E2500 — Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time
HCPCS Level II E-code · short descriptor: “Sgd digitized pre-rec <=8min”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E2500 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $557.30 to $668.78 depending on state and rural status.
Former-CBA payment limits: ceiling $557.30 · floor $473.71
| State | Non-rural | Rural |
|---|---|---|
| AK | $557.30 | — |
| AL | $557.30 | — |
| AR | $557.30 | — |
| AZ | $557.30 | — |
| CA | $557.30 | — |
| CO | $557.30 | — |
| CT | $557.30 | — |
| DC | $557.30 | — |
| DE | $557.30 | — |
| FL | $557.30 | — |
| GA | $557.30 | — |
| HI | $557.30 | — |
| IA | $557.30 | — |
| ID | $557.30 | — |
| IL | $557.30 | — |
| IN | $557.30 | — |
| KS | $557.30 | — |
| KY | $557.30 | — |
| LA | $557.30 | — |
| MA | $557.30 | — |
| MD | $557.30 | — |
| ME | $557.30 | — |
| MI | $557.30 | — |
| MN | $557.30 | — |
| MO | $557.30 | — |
| MS | $557.30 | — |
| MT | $557.30 | — |
| NC | $557.30 | — |
| ND | $557.30 | — |
| NE | $557.30 | — |
| NH | $557.30 | — |
| NJ | $557.30 | — |
| NM | $557.30 | — |
| NV | $557.30 | — |
| NY | $557.30 | — |
| OH | $557.30 | — |
| OK | $557.30 | — |
| OR | $557.30 | — |
| PA | $557.30 | — |
| PR | $668.78 | — |
| RI | $557.30 | — |
| SC | $557.30 | — |
| SD | $557.30 | — |
| TN | $557.30 | — |
| TX | $557.30 | — |
| UT | $557.30 | — |
| VA | $557.30 | — |
| VI | $557.30 | — |
| VT | $557.30 | — |
| WA | $557.30 | — |
| WI | $557.30 | — |
| WV | $557.30 | — |
| WY | $557.30 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $55.73 to $66.89 depending on state and rural status.
Former-CBA payment limits: ceiling $55.73 · floor $47.37
| State | Non-rural | Rural |
|---|---|---|
| AK | $55.73 | — |
| AL | $55.73 | — |
| AR | $55.73 | — |
| AZ | $55.73 | — |
| CA | $55.73 | — |
| CO | $55.73 | — |
| CT | $55.73 | — |
| DC | $55.73 | — |
| DE | $55.73 | — |
| FL | $55.73 | — |
| GA | $55.73 | — |
| HI | $55.73 | — |
| IA | $55.73 | — |
| ID | $55.73 | — |
| IL | $55.73 | — |
| IN | $55.73 | — |
| KS | $55.73 | — |
| KY | $55.73 | — |
| LA | $55.73 | — |
| MA | $55.73 | — |
| MD | $55.73 | — |
| ME | $55.73 | — |
| MI | $55.73 | — |
| MN | $55.73 | — |
| MO | $55.73 | — |
| MS | $55.73 | — |
| MT | $55.73 | — |
| NC | $55.73 | — |
| ND | $55.73 | — |
| NE | $55.73 | — |
| NH | $55.73 | — |
| NJ | $55.73 | — |
| NM | $55.73 | — |
| NV | $55.73 | — |
| NY | $55.73 | — |
| OH | $55.73 | — |
| OK | $55.73 | — |
| OR | $55.73 | — |
| PA | $55.73 | — |
| PR | $66.89 | — |
| RI | $55.73 | — |
| SC | $55.73 | — |
| SD | $55.73 | — |
| TN | $55.73 | — |
| TX | $55.73 | — |
| UT | $55.73 | — |
| VA | $55.73 | — |
| VI | $55.73 | — |
| VT | $55.73 | — |
| WA | $55.73 | — |
| WI | $55.73 | — |
| WV | $55.73 | — |
| WY | $55.73 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $417.97 to $501.55 depending on state and rural status.
Former-CBA payment limits: ceiling $417.97 · floor $355.27
| State | Non-rural | Rural |
|---|---|---|
| AK | $417.97 | — |
| AL | $417.97 | — |
| AR | $417.97 | — |
| AZ | $417.97 | — |
| CA | $417.97 | — |
| CO | $417.97 | — |
| CT | $417.97 | — |
| DC | $417.97 | — |
| DE | $417.97 | — |
| FL | $417.97 | — |
| GA | $417.97 | — |
| HI | $417.97 | — |
| IA | $417.97 | — |
| ID | $417.97 | — |
| IL | $417.97 | — |
| IN | $417.97 | — |
| KS | $417.97 | — |
| KY | $417.97 | — |
| LA | $417.97 | — |
| MA | $417.97 | — |
| MD | $417.97 | — |
| ME | $417.97 | — |
| MI | $417.97 | — |
| MN | $417.97 | — |
| MO | $417.97 | — |
| MS | $417.97 | — |
| MT | $417.97 | — |
| NC | $417.97 | — |
| ND | $417.97 | — |
| NE | $417.97 | — |
| NH | $417.97 | — |
| NJ | $417.97 | — |
| NM | $417.97 | — |
| NV | $417.97 | — |
| NY | $417.97 | — |
| OH | $417.97 | — |
| OK | $417.97 | — |
| OR | $417.97 | — |
| PA | $417.97 | — |
| PR | $501.55 | — |
| RI | $417.97 | — |
| SC | $417.97 | — |
| SD | $417.97 | — |
| TN | $417.97 | — |
| TX | $417.97 | — |
| UT | $417.97 | — |
| VA | $417.97 | — |
| VI | $417.97 | — |
| VT | $417.97 | — |
| WA | $417.97 | — |
| WI | $417.97 | — |
| WV | $417.97 | — |
| WY | $417.97 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2500 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.
Common denial codes to watch
Related E-codes
Bill E2500 with confidence
Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →
Building an AI agent? Try the agent API in the playground — free PA-required lookups, E2500 included, and starter credits via POST /bot-marketplace/register.