E2500 HCPCS code: Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time

E2500 is the HCPCS Level II code for speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time. The 2026 Medicare DMEPOS fee schedule pays $557.30 to $668.78 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers. Its average fee ranks 1 of 7 E25 codes billed NU (family range $559.40–$9,682.09).

Code details

2026 Medicare DMEPOS fee schedule for E2500

How the E2500 fee compares

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52469: Speech Generating Devices (SGD) - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

What changed for E2500

• 2026-01-01: Average state fee (NU) rose 2.0%: $548.43 to $559.40
• 2026-01-01: Average state fee (RR) rose 2.0%: $54.85 to $55.94
• 2026-01-01: Average state fee (UE) rose 2.0%: $411.32 to $419.55
• 2004-01-01: E2500 added to HCPCS Level II
• Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01

Frequently asked questions

What is HCPCS code E2500?

E2500 is the HCPCS Level II code for speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time. Short descriptor: "Sgd digitized pre-rec <=8min".

How much does Medicare pay for E2500?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $557.30–$668.78; RR (rental (monthly)): $55.73–$66.89; UE (used equipment, purchased): $417.97–$501.55. Rural fees can be higher.

Does Medicare cover E2500?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Did the Medicare fee for E2500 change in 2026?

The average non-rural state fee for NU moved from $548.43 in 2025 to $559.40 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E2500 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E25 codes

• E2502 — Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ($170.44–$2,045.00)
• E2504 — Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ($224.83–$2,697.60)
• E2506 — Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ($329.61–$3,955.55)
• E2508 — Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ($509.71–$6,116.60)
• E2510 — Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ($964.56–$11,574.79)
• E2511 — Speech generating software program, for personal computer or personal digital assistant
• E2512 — Accessory for speech generating device, mounting system
• E2513 — Accessory for speech generating device, electromyographic sensor ($449.12–$4,491.00)
• E2599 — Accessory for speech generating device, not otherwise classified

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Next steps

• Run a reimbursement report for a device billed under E2500
• Watch E2500 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E2500

Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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