American Speech-Language-Hearing Association

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.

Share This Page

Print This Page