A7036 — Chinstrap used with positive airway pressure device
HCPCS Level II A-code · short descriptor: “Pos airway press chinstrap”
- 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.
A7036 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $12.95 to $18.52 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $15.30 | — |
| AL | $13.32 | $17.11 |
| AR | $13.32 | $17.02 |
| AZ | $13.00 | $18.52 |
| CA | $13.70 | $18.52 |
| CO | $13.08 | $17.07 |
| CT | $13.80 | $18.52 |
| DC | $12.95 | $16.84 |
| DE | $12.95 | $18.52 |
| FL | $13.32 | $16.84 |
| GA | $13.32 | $16.84 |
| HI | $15.87 | — |
| IA | $12.97 | $18.52 |
| ID | $13.08 | $18.52 |
| IL | $13.58 | $16.84 |
| IN | $13.58 | $16.87 |
| KS | $12.97 | $18.52 |
| KY | $13.32 | $16.93 |
| LA | $13.32 | $17.29 |
| MA | $13.80 | $18.52 |
| MD | $12.95 | $16.84 |
| ME | $13.80 | $18.52 |
| MI | $13.58 | $16.84 |
| MN | $12.97 | $16.95 |
| MO | $12.97 | $18.52 |
| MS | $13.32 | $17.02 |
| MT | $13.08 | $18.52 |
| NC | $13.32 | $16.84 |
| ND | $12.97 | $18.52 |
| NE | $12.97 | $18.52 |
| NH | $13.80 | $18.52 |
| NJ | $12.95 | $18.52 |
| NM | $13.00 | $16.97 |
| NV | $13.70 | $18.52 |
| NY | $12.95 | $18.52 |
| OH | $13.58 | $16.84 |
| OK | $13.00 | $16.96 |
| OR | $13.70 | $18.52 |
| PA | $12.95 | $18.52 |
| PR | $18.25 | — |
| RI | $13.80 | $18.52 |
| SC | $13.32 | $16.93 |
| SD | $12.97 | $18.52 |
| TN | $13.32 | $17.18 |
| TX | $13.00 | $16.84 |
| UT | $13.08 | $18.52 |
| VA | $13.32 | $16.84 |
| VI | $18.48 | — |
| VT | $13.80 | $18.52 |
| WA | $13.70 | $18.52 |
| WI | $13.58 | $16.87 |
| WV | $13.32 | $16.84 |
| WY | $13.08 | $18.52 |
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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