E2506 — Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time
HCPCS Level II E-code · short descriptor: “Sgd prerec msg > 40 min”
- 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.
E2506 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $3296.27 to $3955.55 depending on state and rural status.
Former-CBA payment limits: ceiling $3296.27 · floor $2801.83
| State | Non-rural | Rural |
|---|---|---|
| AK | $3296.27 | — |
| AL | $3296.27 | — |
| AR | $3296.27 | — |
| AZ | $3296.27 | — |
| CA | $3296.27 | — |
| CO | $3296.27 | — |
| CT | $3296.27 | — |
| DC | $3296.27 | — |
| DE | $3296.27 | — |
| FL | $3296.27 | — |
| GA | $3296.27 | — |
| HI | $3296.27 | — |
| IA | $3296.27 | — |
| ID | $3296.27 | — |
| IL | $3296.27 | — |
| IN | $3296.27 | — |
| KS | $3296.27 | — |
| KY | $3296.27 | — |
| LA | $3296.27 | — |
| MA | $3296.27 | — |
| MD | $3296.27 | — |
| ME | $3296.27 | — |
| MI | $3296.27 | — |
| MN | $3296.27 | — |
| MO | $3296.27 | — |
| MS | $3296.27 | — |
| MT | $3296.27 | — |
| NC | $3296.27 | — |
| ND | $3296.27 | — |
| NE | $3296.27 | — |
| NH | $3296.27 | — |
| NJ | $3296.27 | — |
| NM | $3296.27 | — |
| NV | $3296.27 | — |
| NY | $3296.27 | — |
| OH | $3296.27 | — |
| OK | $3296.27 | — |
| OR | $3296.27 | — |
| PA | $3296.27 | — |
| PR | $3955.55 | — |
| RI | $3296.27 | — |
| SC | $3296.27 | — |
| SD | $3296.27 | — |
| TN | $3296.27 | — |
| TX | $3296.27 | — |
| UT | $3296.27 | — |
| VA | $3296.27 | — |
| VI | $3296.27 | — |
| VT | $3296.27 | — |
| WA | $3296.27 | — |
| WI | $3296.27 | — |
| WV | $3296.27 | — |
| WY | $3296.27 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $329.61 to $395.58 depending on state and rural status.
Former-CBA payment limits: ceiling $329.61 · floor $280.17
| State | Non-rural | Rural |
|---|---|---|
| AK | $329.61 | — |
| AL | $329.61 | — |
| AR | $329.61 | — |
| AZ | $329.61 | — |
| CA | $329.61 | — |
| CO | $329.61 | — |
| CT | $329.61 | — |
| DC | $329.61 | — |
| DE | $329.61 | — |
| FL | $329.61 | — |
| GA | $329.61 | — |
| HI | $329.61 | — |
| IA | $329.61 | — |
| ID | $329.61 | — |
| IL | $329.61 | — |
| IN | $329.61 | — |
| KS | $329.61 | — |
| KY | $329.61 | — |
| LA | $329.61 | — |
| MA | $329.61 | — |
| MD | $329.61 | — |
| ME | $329.61 | — |
| MI | $329.61 | — |
| MN | $329.61 | — |
| MO | $329.61 | — |
| MS | $329.61 | — |
| MT | $329.61 | — |
| NC | $329.61 | — |
| ND | $329.61 | — |
| NE | $329.61 | — |
| NH | $329.61 | — |
| NJ | $329.61 | — |
| NM | $329.61 | — |
| NV | $329.61 | — |
| NY | $329.61 | — |
| OH | $329.61 | — |
| OK | $329.61 | — |
| OR | $329.61 | — |
| PA | $329.61 | — |
| PR | $395.58 | — |
| RI | $329.61 | — |
| SC | $329.61 | — |
| SD | $329.61 | — |
| TN | $329.61 | — |
| TX | $329.61 | — |
| UT | $329.61 | — |
| VA | $329.61 | — |
| VI | $329.61 | — |
| VT | $329.61 | — |
| WA | $329.61 | — |
| WI | $329.61 | — |
| WV | $329.61 | — |
| WY | $329.61 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $2472.16 to $2966.65 depending on state and rural status.
Former-CBA payment limits: ceiling $2472.16 · floor $2101.34
| State | Non-rural | Rural |
|---|---|---|
| AK | $2472.16 | — |
| AL | $2472.16 | — |
| AR | $2472.16 | — |
| AZ | $2472.16 | — |
| CA | $2472.16 | — |
| CO | $2472.16 | — |
| CT | $2472.16 | — |
| DC | $2472.16 | — |
| DE | $2472.16 | — |
| FL | $2472.16 | — |
| GA | $2472.16 | — |
| HI | $2472.16 | — |
| IA | $2472.16 | — |
| ID | $2472.16 | — |
| IL | $2472.16 | — |
| IN | $2472.16 | — |
| KS | $2472.16 | — |
| KY | $2472.16 | — |
| LA | $2472.16 | — |
| MA | $2472.16 | — |
| MD | $2472.16 | — |
| ME | $2472.16 | — |
| MI | $2472.16 | — |
| MN | $2472.16 | — |
| MO | $2472.16 | — |
| MS | $2472.16 | — |
| MT | $2472.16 | — |
| NC | $2472.16 | — |
| ND | $2472.16 | — |
| NE | $2472.16 | — |
| NH | $2472.16 | — |
| NJ | $2472.16 | — |
| NM | $2472.16 | — |
| NV | $2472.16 | — |
| NY | $2472.16 | — |
| OH | $2472.16 | — |
| OK | $2472.16 | — |
| OR | $2472.16 | — |
| PA | $2472.16 | — |
| PR | $2966.65 | — |
| RI | $2472.16 | — |
| SC | $2472.16 | — |
| SD | $2472.16 | — |
| TN | $2472.16 | — |
| TX | $2472.16 | — |
| UT | $2472.16 | — |
| VA | $2472.16 | — |
| VI | $2472.16 | — |
| VT | $2472.16 | — |
| WA | $2472.16 | — |
| WI | $2472.16 | — |
| WV | $2472.16 | — |
| WY | $2472.16 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2506 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 E2506 with confidence
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