2024 HCPCS Code A7028

Oral cushion for combination oral/nasal mask, replacement only, each

Short Description	Repl oral cushion combo mask
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2008
HCPCS Code Added Date	January 01, 2008
HCPCS Pricing Indicator Code	32 - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	A - Used durable medical equipment (DME)
HCPCS Anesthesia Base Unit Quantity	0