A7028 HCPCS Level II code: Oral cushion for combination oral/nasal mask, replacement only, each
A7028 is the HCPCS code for “Oral cushion for combination oral/nasal mask, replacement only, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A7028Oral cushion for combination oral/nasal mask, replacement only, each
Short description: Repl oral cushion combo mask
HCPCS · United States
Medicare details
The indicators CMS publishes with A7028 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Inexpensive & routinely purchased DME (price subject to floors and ceilings)
- Type of service
- Used durable medical equipment (DME); Lump sum purchase of DME, prosthetics, orthotics; Rental of DME
- BETOS category
- Other DME
- Added
- Jan 1, 2008
Where A7028 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A7028Oral cushion for combination oral/nasal mask, replacement only, each
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A7028 mean?
A7028 is the HCPCS code for “Oral cushion for combination oral/nasal mask, replacement only, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A7028?
CMS lists A7028’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Inexpensive & routinely purchased DME (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A7028
All A codesA7020Interface for cough stimulating device, includes all components, replacement onlyA7021Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)A7023Mechanical allergen particle barrier/inhalation filter, cream, nasal, topicalA7025High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, eachA7026High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, eachA7027Combination oral/nasal mask, used with continuous positive airway pressure device, eachA7029Nasal pillows for combination oral/nasal mask, replacement only, pairA7030Full face mask used with positive airway pressure device, eachA7031Face mask interface, replacement for full face mask, eachA7032Cushion for use on nasal mask interface, replacement only, eachA7033Pillow for use on nasal cannula type interface, replacement only, pairA7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap