A7037 — Tubing used with positive airway pressure device
HCPCS Level II A-code · short descriptor: “Pos airway pressure tubing”
- 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.
A7037 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $14.19 to $36.48 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $30.43 | — |
| AL | $14.77 | $33.51 |
| AR | $14.77 | $33.27 |
| AZ | $14.74 | $33.51 |
| CA | $15.64 | $33.51 |
| CO | $15.58 | $33.40 |
| CT | $15.46 | $33.51 |
| DC | $14.93 | $33.43 |
| DE | $14.93 | $32.40 |
| FL | $14.77 | $31.86 |
| GA | $14.77 | $32.82 |
| HI | $31.97 | — |
| IA | $14.19 | $33.51 |
| ID | $15.58 | $33.51 |
| IL | $14.90 | $33.43 |
| IN | $14.90 | $33.51 |
| KS | $14.19 | $33.51 |
| KY | $14.77 | $33.05 |
| LA | $14.77 | $33.51 |
| MA | $15.46 | $33.51 |
| MD | $14.93 | $33.43 |
| ME | $15.46 | $33.51 |
| MI | $14.90 | $33.51 |
| MN | $14.19 | $33.51 |
| MO | $14.19 | $33.51 |
| MS | $14.77 | $33.27 |
| MT | $15.58 | $33.51 |
| NC | $14.77 | $32.57 |
| ND | $14.19 | $33.51 |
| NE | $14.19 | $33.51 |
| NH | $15.46 | $32.40 |
| NJ | $14.93 | $32.40 |
| NM | $14.74 | $33.16 |
| NV | $15.64 | $33.51 |
| NY | $14.93 | $32.40 |
| OH | $14.90 | $33.43 |
| OK | $14.74 | $33.11 |
| OR | $15.64 | $33.51 |
| PA | $14.93 | $32.40 |
| PR | $36.48 | — |
| RI | $15.46 | $32.40 |
| SC | $14.77 | $33.05 |
| SD | $14.19 | $33.51 |
| TN | $14.77 | $33.51 |
| TX | $14.74 | $31.86 |
| UT | $15.58 | $33.51 |
| VA | $14.77 | $33.43 |
| VI | $32.31 | — |
| VT | $15.46 | $33.36 |
| WA | $15.64 | $33.51 |
| WI | $14.90 | $33.51 |
| WV | $14.77 | $33.43 |
| WY | $15.58 | $33.51 |
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
Bill A7037 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →