A7007 Lg vol nebulizer disposable

Large volume nebulizer, disposable, unfilled, used with aerosol compressor

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for A7007

DMEPOS fee schedule, July 2026 (DME26-C)

Physician Fee Schedule (CY 2026, RVU26D)

Status X: statutory exclusion, not paid under the PFS.

Payer policies and prior authorization for A7007

Payer coverage policies that name A7007

A7007 appears in 3 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island.

PayerPolicyRole in policyReviewedDocument
AetnaNebulizers (0065)not coveredMar 18, 2026payer document
Blue Cross & Blue Shield of MississippiOxygen (L.1.01.403)covered if criteria are metpayer document
Blue Cross & Blue Shield of Rhode IslandMultifunction Home Ventilators
Medicare Advantage Plans and Commercial Products
listed, no stanceMay 15, 2024payer document

Medicaid fee-for-service

Prior authorization required or conditional in LA, OH, VA.

  • AZ: $3.64 (dme), effective Oct 1, 2026
  • CO: $3.36 (dme), effective Jul 1, 2026
  • IL: $2.38 (dme), effective Jan 1, 2026
  • IN: $3.52 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024
  • KS: $2.99 (default), effective Jul 1, 2026
  • KY: $3.15 (dme), effective Jan 1, 2026
  • LA: $2.91 (dme), effective Jul 1, 2012
  • MD: $3.26 (dme), effective Apr 1, 2026
  • MS: $4.26 (comprehensive), effective Jul 1, 2026
  • ND: $3.74 (dme), effective Aug 1, 2026
  • NE: $2.69 (dme), effective Jul 1, 2026
  • NY: $2.92 (dme), effective Jul 1, 2026
  • OH: $4.00 (dme), effective Oct 1, 2004
  • OK: $3.72 (dme), effective Jan 1, 2026
  • TX: $3.29 (dmepos_tos_9_e_j_l_and_r, Home Health Dme, non-facility), effective Apr 1, 2017
  • VA: $5.02 (dme), effective Dec 1, 2026
  • VT: $4.31 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $3.00 (respiratory), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.