American Speech-Language-Hearing Association

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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

A7503

Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each
A7504

Filter for use in a tracheostoma heat and moisture exchange system, each
A7505

Housing, reusable without adhesive, for use in heat and moisture exchange system and/or with a tracheostoma valve, each
A7506

Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, and type, each
A7507

Filter holder and integrated filter without adhesive, for use in a tracheostoma health and moisture exchange system, each
A7508

Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each
A7509

Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma  heat and moisture exchange system, each
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.

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