E2513 — Accessory for speech generating device, electromyographic sensor
HCPCS Level II E-code · short descriptor: “Sgd accessory, emg sensor”
- 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.
E2513 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable: $4491.00 in all listed states.
Former-CBA payment limits: ceiling $4491.00 · floor $3817.35
| State | Non-rural | Rural |
|---|---|---|
| AK | $4491.00 | — |
| AL | $4491.00 | — |
| AR | $4491.00 | — |
| AZ | $4491.00 | — |
| CA | $4491.00 | — |
| CO | $4491.00 | — |
| CT | $4491.00 | — |
| DC | $4491.00 | — |
| DE | $4491.00 | — |
| FL | $4491.00 | — |
| GA | $4491.00 | — |
| HI | $4491.00 | — |
| IA | $4491.00 | — |
| ID | $4491.00 | — |
| IL | $4491.00 | — |
| IN | $4491.00 | — |
| KS | $4491.00 | — |
| KY | $4491.00 | — |
| LA | $4491.00 | — |
| MA | $4491.00 | — |
| MD | $4491.00 | — |
| ME | $4491.00 | — |
| MI | $4491.00 | — |
| MN | $4491.00 | — |
| MO | $4491.00 | — |
| MS | $4491.00 | — |
| MT | $4491.00 | — |
| NC | $4491.00 | — |
| ND | $4491.00 | — |
| NE | $4491.00 | — |
| NH | $4491.00 | — |
| NJ | $4491.00 | — |
| NM | $4491.00 | — |
| NV | $4491.00 | — |
| NY | $4491.00 | — |
| OH | $4491.00 | — |
| OK | $4491.00 | — |
| OR | $4491.00 | — |
| PA | $4491.00 | — |
| PR | $4491.00 | — |
| RI | $4491.00 | — |
| SC | $4491.00 | — |
| SD | $4491.00 | — |
| TN | $4491.00 | — |
| TX | $4491.00 | — |
| UT | $4491.00 | — |
| VA | $4491.00 | — |
| VI | $4491.00 | — |
| VT | $4491.00 | — |
| WA | $4491.00 | — |
| WI | $4491.00 | — |
| WV | $4491.00 | — |
| WY | $4491.00 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable: $449.12 in all listed states.
Former-CBA payment limits: ceiling $449.12 · floor $381.75
| State | Non-rural | Rural |
|---|---|---|
| AK | $449.12 | — |
| AL | $449.12 | — |
| AR | $449.12 | — |
| AZ | $449.12 | — |
| CA | $449.12 | — |
| CO | $449.12 | — |
| CT | $449.12 | — |
| DC | $449.12 | — |
| DE | $449.12 | — |
| FL | $449.12 | — |
| GA | $449.12 | — |
| HI | $449.12 | — |
| IA | $449.12 | — |
| ID | $449.12 | — |
| IL | $449.12 | — |
| IN | $449.12 | — |
| KS | $449.12 | — |
| KY | $449.12 | — |
| LA | $449.12 | — |
| MA | $449.12 | — |
| MD | $449.12 | — |
| ME | $449.12 | — |
| MI | $449.12 | — |
| MN | $449.12 | — |
| MO | $449.12 | — |
| MS | $449.12 | — |
| MT | $449.12 | — |
| NC | $449.12 | — |
| ND | $449.12 | — |
| NE | $449.12 | — |
| NH | $449.12 | — |
| NJ | $449.12 | — |
| NM | $449.12 | — |
| NV | $449.12 | — |
| NY | $449.12 | — |
| OH | $449.12 | — |
| OK | $449.12 | — |
| OR | $449.12 | — |
| PA | $449.12 | — |
| PR | $449.12 | — |
| RI | $449.12 | — |
| SC | $449.12 | — |
| SD | $449.12 | — |
| TN | $449.12 | — |
| TX | $449.12 | — |
| UT | $449.12 | — |
| VA | $449.12 | — |
| VI | $449.12 | — |
| VT | $449.12 | — |
| WA | $449.12 | — |
| WI | $449.12 | — |
| WV | $449.12 | — |
| WY | $449.12 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable: $3368.26 in all listed states.
Former-CBA payment limits: ceiling $3368.26 · floor $2863.02
| State | Non-rural | Rural |
|---|---|---|
| AK | $3368.26 | — |
| AL | $3368.26 | — |
| AR | $3368.26 | — |
| AZ | $3368.26 | — |
| CA | $3368.26 | — |
| CO | $3368.26 | — |
| CT | $3368.26 | — |
| DC | $3368.26 | — |
| DE | $3368.26 | — |
| FL | $3368.26 | — |
| GA | $3368.26 | — |
| HI | $3368.26 | — |
| IA | $3368.26 | — |
| ID | $3368.26 | — |
| IL | $3368.26 | — |
| IN | $3368.26 | — |
| KS | $3368.26 | — |
| KY | $3368.26 | — |
| LA | $3368.26 | — |
| MA | $3368.26 | — |
| MD | $3368.26 | — |
| ME | $3368.26 | — |
| MI | $3368.26 | — |
| MN | $3368.26 | — |
| MO | $3368.26 | — |
| MS | $3368.26 | — |
| MT | $3368.26 | — |
| NC | $3368.26 | — |
| ND | $3368.26 | — |
| NE | $3368.26 | — |
| NH | $3368.26 | — |
| NJ | $3368.26 | — |
| NM | $3368.26 | — |
| NV | $3368.26 | — |
| NY | $3368.26 | — |
| OH | $3368.26 | — |
| OK | $3368.26 | — |
| OR | $3368.26 | — |
| PA | $3368.26 | — |
| PR | $3368.26 | — |
| RI | $3368.26 | — |
| SC | $3368.26 | — |
| SD | $3368.26 | — |
| TN | $3368.26 | — |
| TX | $3368.26 | — |
| UT | $3368.26 | — |
| VA | $3368.26 | — |
| VI | $3368.26 | — |
| VT | $3368.26 | — |
| WA | $3368.26 | — |
| WI | $3368.26 | — |
| WV | $3368.26 | — |
| WY | $3368.26 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2513 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.
Common denial codes to watch
Related E-codes
Bill E2513 with confidence
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