Medicare Funding of AAC Technology Revised Fee
Schedule (effective January, 2009)
The amount of money Medicare will pay towards AAC products is known as an
allowable, which is spelled out in the following fee schedule.
We have added our products to this table to indicate which ZYGO products
fall into which Healthcare Common Procedure Coding System (HCPCS) codes.
|
Speech Generating Device |
Speech Generating Device |
Speech Generating Device |
Speech Generating Device |
Speech Generating Device |
Speech Generating Device |
Speech Generating Device |
HCPCS Code |
E2500 (formerly K0541) |
E2502 (formerly K0615) |
E2504 (formerly K0616) |
E2506 (formerly K0617) |
E2508 (formerly K0543) |
E2510 (formerly K0544) |
E2511 (formerly K0545) |
Speech Output |
Digitized |
Digitized |
Digitized |
Digitized |
Synthesized |
Synthesized |
Synthesized |
Message Type |
Prerecorded Messages |
Prerecorded Messages |
Prerecorded Messages |
Prerecorded Messages |
Message Formulation |
Message Formulation |
Message Formulation |
Recording Time |
Less than or equal to 8 minutes |
Greater than 8 minutes but less than or equal to 20 minutes |
Greater than 20 minutes but less than or equal to 40 minutes |
Greater than 40 minutes |
N/A |
N/A |
N/A |
Access Method |
Multiple access methods |
Multiple access methods |
Multiple access methods |
Multiple access methods |
Direct Physical contact with SGD |
Multiple access methods |
Program for personal computer or PDA |
Message Formulation Technique |
N/A |
N/A |
N/A |
N/A |
Spelling |
Spelling and other methods |
Spelling and other methods |
Fee Schedule Amount |
$ 410.61 |
$1,255.59 |
$1,656.29 |
$2,428.61 |
$3,755.44 |
$7,106.66 |
|
ZYGO Devices |
|
|
|
Talara, Macaw |
Persona Mobile, Spok21 (standard) |
Allora, Dialect 3HD, Polyana 4-MA, PolyTABLET-MA, Spok21 (combi) |
The Grid 2, Windbag 3 |
|
Mounting System |
Accessory |
Code |
E2512 (formerly K0546)(individually priced) |
E2599 (formerly K0547)(individually priced) |
HCPCS Codes Defined |
HCPCS codes covered if selection criteria are met: |
E2500 |
Speech generating device, digitized speech, using pre-recorded messages,
less than or equal to 8 minutes recording time |
E2502 |
Speech generating device, digitized speech, using
pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time |
E2504 |
Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time |
E2506 |
Speech generating device, digitized speech,
using pre-recorded messages, greater than 40 minutes 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 classified |
V5336 |
Repair/modification of augmentative
communicative system or device (excludes adaptive hearing aid) |
E1902 |
Communication board, non-electronic
augmentative or alternative communication device |
ICD-9 codes covered if selection criteria are met: |
315.31 - 315.39 |
Developmental speech or language disorder |
438.10 - 438.19 |
Late effects of cerebrovascular disease, speech and language deficits |
784.3 |
Aphasia |
784.5 |
Other speech disturbance |
|