E2512 HCPCS code: Accessory for speech generating device, mounting system
E2512 is the HCPCS Level II code for accessory for speech generating device, mounting system. In 2024 Medicare paid an average of $637.19 per service for E2512 across 1,210 services. 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. Medicare volume rose 9% from 2022 to 2024 (1,110 to 1,210 services). In 2024, 38 suppliers billed Medicare for E2512 (purchases), serving 1,203 beneficiaries; California, Florida, New York accounted for 26% of services.
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 | 2004-01-01 |
Who bills E2512 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 38 |
| Referring clinicians | 958 |
| Medicare beneficiaries | 1,203 |
| States with claims | 33 |
| Share of services in top 3 states (California, Florida, New York) | 26% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 40 | 1,102 |
| 2023 | 49 | 1,152 |
| 2024 | 38 | 1,203 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2512, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,110 | 1,102 | $899.12 | $701.50 |
| 2023 | 1,162 | 1,152 | $772.32 | $596.11 |
| 2024 | 1,210 | 1,203 | $825.48 | $637.19 |
States with the most E2512 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 120 | $669.03 |
| Florida | 93 | $615.65 |
| New York | 80 | $618.80 |
| Ohio | 59 | $642.73 |
| Illinois | 54 | $653.82 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
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 E2512
- 2004-01-01: E2512 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 E2512?
E2512 is the HCPCS Level II code for accessory for speech generating device, mounting system. Short descriptor: "Sgd accessory, mounting sys".
How much does Medicare pay for E2512?
In 2024, the average Medicare payment was $637.19 per service (average allowed $825.48).
Does Medicare cover E2512?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of E2512 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)
- 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
- E2513 — Accessory for speech generating device, electromyographic sensor ($449.12–$4,491.00)
- E2599 — Accessory for speech generating device, not otherwise classified
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E2512
- Watch E2512 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2512
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.