How To Use HCPCS Code E2502

HCPCS code E2502 describes a speech generating device that utilizes digitized speech with pre-recorded messages. This code is specifically used for devices that have a recording time greater than 8 minutes but less than or equal to 20 minutes. It falls under the category of enteral supplies, which are used for the delivery of nutrients and fluids directly into the gastrointestinal tract.

1. What is HCPCS E2502?

HCPCS code E2502 is a specific code that is used to identify speech generating devices that utilize digitized speech with pre-recorded messages. These devices are designed to assist individuals with speech impairments in communicating effectively. The code indicates that the device has a recording time greater than 8 minutes but less than or equal to 20 minutes.

2. Official Description

The official description of HCPCS code E2502 is “Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider will assess the patient’s speech impairment and determine the need for a speech generating device.
2. The provider will select a device that meets the specific requirements of the patient, including the recording time of greater than 8 minutes but less than or equal to 20 minutes.
3. The device will be programmed with pre-recorded messages that are relevant to the patient’s communication needs.
4. The patient will be trained on how to use the device effectively, including selecting and activating the appropriate pre-recorded messages.
5. Ongoing support and maintenance may be provided by the provider to ensure the device continues to function properly.

4. When to use HCPCS code E2502

HCPCS code E2502 should be used when billing for a speech generating device that meets the specific criteria outlined in the code description. This code is applicable when the device utilizes digitized speech with pre-recorded messages and has a recording time greater than 8 minutes but less than or equal to 20 minutes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2502, healthcare providers should ensure that the following documentation is included:

• A detailed description of the speech generating device provided, including the make, model, and specifications.
• Documentation supporting the medical necessity of the device for the patient’s specific speech impairment.
• Documentation of the patient’s training and education on how to use the device.
• Any additional supporting documentation required by the payer.

6. Historical Information and Code Maintenance

HCPCS code E2502 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS priced under one methodology. The code has an action code of N, indicating that no maintenance actions have been taken for this code.

7. Medicare and Insurance Coverage

Medicare coverage for HCPCS code E2502 may vary depending on the specific circumstances and guidelines set forth by the Centers for Medicare and Medicaid Services (CMS). It is important to consult the Medicare Carriers Manual and any applicable Local Coverage Determinations (LCDs) for detailed information on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code E2502 should be billed:

1. A patient with severe speech impairment due to a neurological condition requires a speech generating device with pre-recorded messages to facilitate communication.
2. An individual with a congenital speech disorder needs a speech generating device that can store and play back longer messages to effectively communicate in various settings.
3. A patient recovering from a traumatic brain injury requires a speech generating device with a recording time of more than 8 minutes but less than or equal to 20 minutes to assist in their rehabilitation and communication.
4. An elderly individual with a progressive degenerative disease needs a speech generating device that can accommodate their changing communication needs over time.
5. A child with a developmental delay requires a speech generating device with pre-recorded messages to support their language development and communication skills.