How To Use HCPCS Code E2508

HCPCS code E2508 describes a speech generating device that utilizes synthesized speech and requires message formulation by spelling and access through physical contact with the device. This code is used to identify and bill for the provision of speech generating devices that assist individuals with communication impairments.

1. What is HCPCS E2508?

HCPCS code E2508 is a specific code used in medical coding to identify and bill for speech generating devices. These devices are designed to help individuals who have difficulty speaking or communicating due to various conditions such as cerebral palsy, autism, or other speech disorders. The device utilizes synthesized speech, which means it generates speech using pre-recorded or computer-generated voices.

2. Official Description

The official description of HCPCS code E2508 is “Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider assesses the patient’s communication needs and determines if a speech generating device is necessary.
2. If a speech generating device is deemed necessary, the provider selects an appropriate device that meets the patient’s specific requirements.
3. The provider assists the patient in formulating messages by spelling, either through a keyboard or other input method on the device.
4. The patient accesses the device by physical contact, such as touching the screen or pressing buttons, to activate the synthesized speech and communicate their message.
5. The provider provides training and support to the patient on how to effectively use the speech generating device.

4. When to use HCPCS code E2508

HCPCS code E2508 should be used when billing for the provision of a speech generating device that requires message formulation by spelling and access through physical contact with the device. This code is specifically for devices that utilize synthesized speech. It is important to ensure that the patient meets the eligibility criteria for the use of this code, such as having a documented communication impairment that necessitates the use of a speech generating device.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E2508, healthcare providers should ensure that the following documentation is included:

• A detailed description of the patient’s communication impairment and the need for a speech generating device.
• Documentation supporting the selection of the specific device, including any assessments or evaluations conducted.
• Documentation of the patient’s ability to formulate messages by spelling and access the device through physical contact.
• Any training or support provided to the patient for the use of the device.

6. Historical Information and Code Maintenance

HCPCS code E2508 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code E2508 is covered by Medicare and other insurance carriers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement for speech generating devices.

8. Examples

Here are five examples of when HCPCS code E2508 should be billed:

1. A patient with cerebral palsy requires a speech generating device to assist with communication. The device utilizes synthesized speech and requires message formulation by spelling and access through physical contact.
2. An individual with autism has difficulty speaking and requires a speech generating device to communicate. The device uses synthesized speech and allows message formulation by spelling and physical contact for access.
3. A person with a severe speech disorder due to a medical condition needs a speech generating device that can generate synthesized speech. The device requires message formulation by spelling and access through physical contact.
4. A patient who has lost their ability to speak due to a stroke requires a speech generating device. The device utilizes synthesized speech and allows message formulation by spelling and access through physical contact.
5. An individual with a progressive neurological disorder needs a speech generating device to compensate for their declining speech abilities. The device uses synthesized speech and requires message formulation by spelling and physical contact for access.