A7032 — Cushion for use on nasal mask interface, replacement only, each
HCPCS Level II A-code · short descriptor: “Replacement nasal cushion”
- 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.
A7032 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $23.09 to $42.96 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $37.97 | — |
| AL | $24.05 | $38.07 |
| AR | $24.05 | $38.07 |
| AZ | $23.43 | $38.07 |
| CA | $23.77 | $38.07 |
| CO | $23.93 | $38.07 |
| CT | $24.76 | $38.07 |
| DC | $23.29 | $38.07 |
| DE | $23.29 | $38.07 |
| FL | $24.05 | $38.07 |
| GA | $24.05 | $38.07 |
| HI | $37.97 | — |
| IA | $23.51 | $38.07 |
| ID | $23.93 | $38.07 |
| IL | $23.09 | $38.07 |
| IN | $23.09 | $38.07 |
| KS | $23.51 | $38.07 |
| KY | $24.05 | $38.07 |
| LA | $24.05 | $38.07 |
| MA | $24.76 | $38.07 |
| MD | $23.29 | $38.07 |
| ME | $24.76 | $38.07 |
| MI | $23.09 | $38.07 |
| MN | $23.51 | $38.07 |
| MO | $23.51 | $38.07 |
| MS | $24.05 | $38.07 |
| MT | $23.93 | $38.07 |
| NC | $24.05 | $38.07 |
| ND | $23.51 | $38.07 |
| NE | $23.51 | $38.07 |
| NH | $24.76 | $38.07 |
| NJ | $23.29 | $38.07 |
| NM | $23.43 | $38.07 |
| NV | $23.77 | $38.07 |
| NY | $23.29 | $38.07 |
| OH | $23.09 | $38.07 |
| OK | $23.43 | $38.07 |
| OR | $23.77 | $38.07 |
| PA | $23.29 | $38.07 |
| PR | $42.96 | — |
| RI | $24.76 | $38.07 |
| SC | $24.05 | $38.07 |
| SD | $23.51 | $38.07 |
| TN | $24.05 | $38.07 |
| TX | $23.43 | $38.07 |
| UT | $23.93 | $38.07 |
| VA | $24.05 | $38.07 |
| VI | $37.97 | — |
| VT | $24.76 | $38.07 |
| WA | $23.77 | $38.07 |
| WI | $23.09 | $38.07 |
| WV | $24.05 | $38.07 |
| WY | $23.93 | $38.07 |
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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