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See a sample rate comparisonHCPCS A7040 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
One way chest drain valve
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7040 |
National average reimbursement for HCPCS A7040 by major payers:
$47.22
$30.63
$38.05
$44.93
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HCPCS A7040
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$100.89Published rateVictoria Lewis-Holland
$42.70Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$28.35Published rateWillamette Community Health Solutions, Cascade Health Solutions
$25.19Published rateMichael Guillette
Aztec Urgent Care LLC
$23.29Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7040 vs. Other Breathing Aids Codes
The HCPCS A7040 code is part of the Medical And Surgical Supplies services used for Breathing Aids. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A7040 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A7039-HCPCS | Low | Filter, non disposable, used with positive airway pressure device |
| A7040-HCPCS | Low | One way chest drain valve |
| A7041-HCPCS | Low | Water seal drainage container and tubing for use with implanted chest tube |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7040 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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