HCPCS E2504: Speech-Generating Device, Digitized Speech (20–40 min)
HCPCS Level II code E2504 denotes a speech-generating device with digitized speech using pre-recorded messages and recording capacity greater than 20 minutes up to 40 minutes. These assistive communication devices are important for patients with complex speech impairments due to neurological conditions, progressive diseases, or congenital disorders. Nationally, the code matters because it defines coverage categories for durable medical equipment and guides providers and payers on device classification and billing.
Key payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of reimbursement benchmarks and coding context, typical sites of service such as outpatient clinics, rehabilitation centers, and home use, and a summary of clinical use cases where digitized-message devices are appropriate. The publication outlines common modifiers and payer considerations where available and highlights areas labeled "Data not available in the input" when specific fields were not provided.
This summary equips billing staff, clinicians, and policy analysts with the core definition of E2504, the service type, and the national payer scope. It offers a concise basis for further review of reimbursement policy, documentation requirements, and device selection criteria across major payers.
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Billing Code Overview
HCPCS Level II code E2504 describes a speech generating device with digitized speech that uses pre-recorded messages and provides greater than 20 minutes but less than or equal to 40 minutes recording time. The service is the provision or durable medical equipment supply of a communication device designed to generate spoken output from stored, pre-recorded messages.
Service Type: Durable medical equipment / Assistive communication device
Typical Site of Service: Outpatient clinics, rehabilitation centers, home use
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