A7017 Nebulizer not used w oxygen

Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for A7017

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 A7017

Payer coverage policies that name A7017

A7017 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)covered if criteria are metMar 18, 2026payer document
AetnaNebulizers (0065)listed, no stanceMar 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, MA, OH.

  • AZ: $128.11 (dme), effective Oct 1, 2026
  • CO: $92.37 (chp_plus, non-facility), effective Jul 1, 2026
  • IN: $12.81 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2025
  • KS: $106.48 (default), effective Jul 1, 2026
  • KY: $147.37 (dme), effective Jan 1, 2026
  • LA: $86.19 (dme), effective Jul 1, 2012
  • MD: $119.36 (dme), effective Apr 1, 2026
  • ND: $0.00 (dme), effective Aug 1, 2026
  • NE: $95.51 (dme), effective Jul 1, 2026
  • OH: $120.57 (dme), effective Jan 1, 2026
  • OK: $130.82 (dme), effective Jan 1, 2026
  • TX: $100.46 (dmepos_tos_9_e_j_l_and_r, Home Health Dme, non-facility), effective Apr 1, 2017
  • VA: $126.54 (medical), effective Jan 1, 2011
  • VT: $146.63 (outpatient_hospital_opps), effective Feb 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.