A7047 Oral Interface HCPCS — Reimbursement & Policy | OpenPayer

Summary & Overview

HCPCS A7047: Oral Interface for Respiratory Suction Pump

HCPCS Level II code A7047 identifies an oral interface component used with a respiratory suction pump to clear oral secretions. This supply-level code is relevant across acute and ambulatory care settings and home health programs where airway secretion management is provided. Nationally, the code matters for supply management, durable medical equipment billing, and clinical workflows tied to suctioning protocols.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical role, expected sites of service, typical billing context, and payer coverage considerations. The publication summarizes common modifiers and billing practice themes, highlights typical claim adjudication points for DME-related supplies, and outlines benchmarks and policy updates that affect coding and reimbursement for suctioning accessories.

This summary equips providers, billing staff, and policy analysts with the context needed to classify A7047 properly, anticipate payer interactions, and align clinical documentation with supply billing. Data not available in the input: associated taxonomies, ICD-10 diagnoses, related codes, and service line specifics.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareA7047HCPCS Level IIrespiratory suctionoral interfacedurable medical equipmenthome health suppliesmedical billingsupply codingairway management

Billing Code Overview

HCPCS Level II code A7047 describes an oral interface used with a respiratory suction pump, each. This supply is intended to provide an interface that connects a patient’s oral cavity to a respiratory suction pump to remove secretions.

Service type: Durable medical supply / suction accessory

Typical site of service: Home health care, outpatient clinics, inpatient hospital units, long-term care facilities

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A patient with excessive oral secretions following a neurologic event (for example, stroke with impaired swallow reflex) is admitted to an acute care hospital. The respiratory therapist or nursing staff assesses the need for oropharyngeal suction to maintain airway patency and prevent aspiration. An order is placed for use of a respiratory suction pump with a single-use oral interface. Staff retrieves supply coded as A7047 (oral interface used with respiratory suction pump, each), opens the sterile packaged oral suction interface at the bedside, connects it to the suction tubing and pump, performs oropharyngeal suctioning while monitoring oxygenation and heart rate, documents the procedure, and disposes of the single-use device per infection-control policy. Typical site of service is inpatient acute care, emergency department, or skilled nursing facility. Typical patient scenario includes patients with neurological impairment, advanced dementia with pooling saliva, post-anesthesia patients with impaired airway reflexes, or ventilator-associated care where oral suctioning is required to clear secretions. The device is billed per item provided when supplied separately from other suction equipment.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier	Use when no applicable modifier applies to the supply billing.

HCPCS A5504: Diabetic Shoe Modification and Fitting

HCPCS-A4261-CERVICAL-CAP-CONTRACEPTIVE-DEVICE

HCPCS A4261: Cervical Cap for Contraceptive Use

HCPCS-A7016-DOME-MOUTHPIECE-SMALL-VOLUME-ULTRASONIC-NEBULIZER

HCPCS A7016: Dome and Mouthpiece for Small Volume Ultrasonic Nebulizer

HCPCS-A4725-DIALYSATE-SOLUTION-5000-5999CC-PERITONEAL-DIALYSIS

HCPCS A4725: Dialysate Solution 5000–5999 cc for Peritoneal Dialysis

HCPCS-A4670-AUTOMATIC-BLOOD-PRESSURE-MONITOR

HCPCS Level II A4670: Automatic Blood Pressure Monitor

HCPCS-A4543-AURICULAR-TENS-SUPPLIES-MONTHLY

HCPCS A4543: Supplies for Auricular TENS, Monthly

HCPCS-A4389-OSTOMY-POUCH-DRAINABLE-BARRIER-CONVEXITY-1-PIECE

HCPCS A4389: Drainable One-Piece Ostomy Pouch with Barrier and Convexity

HCPCS-A7010-CORRUGATED-TUBING-LARGE-VOLUME-NEBULIZER-100FT

HCPCS Level II A7010: Corrugated Tubing for Large Volume Nebulizer, 100 ft

HCPCS-A6565-GRADIENT-COMPRESSION-GAUNTLET-CUSTOM

HCPCS A6565: Gradient Compression Gauntlet, Custom, Each

HCPCS-A4611-HEAVY-DUTY-VENTILATOR-BATTERY-REPLACEMENT

HCPCS A4611: Heavy-Duty Battery Replacement for Patient Ventilator

Showing 1–10 of 633

Taxonomy Code	Specialty	Notes
`2285S0001X`	Respiratory Therapist	Primary clinician in airway suctioning and equipment setup; commonly supplies and documents use of `A7047`.
`364S00000X`	Registered Nurse	Performs bedside suctioning in acute, post-anesthesia, and long-term care settings; documents supply use.
`2086S0105X`	Critical Care Medicine (Physician)	Supervises airway management for critically ill patients where frequent suctioning is required; may order supplies.
`363L00000X`	Nurse Practitioner	Provides advanced airway care and orders supplies in inpatient and outpatient settings.
`207RC0000X`	Pulmonary Disease (Physician)	Manages patients with chronic respiratory secretions and coordinates suctioning equipment and supplies.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`G81.90`	Hemiplegia, unspecified affecting unspecified side	Patients with hemiplegia often have impaired swallow and pooling secretions requiring oropharyngeal suctioning using `A7047`.
`R09.02`	Hypoxemia	Hypoxemic patients frequently require airway clearance; oral suctioning is part of management.
`I63.9`	Cerebral infarction, unspecified	Post-stroke patients commonly have dysphagia and require suctioning to protect the airway.
`F03.90`	Unspecified dementia without behavioral disturbance	Advanced dementia can cause drooling and inability to manage secretions, necessitating suctioning.
`J96.00`	Acute respiratory failure, unspecified whether with hypoxia or hypercapnia	Critically ill patients with respiratory failure often need frequent suctioning and single-use oral interfaces.
`T88.7XXA`	Unspecified adverse effect of drug, initial encounter	Patients with medication-induced depressed consciousness may require suctioning to maintain airway.
`Z99.11`	Dependence on respirator [ventilator] status	Patients on long-term ventilation require regular suctioning to clear secretions; `A7047` is a relevant supply.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`31500`	Intubation, endotracheal, emergency procedure	Performed when airway compromise requires definitive airway prior to or in conjunction with suctioning; oral interfaces like `A7047` may be used before or after intubation for secretion clearance.
`94002`	Ventilator management, initiation and management, hospital inpatient/observation, initial day	Respiratory therapists manage secretions for ventilated patients; single-use oral interfaces are part of secretion management supplies.
`94060`	Continuous pulse oximetry monitoring (inpatient)	Oximetry is commonly used during suctioning to monitor oxygenation; not billed with the supply but often performed concurrently.
`94640`	Pressurized or non-pressurized inhalation treatment for acute airway obstruction	May be performed before or after suctioning to mobilize secretions; `A7047` is a disposable accessory for suctioning.
`31505`	Intubation, endotracheal, routine, scheduled	In planned airway procedures, oral suction is used to clear the field; `A7047` can be supplied during the procedure.

OpenPayer