A7033 — Pillow for use on nasal cannula type interface, replacement only, pair
HCPCS Level II A-code · short descriptor: “Replacement nasal pillows”
- 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.
A7033 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $19.26 to $31.66 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $28.18 | — |
| AL | $19.36 | $28.25 |
| AR | $19.36 | $28.25 |
| AZ | $19.37 | $28.25 |
| CA | $19.48 | $28.25 |
| CO | $19.66 | $28.25 |
| CT | $20.06 | $28.25 |
| DC | $19.26 | $28.25 |
| DE | $19.26 | $28.25 |
| FL | $19.36 | $28.25 |
| GA | $19.36 | $28.25 |
| HI | $28.18 | — |
| IA | $19.55 | $28.25 |
| ID | $19.66 | $28.25 |
| IL | $19.42 | $28.25 |
| IN | $19.42 | $28.25 |
| KS | $19.55 | $28.25 |
| KY | $19.36 | $28.25 |
| LA | $19.36 | $28.25 |
| MA | $20.06 | $28.25 |
| MD | $19.26 | $28.25 |
| ME | $20.06 | $28.25 |
| MI | $19.42 | $28.25 |
| MN | $19.55 | $28.25 |
| MO | $19.55 | $28.25 |
| MS | $19.36 | $28.25 |
| MT | $19.66 | $28.25 |
| NC | $19.36 | $28.25 |
| ND | $19.55 | $28.25 |
| NE | $19.55 | $28.25 |
| NH | $20.06 | $28.25 |
| NJ | $19.26 | $28.25 |
| NM | $19.37 | $28.25 |
| NV | $19.48 | $28.25 |
| NY | $19.26 | $28.25 |
| OH | $19.42 | $28.25 |
| OK | $19.37 | $28.25 |
| OR | $19.48 | $28.25 |
| PA | $19.26 | $28.25 |
| PR | $31.66 | — |
| RI | $20.06 | $28.25 |
| SC | $19.36 | $28.25 |
| SD | $19.55 | $28.25 |
| TN | $19.36 | $28.25 |
| TX | $19.37 | $28.25 |
| UT | $19.66 | $28.25 |
| VA | $19.36 | $28.25 |
| VI | $28.18 | — |
| VT | $20.06 | $28.25 |
| WA | $19.48 | $28.25 |
| WI | $19.42 | $28.25 |
| WV | $19.36 | $28.25 |
| WY | $19.66 | $28.25 |
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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