A7030 — Full face mask used with positive airway pressure device, each
HCPCS Level II A-code · short descriptor: “Cpap full face 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.
A7030 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $109.52 to $200.55 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $177.39 | — |
| AL | $110.55 | $177.85 |
| AR | $110.55 | $177.85 |
| AZ | $109.65 | $177.85 |
| CA | $109.52 | $177.85 |
| CO | $112.97 | $177.85 |
| CT | $118.14 | $177.85 |
| DC | $111.88 | $177.85 |
| DE | $111.88 | $177.85 |
| FL | $110.55 | $177.85 |
| GA | $110.55 | $177.85 |
| HI | $177.39 | — |
| IA | $111.31 | $177.85 |
| ID | $112.97 | $177.85 |
| IL | $110.81 | $177.85 |
| IN | $110.81 | $177.85 |
| KS | $111.31 | $177.85 |
| KY | $110.55 | $177.85 |
| LA | $110.55 | $177.85 |
| MA | $118.14 | $177.85 |
| MD | $111.88 | $177.85 |
| ME | $118.14 | $177.85 |
| MI | $110.81 | $177.85 |
| MN | $111.31 | $177.85 |
| MO | $111.31 | $177.85 |
| MS | $110.55 | $177.85 |
| MT | $112.97 | $177.85 |
| NC | $110.55 | $177.85 |
| ND | $111.31 | $177.85 |
| NE | $111.31 | $177.85 |
| NH | $118.14 | $177.85 |
| NJ | $111.88 | $177.85 |
| NM | $109.65 | $177.85 |
| NV | $109.52 | $177.85 |
| NY | $111.88 | $177.85 |
| OH | $110.81 | $177.85 |
| OK | $109.65 | $177.85 |
| OR | $109.52 | $177.85 |
| PA | $111.88 | $177.85 |
| PR | $200.55 | — |
| RI | $118.14 | $177.85 |
| SC | $110.55 | $177.85 |
| SD | $111.31 | $177.85 |
| TN | $110.55 | $177.85 |
| TX | $109.65 | $177.85 |
| UT | $112.97 | $177.85 |
| VA | $110.55 | $177.85 |
| VI | $177.39 | — |
| VT | $118.14 | $177.85 |
| WA | $109.52 | $177.85 |
| WI | $110.81 | $177.85 |
| WV | $110.55 | $177.85 |
| WY | $112.97 | $177.85 |
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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