E2504 — Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time
HCPCS Level II E-code · short descriptor: “Sgd prerec msg>20min <=40min”
- 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 2026-10-26; 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 2026-10-26; 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.
E2504 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $2248.05 to $2697.60 depending on state and rural status.
Former-CBA payment limits: ceiling $2248.05 · floor $1910.84
| State | Non-rural | Rural |
|---|---|---|
| AK | $2248.05 | — |
| AL | $2248.05 | — |
| AR | $2248.05 | — |
| AZ | $2248.05 | — |
| CA | $2248.05 | — |
| CO | $2248.05 | — |
| CT | $2248.05 | — |
| DC | $2248.05 | — |
| DE | $2248.05 | — |
| FL | $2248.05 | — |
| GA | $2248.05 | — |
| HI | $2248.05 | — |
| IA | $2248.05 | — |
| ID | $2248.05 | — |
| IL | $2248.05 | — |
| IN | $2248.05 | — |
| KS | $2248.05 | — |
| KY | $2248.05 | — |
| LA | $2248.05 | — |
| MA | $2248.05 | — |
| MD | $2248.05 | — |
| ME | $2248.05 | — |
| MI | $2248.05 | — |
| MN | $2248.05 | — |
| MO | $2248.05 | — |
| MS | $2248.05 | — |
| MT | $2248.05 | — |
| NC | $2248.05 | — |
| ND | $2248.05 | — |
| NE | $2248.05 | — |
| NH | $2248.05 | — |
| NJ | $2248.05 | — |
| NM | $2248.05 | — |
| NV | $2248.05 | — |
| NY | $2248.05 | — |
| OH | $2248.05 | — |
| OK | $2248.05 | — |
| OR | $2248.05 | — |
| PA | $2248.05 | — |
| PR | $2697.60 | — |
| RI | $2248.05 | — |
| SC | $2248.05 | — |
| SD | $2248.05 | — |
| TN | $2248.05 | — |
| TX | $2248.05 | — |
| UT | $2248.05 | — |
| VA | $2248.05 | — |
| VI | $2248.05 | — |
| VT | $2248.05 | — |
| WA | $2248.05 | — |
| WI | $2248.05 | — |
| WV | $2248.05 | — |
| WY | $2248.05 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $224.83 to $269.82 depending on state and rural status.
Former-CBA payment limits: ceiling $224.83 · floor $191.11
| State | Non-rural | Rural |
|---|---|---|
| AK | $224.83 | — |
| AL | $224.83 | — |
| AR | $224.83 | — |
| AZ | $224.83 | — |
| CA | $224.83 | — |
| CO | $224.83 | — |
| CT | $224.83 | — |
| DC | $224.83 | — |
| DE | $224.83 | — |
| FL | $224.83 | — |
| GA | $224.83 | — |
| HI | $224.83 | — |
| IA | $224.83 | — |
| ID | $224.83 | — |
| IL | $224.83 | — |
| IN | $224.83 | — |
| KS | $224.83 | — |
| KY | $224.83 | — |
| LA | $224.83 | — |
| MA | $224.83 | — |
| MD | $224.83 | — |
| ME | $224.83 | — |
| MI | $224.83 | — |
| MN | $224.83 | — |
| MO | $224.83 | — |
| MS | $224.83 | — |
| MT | $224.83 | — |
| NC | $224.83 | — |
| ND | $224.83 | — |
| NE | $224.83 | — |
| NH | $224.83 | — |
| NJ | $224.83 | — |
| NM | $224.83 | — |
| NV | $224.83 | — |
| NY | $224.83 | — |
| OH | $224.83 | — |
| OK | $224.83 | — |
| OR | $224.83 | — |
| PA | $224.83 | — |
| PR | $269.82 | — |
| RI | $224.83 | — |
| SC | $224.83 | — |
| SD | $224.83 | — |
| TN | $224.83 | — |
| TX | $224.83 | — |
| UT | $224.83 | — |
| VA | $224.83 | — |
| VI | $224.83 | — |
| VT | $224.83 | — |
| WA | $224.83 | — |
| WI | $224.83 | — |
| WV | $224.83 | — |
| WY | $224.83 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1686.04 to $2023.25 depending on state and rural status.
Former-CBA payment limits: ceiling $1686.04 · floor $1433.13
| State | Non-rural | Rural |
|---|---|---|
| AK | $1686.04 | — |
| AL | $1686.04 | — |
| AR | $1686.04 | — |
| AZ | $1686.04 | — |
| CA | $1686.04 | — |
| CO | $1686.04 | — |
| CT | $1686.04 | — |
| DC | $1686.04 | — |
| DE | $1686.04 | — |
| FL | $1686.04 | — |
| GA | $1686.04 | — |
| HI | $1686.04 | — |
| IA | $1686.04 | — |
| ID | $1686.04 | — |
| IL | $1686.04 | — |
| IN | $1686.04 | — |
| KS | $1686.04 | — |
| KY | $1686.04 | — |
| LA | $1686.04 | — |
| MA | $1686.04 | — |
| MD | $1686.04 | — |
| ME | $1686.04 | — |
| MI | $1686.04 | — |
| MN | $1686.04 | — |
| MO | $1686.04 | — |
| MS | $1686.04 | — |
| MT | $1686.04 | — |
| NC | $1686.04 | — |
| ND | $1686.04 | — |
| NE | $1686.04 | — |
| NH | $1686.04 | — |
| NJ | $1686.04 | — |
| NM | $1686.04 | — |
| NV | $1686.04 | — |
| NY | $1686.04 | — |
| OH | $1686.04 | — |
| OK | $1686.04 | — |
| OR | $1686.04 | — |
| PA | $1686.04 | — |
| PR | $2023.25 | — |
| RI | $1686.04 | — |
| SC | $1686.04 | — |
| SD | $1686.04 | — |
| TN | $1686.04 | — |
| TX | $1686.04 | — |
| UT | $1686.04 | — |
| VA | $1686.04 | — |
| VI | $1686.04 | — |
| VT | $1686.04 | — |
| WA | $1686.04 | — |
| WI | $1686.04 | — |
| WV | $1686.04 | — |
| WY | $1686.04 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2504 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 E2504 with confidence
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