E2599 HCPCS code: Accessory for speech generating device, not otherwise classified
E2599 is the HCPCS Level II code for accessory for speech generating device, not otherwise classified. In 2024 Medicare paid an average of $2,355.78 per service for E2599 across 1,232 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. Medicare volume rose 9% from 2022 to 2024 (1,135 to 1,232 services). In 2024, 26 suppliers billed Medicare for E2599 (purchases), serving 1,127 beneficiaries; California, New York, Florida accounted for 26% of services.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2004-01-01 |
| Last action effective | 2014-04-01 |
Who bills E2599 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 26 |
| Referring clinicians | 874 |
| Medicare beneficiaries | 1,127 |
| States with claims | 32 |
| Share of services in top 3 states (California, New York, Florida) | 26% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 20 | 1,080 |
| 2023 | 31 | 1,154 |
| 2024 | 26 | 1,127 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2599, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,135 | 1,080 | $3,183.00 | $2,477.48 |
| 2023 | 1,234 | 1,154 | $2,976.53 | $2,280.84 |
| 2024 | 1,232 | 1,127 | $3,050.20 | $2,355.78 |
States with the most E2599 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 117 | $2,523.76 |
| New York | 93 | $1,710.28 |
| Florida | 82 | $3,121.08 |
| Pennsylvania | 67 | $1,677.53 |
| Illinois | 61 | $2,089.73 |
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 E2599
- 2004-01-01: E2599 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 E2599?
E2599 is the HCPCS Level II code for accessory for speech generating device, not otherwise classified. Short descriptor: "Sgd accessory noc".
How much does Medicare pay for E2599?
In 2024, the average Medicare payment was $2,355.78 per service (average allowed $3,050.20).
Does Medicare cover E2599?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
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
- E2512 — Accessory for speech generating device, mounting system
- E2513 — Accessory for speech generating device, electromyographic sensor ($449.12–$4,491.00)
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 E2599
- Watch E2599 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2599
Sources: CMS HCPCS Level II release October 2026; 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.