Health Care Common Procedure Coding System (HCPCS) Level II Codes
AAC and Other Speech-Language Pathology Related Devices
While CPT codes identify procedures or services, HCPCS Level II codes identify supplies, equipment and devices, and procedures not found in the CPT system. The HCPCS codes (referred to as Hic-Picks) are administered by the Centers for Medicare and Medicaid Services (CMS) and begin with a single letter (A through V), followed by four numeric digits. They are grouped by the type of service or supply they represent and are updated annually by CMS with input from private insurance companies. HCPCS Level II codes are required for claims for supplies and devices covered by Medicare and Medicaid and by most private payers.
HCPCS Level II includes codes for speech generating devices, voice prosthetics, voice amplifiers, and repair of AAC systems or devices. Please note that Medicare claims for E and L codes and V5336 fall under the jurisdiction of the Durable Medical Equipment Medicare Administrative Contractors (DME MACs).
For further information, please contact reimbursement@asha.org.
Code
|
Description
|
| E1902 |
Communication board, nonelectronic augmentative or alternative communication device
|
| E2500 |
Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time
|
| E2502 |
Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes of recording time
|
E2504
|
Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes of recording time
|
E2506
|
Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes of recording time
|
E2508
|
Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device
|
E2510
|
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access
|
E2511
|
Speech generating software program, for personal computer or personal digital assistant
|
E2512
|
Accessory for speech generating device, mounting system
|
| E2599 |
Accessory for speech generating device, not otherwise specified
|
| G0451[1] |
Developmental testing with interpretation and report, per standardized instrument |
| L8499 |
Unlisted procedure for miscellaneous prosthetic services
|
| L8500 |
Artificial larynx, any type
|
| L8501 |
Tracheostomy speaking valve
|
| L8505 |
Artificial larynx replacement battery/accessory, any type
|
| L8507 |
Tracheo-esophageal voice prosthesis, patient inserted, any type, each
|
| L8509 |
Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type
|
| L8510 |
Voice amplifier
|
| L8511 |
Insert for indwelling tracheoesophageal prosthesis, with our without valve, replacement only, each
|
| L8512 |
Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10
|
| L8513 |
Cleaning device used jwith tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
|
| L8514 |
Tracheoesophageal puncture dilator, replacement only, each
|
| L8515 |
Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
|
| V5336 |
Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)
|
| V5362 |
Speech screening
|
| V5363 |
Language screening
|
| V5364 |
Dysphagia screening
|
[1]Because CMS will no longer cover CPT 96110 Developmental screen, this supplemental G-code, which is valued on the previously-published values of CPT code 96110, was added to the HCPCS Level II system as a temporary code. Medicare is required to pay G codes. Medicaid and private payers will often, but not always, follow suit. There is no guarantee of continued reimbursement, but G0451 may be an alternative to 96110. Because of the potential for confusion with these codes, documentation should be very clear.