A7028 Repl oral cushion combo mask
Also known as: combo mask oral cushion, oral cushion, mouth piece pad
Replacement oral cushion for combination oral and nasal mask interface in positive airway pressure therapy.
In Plain Language
mouth part pad; mouth interface padding; soft mouth piece
Clinical Context
Used with combination masks for positive airway pressure therapy. Provides comfort and maintains seal during oral delivery of pressure.
RVU Information
CPT A7028 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A7028?
CPT A7028 (Repl oral cushion combo mask) is a A Codes code. Replacement oral cushion for combination oral and nasal mask interface in positive airway pressure therapy.
Does Medicare cover A7028?
Medicare coverage for A7028 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with combination masks for positive airway pressure therapy. Provides comfort and maintains seal during oral delivery of pressure. A physician order is typically required.
When is CPT A7028 used?
Used with combination masks for positive airway pressure therapy. Provides comfort and maintains seal during oral delivery of pressure.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.