH$15.48$17.56
OK$13.08$17.56
OR$14.21$17.56
PA$14.04$17.56
PR$19.45—
RI$14.17$17.56
SC$15.63$17.56
SD$13.31$17.56
TN$15.63$17.56
TX$13.08$17.56
UT$15.18$17.56
VA$15.63$17.56
VI$17.56—
VT$14.17$17.56
WA$14.21$17.56
WI$15.48$17.56
WV$15.63$17.56
WY$15.18$17.56

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $98.12 to $145.93 depending on state and rural status.

StateNon-ruralRural
AK$131.61—
AL$117.24$131.61
AR$117.24$131.61
AZ$98.12$131.61
CA$106.54$131.61
CO$113.87$131.61
CT$106.28$131.61
DC$105.32$131.61
DE$105.32$131.61
FL$117.24$131.61
GA$117.24$131.61
HI$131.61—
IA$99.83$131.61
ID$113.87$131.61
IL$116.10$131.61
IN$116.10$131.61
KS$99.83$131.61
KY$117.24$131.61
LA$117.24$131.61
MA$106.28$131.61
MD$105.32$131.61
ME$106.28$131.61
MI$116.10$131.61
MN$99.83$131.61
MO$99.83$131.61
MS$117.24$131.61
MT$113.87$131.61
NC$117.24$131.61
ND$99.83$131.61
NE$99.83$131.61
NH$106.28$131.61
NJ$105.32$131.61
NM$98.12$131.61
NV$106.54$131.61
NY$105.32$131.61
OH$116.10$131.61
OK$98.12$131.61
OR$106.54$131.61
PA$105.32$131.61
PR$145.93—
RI$106.28$131.61
SC$117.24$131.61
SD$99.83$131.61
TN$117.24$131.61
TX$98.12$131.61
UT$113.87$131.61
VA$117.24$131.61
VI$131.61—
VT$106.28$131.61
WA$106.54$131.61
WI$116.10$131.61
WV$117.24$131.61
WY$113.87$131.61
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

A7000A7001A7002A7003A7004A7005A7006A7007A7008A7009A7010A7012

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