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
- 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.
E2508 Medicare fee schedule (October 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2508 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 E2508 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.
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Building an AI agent? Try the agent API in the playground — free PA-required lookups, E2508 included, and starter credits via POST /bot-marketplace/register.