A7005 — Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
A7005 is a HCPCS Level II code for administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A7005 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Published Contractor Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A7005
- Long descriptor
- Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
- Short descriptor
- Nondisposable nebulizer set
- Added
- January 1, 2000
- BETOS
- D1E
- Pricing indicator
- 32 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Inexpensive and routinely purchased DME. Price subject to floors and ceilings.
Codes adjacent to A7005
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A7005 is not quite right, the correct code is very often within a few positions of it.
- A6609Gradient compression bandaging supply, not otherwise specified
- A6610Gradient compression stocking, below knee, 18-30 mmhg, custom, each
- A6611Gradient compression wrap with adjustable straps, above knee, each, custom
- A7000Canister, disposable, used with suction pump, each
- A7001Canister, non-disposable, used with suction pump, each
- A7002Tubing, used with suction pump, each
- A7003Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
- A7004Small volume nonfiltered pneumatic nebulizer, disposable
- A7006Administration set, with small volume filtered pneumatic nebulizer
- A7007Large volume nebulizer, disposable, unfilled, used with aerosol compressor
- A7008Large volume nebulizer, disposable, prefilled, used with aerosol compressor
- A7009Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer
- A7010Corrugated tubing, disposable, used with large volume nebulizer, 100 feet
- A7011Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feetterminated
- A7012Water collection device, used with large volume nebulizer
- A7013Filter, disposable, used with aerosol compressor or ultrasonic generator
Questions about A7005
What is HCPCS code A7005?
A7005 is a HCPCS Level II code for administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A7005?
The CMS HCPCS file marks A7005 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A7005 paid under the physician fee schedule?
A7005 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.