Summary & Overview
HCPCS Level II E1902: Communication Board, Non-Electronic AAC Device
HCPCS Level II code E1902 denotes a non-electronic communication board used as an augmentative or alternative communication (AAC) device. Such devices provide low-technology communication support for people with speech or language impairments and are part of assistive technology considered in durable medical equipment and rehabilitation services. Nationally, recognition of AAC devices like communication boards affects access to basic communication aids across clinical, educational, and home settings.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes coverage patterns and benchmarking context for these payers where available and highlights clinical contexts in which E1902 is used, including speech-language pathology, neurorehabilitation, and pediatric developmental services. Data not available in the input is noted where applicable.
Readers will learn what HCPCS Level II code E1902 represents, the typical service type and sites of service, and the national relevance of non-electronic AAC devices. The piece also outlines what to expect in related sections: payer coverage summaries, common billing modifiers and procedural considerations, and clinical scenarios where a communication board is utilized. The content focuses on descriptive and policy-relevant information; it does not provide clinical guidance or individualized recommendations.
Billing Code Overview
HCPCS Level II code E1902 describes a communication board, non-electronic augmentative or alternative communication device. The item is a low-technology assistive communication aid designed to support expressive or receptive communication for individuals with speech or language impairments.
Service Type: Augmentative and alternative communication device supply
Typical Site of Service: Outpatient clinics, durable medical equipment supplier locations, schools, home settings, and rehabilitation centers
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with progressive expressive aphasia following an ischemic stroke is evaluated by a speech-language pathologist and an occupational therapist in an outpatient rehabilitation clinic. The patient has severe difficulty forming spoken words but retains comprehension and some ability to point and gesture. The care team determines that a low-tech, non-electronic communication support is appropriate to facilitate basic needs, choices, and participation in therapy sessions. A custom or pre-printed communication board is selected, personalized with large-print symbols, letters, and commonly used phrases. The device is fitted to the patient’s bedside table and wheelchair when needed.
The clinical workflow includes: referral from neurology or primary care, speech-language pathology assessment of communication needs and cognitive-linguistic abilities, selection and customization of the E1902 communication board, documentation of medical necessity (communication impairment, functional limitations, goals), patient or caregiver training on use, and follow-up to adjust content or mounting. Durable medical equipment vendors may supply the item; billing is submitted using the HCPCS Level II code E1902 with relevant modifiers and the supporting ICD-10 diagnosis on the claim.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 |