A8000 — Helmet, protective, soft, prefabricated, includes all components and accessories
HCPCS Level II A-code · short descriptor: “Soft protect helmet prefab”
- 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
- Face-to-face & WOPD
- Not on the required list
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
A8000 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $218.57 to $262.20 depending on state and rural status.
Former-CBA payment limits: ceiling $218.57 · floor $185.78
| State | Non-rural | Rural |
|---|---|---|
| AK | $218.57 | — |
| AL | $218.57 | — |
| AR | $218.57 | — |
| AZ | $218.57 | — |
| CA | $218.57 | — |
| CO | $218.57 | — |
| CT | $218.57 | — |
| DC | $218.57 | — |
| DE | $218.57 | — |
| FL | $218.57 | — |
| GA | $218.57 | — |
| HI | $218.57 | — |
| IA | $218.57 | — |
| ID | $218.57 | — |
| IL | $218.57 | — |
| IN | $218.57 | — |
| KS | $218.57 | — |
| KY | $218.57 | — |
| LA | $218.57 | — |
| MA | $218.57 | — |
| MD | $218.57 | — |
| ME | $218.57 | — |
| MI | $218.57 | — |
| MN | $218.57 | — |
| MO | $218.57 | — |
| MS | $218.57 | — |
| MT | $218.57 | — |
| NC | $218.57 | — |
| ND | $218.57 | — |
| NE | $218.57 | — |
| NH | $218.57 | — |
| NJ | $218.57 | — |
| NM | $218.57 | — |
| NV | $218.57 | — |
| NY | $218.57 | — |
| OH | $218.57 | — |
| OK | $218.57 | — |
| OR | $218.57 | — |
| PA | $218.57 | — |
| PR | $262.20 | — |
| RI | $218.57 | — |
| SC | $218.57 | — |
| SD | $218.57 | — |
| TN | $218.57 | — |
| TX | $218.57 | — |
| UT | $218.57 | — |
| VA | $218.57 | — |
| VI | $218.57 | — |
| VT | $218.57 | — |
| WA | $218.57 | — |
| WI | $218.57 | — |
| WV | $218.57 | — |
| WY | $218.57 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $21.86 to $26.21 depending on state and rural status.
Former-CBA payment limits: ceiling $21.86 · floor $18.58
| State | Non-rural | Rural |
|---|---|---|
| AK | $21.86 | — |
| AL | $21.86 | — |
| AR | $21.86 | — |
| AZ | $21.86 | — |
| CA | $21.86 | — |
| CO | $21.86 | — |
| CT | $21.86 | — |
| DC | $21.86 | — |
| DE | $21.86 | — |
| FL | $21.86 | — |
| GA | $21.86 | — |
| HI | $21.86 | — |
| IA | $21.86 | — |
| ID | $21.86 | — |
| IL | $21.86 | — |
| IN | $21.86 | — |
| KS | $21.86 | — |
| KY | $21.86 | — |
| LA | $21.86 | — |
| MA | $21.86 | — |
| MD | $21.86 | — |
| ME | $21.86 | — |
| MI | $21.86 | — |
| MN | $21.86 | — |
| MO | $21.86 | — |
| MS | $21.86 | — |
| MT | $21.86 | — |
| NC | $21.86 | — |
| ND | $21.86 | — |
| NE | $21.86 | — |
| NH | $21.86 | — |
| NJ | $21.86 | — |
| NM | $21.86 | — |
| NV | $21.86 | — |
| NY | $21.86 | — |
| OH | $21.86 | — |
| OK | $21.86 | — |
| OR | $21.86 | — |
| PA | $21.86 | — |
| PR | $26.21 | — |
| RI | $21.86 | — |
| SC | $21.86 | — |
| SD | $21.86 | — |
| TN | $21.86 | — |
| TX | $21.86 | — |
| UT | $21.86 | — |
| VA | $21.86 | — |
| VI | $21.86 | — |
| VT | $21.86 | — |
| WA | $21.86 | — |
| WI | $21.86 | — |
| WV | $21.86 | — |
| WY | $21.86 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $163.97 to $196.69 depending on state and rural status.
Former-CBA payment limits: ceiling $163.97 · floor $139.37
| State | Non-rural | Rural |
|---|---|---|
| AK | $163.97 | — |
| AL | $163.97 | — |
| AR | $163.97 | — |
| AZ | $163.97 | — |
| CA | $163.97 | — |
| CO | $163.97 | — |
| CT | $163.97 | — |
| DC | $163.97 | — |
| DE | $163.97 | — |
| FL | $163.97 | — |
| GA | $163.97 | — |
| HI | $163.97 | — |
| IA | $163.97 | — |
| ID | $163.97 | — |
| IL | $163.97 | — |
| IN | $163.97 | — |
| KS | $163.97 | — |
| KY | $163.97 | — |
| LA | $163.97 | — |
| MA | $163.97 | — |
| MD | $163.97 | — |
| ME | $163.97 | — |
| MI | $163.97 | — |
| MN | $163.97 | — |
| MO | $163.97 | — |
| MS | $163.97 | — |
| MT | $163.97 | — |
| NC | $163.97 | — |
| ND | $163.97 | — |
| NE | $163.97 | — |
| NH | $163.97 | — |
| NJ | $163.97 | — |
| NM | $163.97 | — |
| NV | $163.97 | — |
| NY | $163.97 | — |
| OH | $163.97 | — |
| OK | $163.97 | — |
| OR | $163.97 | — |
| PA | $163.97 | — |
| PR | $196.69 | — |
| RI | $163.97 | — |
| SC | $163.97 | — |
| SD | $163.97 | — |
| TN | $163.97 | — |
| TX | $163.97 | — |
| UT | $163.97 | — |
| VA | $163.97 | — |
| VI | $163.97 | — |
| VT | $163.97 | — |
| WA | $163.97 | — |
| WI | $163.97 | — |
| WV | $163.97 | — |
| WY | $163.97 | — |
Common denial codes to watch
Related A-codes
Bill A8000 with confidence
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