E2508 — Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device
HCPCS Level II E-code · short descriptor: “Sgd spelling phys contact”
- 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
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E2508 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $5097.15 to $6116.60 depending on state and rural status.
Former-CBA payment limits: ceiling $5097.15 · floor $4332.58
| State | Non-rural | Rural |
|---|---|---|
| AK | $5097.15 | — |
| AL | $5097.15 | — |
| AR | $5097.15 | — |
| AZ | $5097.15 | — |
| CA | $5097.15 | — |
| CO | $5097.15 | — |
| CT | $5097.15 | — |
| DC | $5097.15 | — |
| DE | $5097.15 | — |
| FL | $5097.15 | — |
| GA | $5097.15 | — |
| HI | $5097.15 | — |
| IA | $5097.15 | — |
| ID | $5097.15 | — |
| IL | $5097.15 | — |
| IN | $5097.15 | — |
| KS | $5097.15 | — |
| KY | $5097.15 | — |
| LA | $5097.15 | — |
| MA | $5097.15 | — |
| MD | $5097.15 | — |
| ME | $5097.15 | — |
| MI | $5097.15 | — |
| MN | $5097.15 | — |
| MO | $5097.15 | — |
| MS | $5097.15 | — |
| MT | $5097.15 | — |
| NC | $5097.15 | — |
| ND | $5097.15 | — |
| NE | $5097.15 | — |
| NH | $5097.15 | — |
| NJ | $5097.15 | — |
| NM | $5097.15 | — |
| NV | $5097.15 | — |
| NY | $5097.15 | — |
| OH | $5097.15 | — |
| OK | $5097.15 | — |
| OR | $5097.15 | — |
| PA | $5097.15 | — |
| PR | $6116.60 | — |
| RI | $5097.15 | — |
| SC | $5097.15 | — |
| SD | $5097.15 | — |
| TN | $5097.15 | — |
| TX | $5097.15 | — |
| UT | $5097.15 | — |
| VA | $5097.15 | — |
| VI | $5097.15 | — |
| VT | $5097.15 | — |
| WA | $5097.15 | — |
| WI | $5097.15 | — |
| WV | $5097.15 | — |
| WY | $5097.15 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $509.71 to $611.68 depending on state and rural status.
Former-CBA payment limits: ceiling $509.71 · floor $433.25
| State | Non-rural | Rural |
|---|---|---|
| AK | $509.71 | — |
| AL | $509.71 | — |
| AR | $509.71 | — |
| AZ | $509.71 | — |
| CA | $509.71 | — |
| CO | $509.71 | — |
| CT | $509.71 | — |
| DC | $509.71 | — |
| DE | $509.71 | — |
| FL | $509.71 | — |
| GA | $509.71 | — |
| HI | $509.71 | — |
| IA | $509.71 | — |
| ID | $509.71 | — |
| IL | $509.71 | — |
| IN | $509.71 | — |
| KS | $509.71 | — |
| KY | $509.71 | — |
| LA | $509.71 | — |
| MA | $509.71 | — |
| MD | $509.71 | — |
| ME | $509.71 | — |
| MI | $509.71 | — |
| MN | $509.71 | — |
| MO | $509.71 | — |
| MS | $509.71 | — |
| MT | $509.71 | — |
| NC | $509.71 | — |
| ND | $509.71 | — |
| NE | $509.71 | — |
| NH | $509.71 | — |
| NJ | $509.71 | — |
| NM | $509.71 | — |
| NV | $509.71 | — |
| NY | $509.71 | — |
| OH | $509.71 | — |
| OK | $509.71 | — |
| OR | $509.71 | — |
| PA | $509.71 | — |
| PR | $611.68 | — |
| RI | $509.71 | — |
| SC | $509.71 | — |
| SD | $509.71 | — |
| TN | $509.71 | — |
| TX | $509.71 | — |
| UT | $509.71 | — |
| VA | $509.71 | — |
| VI | $509.71 | — |
| VT | $509.71 | — |
| WA | $509.71 | — |
| WI | $509.71 | — |
| WV | $509.71 | — |
| WY | $509.71 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $3822.88 to $4587.46 depending on state and rural status.
Former-CBA payment limits: ceiling $3822.88 · floor $3249.45
| State | Non-rural | Rural |
|---|---|---|
| AK | $3822.88 | — |
| AL | $3822.88 | — |
| AR | $3822.88 | — |
| AZ | $3822.88 | — |
| CA | $3822.88 | — |
| CO | $3822.88 | — |
| CT | $3822.88 | — |
| DC | $3822.88 | — |
| DE | $3822.88 | — |
| FL | $3822.88 | — |
| GA | $3822.88 | — |
| HI | $3822.88 | — |
| IA | $3822.88 | — |
| ID | $3822.88 | — |
| IL | $3822.88 | — |
| IN | $3822.88 | — |
| KS | $3822.88 | — |
| KY | $3822.88 | — |
| LA | $3822.88 | — |
| MA | $3822.88 | — |
| MD | $3822.88 | — |
| ME | $3822.88 | — |
| MI | $3822.88 | — |
| MN | $3822.88 | — |
| MO | $3822.88 | — |
| MS | $3822.88 | — |
| MT | $3822.88 | — |
| NC | $3822.88 | — |
| ND | $3822.88 | — |
| NE | $3822.88 | — |
| NH | $3822.88 | — |
| NJ | $3822.88 | — |
| NM | $3822.88 | — |
| NV | $3822.88 | — |
| NY | $3822.88 | — |
| OH | $3822.88 | — |
| OK | $3822.88 | — |
| OR | $3822.88 | — |
| PA | $3822.88 | — |
| PR | $4587.46 | — |
| RI | $3822.88 | — |
| SC | $3822.88 | — |
| SD | $3822.88 | — |
| TN | $3822.88 | — |
| TX | $3822.88 | — |
| UT | $3822.88 | — |
| VA | $3822.88 | — |
| VI | $3822.88 | — |
| VT | $3822.88 | — |
| WA | $3822.88 | — |
| WI | $3822.88 | — |
| WV | $3822.88 | — |
| WY | $3822.88 | — |
Common denial codes to watch
Related E-codes
Bill E2508 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →