E2506 HCPCS code: Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time
E2506 is the HCPCS Level II code for speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time. The 2026 Medicare DMEPOS fee schedule pays $3,296.27 to $3,955.55 (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 4 of 7 E25 codes billed NU (family range $559.40–$9,682.09).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2004-01-01 |
| Last action effective | 2019-01-01 |
2026 Medicare DMEPOS fee schedule for E2506
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $3,296.27 | $3,955.55 | $3,296.27 | $2,801.83 |
| RR | rental (monthly) | $329.61 | $395.58 | $329.61 | $280.17 |
| UE | used equipment, purchased | $2,472.16 | $2,966.65 | $2,472.16 | $2,101.34 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $3,296.27 | — |
| AL | NU | $3,296.27 | — |
| AR | NU | $3,296.27 | — |
| AZ | NU | $3,296.27 | — |
| CA | NU | $3,296.27 | — |
| CO | NU | $3,296.27 | — |
| CT | NU | $3,296.27 | — |
| DC | NU | $3,296.27 | — |
| DE | NU | $3,296.27 | — |
| FL | NU | $3,296.27 | — |
| GA | NU | $3,296.27 | — |
| HI | NU | $3,296.27 | — |
| IA | NU | $3,296.27 | — |
| ID | NU | $3,296.27 | — |
| IL | NU | $3,296.27 | — |
| IN | NU | $3,296.27 | — |
| KS | NU | $3,296.27 | — |
| KY | NU | $3,296.27 | — |
| LA | NU | $3,296.27 | — |
| MA | NU | $3,296.27 | — |
| MD | NU | $3,296.27 | — |
| ME | NU | $3,296.27 | — |
| MI | NU | $3,296.27 | — |
| MN | NU | $3,296.27 | — |
| MO | NU | $3,296.27 | — |
| MS | NU | $3,296.27 | — |
| MT | NU | $3,296.27 | — |
| NC | NU | $3,296.27 | — |
| ND | NU | $3,296.27 | — |
| NE | NU | $3,296.27 | — |
| NH | NU | $3,296.27 | — |
| NJ | NU | $3,296.27 | — |
| NM | NU | $3,296.27 | — |
| NV | NU | $3,296.27 | — |
| NY | NU | $3,296.27 | — |
| OH | NU | $3,296.27 | — |
| OK | NU | $3,296.27 | — |
| OR | NU | $3,296.27 | — |
| PA | NU | $3,296.27 | — |
| PR | NU | $3,955.55 | — |
| RI | NU | $3,296.27 | — |
| SC | NU | $3,296.27 | — |
| SD | NU | $3,296.27 | — |
| TN | NU | $3,296.27 | — |
| TX | NU | $3,296.27 | — |
| UT | NU | $3,296.27 | — |
| VA | NU | $3,296.27 | — |
| VI | NU | $3,296.27 | — |
| VT | NU | $3,296.27 | — |
| WA | NU | $3,296.27 | — |
| WI | NU | $3,296.27 | — |
| WV | NU | $3,296.27 | — |
| WY | NU | $3,296.27 | — |
| AK | RR | $329.61 | — |
| AL | RR | $329.61 | — |
| AR | RR | $329.61 | — |
| AZ | RR | $329.61 | — |
| CA | RR | $329.61 | — |
| CO | RR | $329.61 | — |
| CT | RR | $329.61 | — |
| DC | RR | $329.61 | — |
| DE | RR | $329.61 | — |
| FL | RR | $329.61 | — |
| GA | RR | $329.61 | — |
| HI | RR | $329.61 | — |
| IA | RR | $329.61 | — |
| ID | RR | $329.61 | — |
| IL | RR | $329.61 | — |
| IN | RR | $329.61 | — |
| KS | RR | $329.61 | — |
| KY | RR | $329.61 | — |
| LA | RR | $329.61 | — |
| MA | RR | $329.61 | — |
| MD | RR | $329.61 | — |
| ME | RR | $329.61 | — |
| MI | RR | $329.61 | — |
| MN | RR | $329.61 | — |
| MO | RR | $329.61 | — |
| MS | RR | $329.61 | — |
| MT | RR | $329.61 | — |
| NC | RR | $329.61 | — |
| ND | RR | $329.61 | — |
| NE | RR | $329.61 | — |
| NH | RR | $329.61 | — |
| NJ | RR | $329.61 | — |
| NM | RR | $329.61 | — |
| NV | RR | $329.61 | — |
| NY | RR | $329.61 | — |
| OH | RR | $329.61 | — |
| OK | RR | $329.61 | — |
| OR | RR | $329.61 | — |
| PA | RR | $329.61 | — |
| PR | RR | $395.58 | — |
| RI | RR | $329.61 | — |
| SC | RR | $329.61 | — |
| SD | RR | $329.61 | — |
| TN | RR | $329.61 | — |
| TX | RR | $329.61 | — |
| UT | RR | $329.61 | — |
| VA | RR | $329.61 | — |
| VI | RR | $329.61 | — |
| VT | RR | $329.61 | — |
| WA | RR | $329.61 | — |
| WI | RR | $329.61 | — |
| WV | RR | $329.61 | — |
| WY | RR | $329.61 | — |
| AK | UE | $2,472.16 | — |
| AL | UE | $2,472.16 | — |
| AR | UE | $2,472.16 | — |
| AZ | UE | $2,472.16 | — |
| CA | UE | $2,472.16 | — |
| CO | UE | $2,472.16 | — |
| CT | UE | $2,472.16 | — |
| DC | UE | $2,472.16 | — |
| DE | UE | $2,472.16 | — |
| FL | UE | $2,472.16 | — |
| GA | UE | $2,472.16 | — |
| HI | UE | $2,472.16 | — |
| IA | UE | $2,472.16 | — |
| ID | UE | $2,472.16 | — |
| IL | UE | $2,472.16 | — |
| IN | UE | $2,472.16 | — |
| KS | UE | $2,472.16 | — |
| KY | UE | $2,472.16 | — |
| LA | UE | $2,472.16 | — |
| MA | UE | $2,472.16 | — |
| MD | UE | $2,472.16 | — |
| ME | UE | $2,472.16 | — |
| MI | UE | $2,472.16 | — |
| MN | UE | $2,472.16 | — |
| MO | UE | $2,472.16 | — |
| MS | UE | $2,472.16 | — |
| MT | UE | $2,472.16 | — |
| NC | UE | $2,472.16 | — |
| ND | UE | $2,472.16 | — |
| NE | UE | $2,472.16 | — |
| NH | UE | $2,472.16 | — |
| NJ | UE | $2,472.16 | — |
| NM | UE | $2,472.16 | — |
| NV | UE | $2,472.16 | — |
| NY | UE | $2,472.16 | — |
| OH | UE | $2,472.16 | — |
| OK | UE | $2,472.16 | — |
| OR | UE | $2,472.16 | — |
| PA | UE | $2,472.16 | — |
| PR | UE | $2,966.65 | — |
| RI | UE | $2,472.16 | — |
| SC | UE | $2,472.16 | — |
| SD | UE | $2,472.16 | — |
| TN | UE | $2,472.16 | — |
| TX | UE | $2,472.16 | — |
| UT | UE | $2,472.16 | — |
| VA | UE | $2,472.16 | — |
| VI | UE | $2,472.16 | — |
| VT | UE | $2,472.16 | — |
| WA | UE | $2,472.16 | — |
| WI | UE | $2,472.16 | — |
| WV | UE | $2,472.16 | — |
| WY | UE | $2,472.16 | — |
How the E2506 fee compares
| Measure | Value |
|---|---|
| Rank among 7 E25 codes billed NU (lowest = 1) | 4 |
| Family fee range (average of state fees) | $559.40–$9,682.09 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
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 E2506
- 2026-01-01: Average state fee (NU) rose 2.0%: $3,243.84 to $3,308.71
- 2026-01-01: Average state fee (RR) rose 2.0%: $324.37 to $330.85
- 2026-01-01: Average state fee (UE) rose 2.0%: $2,432.84 to $2,481.49
- 2004-01-01: E2506 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 E2506?
E2506 is the HCPCS Level II code for speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time. Short descriptor: "Sgd prerec msg > 40 min".
How much does Medicare pay for E2506?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $3,296.27–$3,955.55; RR (rental (monthly)): $329.61–$395.58; UE (used equipment, purchased): $2,472.16–$2,966.65. Rural fees can be higher.
Does Medicare cover E2506?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E2506 change in 2026?
The average non-rural state fee for NU moved from $3,243.84 in 2025 to $3,308.71 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2506 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E25 codes
- E2500 — Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ($55.73–$668.78)
- 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)
- 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 E2506
- Watch E2506 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2506
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.