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Oral cushion for combination oral/nasal mask, replacement only, each

HCPCS code

Name of the Procedure:

Oral Cushion Replacement for Combination Oral/Nasal Mask
Medical Term: HCPCS Procedure A7028


The oral cushion is a replacement part specifically for combination oral/nasal masks used in CPAP (Continuous Positive Airway Pressure) therapy. This piece ensures a proper fit and seal, enhancing the effectiveness and comfort of the mask for users.


The primary purpose of replacing the oral cushion is to maintain the mask’s integrity and functionality. It helps manage sleep apnea and other respiratory issues by ensuring the mask fits snugly and comfortably, thus providing efficient CPAP therapy.


  • Patients experiencing poor sealing or discomfort with their current oral cushion.
  • Evidence of wear and tear, such as cracks or deformation of the cushion.
  • Decline in therapy effectiveness linked to an ill-fitting mask.
  • Typically, replacement is considered when the cushion shows signs of usage deterioration or as recommended by healthcare providers.


  • No fasting or major preparations are required.
  • It’s essential to clean the mask and other components according to manufacturer instructions before replacing the cushion.
  • Patients should check the replacement schedule provided by their healthcare provider or the cushioning manufacturer.

Procedure Description

  1. Remove the old cushion: Unclip or slide off the old oral cushion from the combination mask.
  2. Align the new cushion: Place the new cushion in alignment with the mask frame.
  3. Secure the new cushion: Clip or slide the new cushion into place, ensuring a firm attachment.
  4. Check the fit: Reassemble the mask and check for a proper fit and seal.

No anesthesia or sedation is involved. The process is simple and can be performed by the patient or a caregiver.


The replacement procedure typically takes about 5-10 minutes.


This procedure is performed at home or wherever the patient uses their CPAP machine.


No healthcare professionals are necessary for the replacement; however, a medical equipment provider or respiratory therapist can offer guidance if needed.

Risks and Complications

  • Improper fitting can lead to air leaks, reducing CPAP therapy effectiveness.
  • Potential discomfort if the new cushion is not properly aligned.
  • Rare risk of allergic reaction to cushion materials.


  • Improved seal and comfort of the CPAP mask.
  • Enhanced effectiveness of CPAP therapy.
  • A potential increase in patient compliance with therapy due to improved comfort.


  • Immediate use of the mask after replacement.
  • No downtime or recovery period needed.
  • Follow the regular cleaning and maintenance routine for the CPAP equipment.


  • Using a different type of combination mask or a nasal-only mask if issues persist.
  • Checking with healthcare providers for any adjustment or alternative CPAP equipment.

Patient Experience

Patients may experience improved comfort and a better seal immediately upon using the new cushion. There could be an adjustment period to get used to the feel of the new cushion, but most patients report a significant positive impact on their therapy effectiveness and comfort. Pain management is not typically needed for this simple replacement procedure.

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