A7044 — Oral interface used with positive airway pressure device, each
HCPCS Level II A-code · short descriptor: “Pap oral interface”
- 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.
A7044 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $98.74 to $146.47 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $131.63 | — |
| AL | $106.22 | $131.93 |
| AR | $106.22 | $131.93 |
| AZ | $99.64 | $131.93 |
| CA | $111.90 | $131.93 |
| CO | $102.46 | $131.93 |
| CT | $103.50 | $131.93 |
| DC | $98.74 | $131.93 |
| DE | $98.74 | $131.93 |
| FL | $106.22 | $131.93 |
| GA | $106.22 | $131.93 |
| HI | $131.63 | — |
| IA | $102.75 | $131.93 |
| ID | $102.46 | $131.93 |
| IL | $109.13 | $131.93 |
| IN | $109.13 | $131.93 |
| KS | $102.75 | $131.93 |
| KY | $106.22 | $131.93 |
| LA | $106.22 | $131.93 |
| MA | $103.50 | $131.93 |
| MD | $98.74 | $131.93 |
| ME | $103.50 | $131.93 |
| MI | $109.13 | $131.93 |
| MN | $102.75 | $131.93 |
| MO | $102.75 | $131.93 |
| MS | $106.22 | $131.93 |
| MT | $102.46 | $131.93 |
| NC | $106.22 | $131.93 |
| ND | $102.75 | $131.93 |
| NE | $102.75 | $131.93 |
| NH | $103.50 | $131.93 |
| NJ | $98.74 | $131.93 |
| NM | $99.64 | $131.93 |
| NV | $111.90 | $131.93 |
| NY | $98.74 | $131.93 |
| OH | $109.13 | $131.93 |
| OK | $99.64 | $131.93 |
| OR | $111.90 | $131.93 |
| PA | $98.74 | $131.93 |
| PR | $146.47 | — |
| RI | $103.50 | $131.93 |
| SC | $106.22 | $131.93 |
| SD | $102.75 | $131.93 |
| TN | $106.22 | $131.93 |
| TX | $99.64 | $131.93 |
| UT | $102.46 | $131.93 |
| VA | $106.22 | $131.93 |
| VI | $131.63 | — |
| VT | $103.50 | $131.93 |
| WA | $111.90 | $131.93 |
| WI | $109.13 | $131.93 |
| WV | $106.22 | $131.93 |
| WY | $102.46 | $131.93 |
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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