A7027 — Combination oral/nasal mask, used with continuous positive airway pressure device, each
HCPCS Level II A-code · short descriptor: “Combination oral/nasal mask”
- 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.
A7027 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $142.24 to $218.86 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $210.43 | — |
| AL | $153.68 | $216.07 |
| AR | $153.68 | $216.07 |
| AZ | $147.14 | $210.94 |
| CA | $151.77 | $216.07 |
| CO | $152.68 | $216.07 |
| CT | $144.12 | $210.94 |
| DC | $142.24 | $216.07 |
| DE | $142.24 | $210.94 |
| FL | $153.68 | $210.94 |
| GA | $153.68 | $216.07 |
| HI | $215.54 | — |
| IA | $153.49 | $216.07 |
| ID | $152.68 | $210.94 |
| IL | $153.18 | $216.07 |
| IN | $153.18 | $216.07 |
| KS | $153.49 | $210.94 |
| KY | $153.68 | $216.07 |
| LA | $153.68 | $216.07 |
| MA | $144.12 | $210.94 |
| MD | $142.24 | $210.94 |
| ME | $144.12 | $210.94 |
| MI | $153.18 | $216.07 |
| MN | $153.49 | $216.07 |
| MO | $153.49 | $216.07 |
| MS | $153.68 | $216.07 |
| MT | $152.68 | $210.94 |
| NC | $153.68 | $214.79 |
| ND | $153.49 | $216.07 |
| NE | $153.49 | $210.94 |
| NH | $144.12 | $210.94 |
| NJ | $142.24 | $210.94 |
| NM | $147.14 | $216.07 |
| NV | $151.77 | $210.94 |
| NY | $142.24 | $210.94 |
| OH | $153.18 | $216.07 |
| OK | $147.14 | $216.07 |
| OR | $151.77 | $210.94 |
| PA | $142.24 | $210.94 |
| PR | $218.86 | — |
| RI | $144.12 | $210.94 |
| SC | $153.68 | $216.07 |
| SD | $153.49 | $216.07 |
| TN | $153.68 | $216.07 |
| TX | $147.14 | $210.94 |
| UT | $152.68 | $216.07 |
| VA | $153.68 | $210.94 |
| VI | $215.54 | — |
| VT | $144.12 | $210.94 |
| WA | $151.77 | $216.07 |
| WI | $153.18 | $216.07 |
| WV | $153.68 | $216.07 |
| WY | $152.68 | $214.79 |
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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