SGD Funding General Resources

SGD Funding General Resources

A. SGDs are Medically Necessary Treatment for Severe Communication Impairments

Medical Professional Society Letters Supporting SGDs as effective treatment and medically necessary items for individuals with severe dysarthria, apraxia, and aphasia

American Medical Association

Ø Link to: AMA Letter

American Academy of Neurology

Ø Link to: AAN Letter 1

Ø Link to: AAN Letter 2

Ø Link to: AAN Letter 3

American Academy of Physical Medicine & Rehabilitation

Ø Link to: AAPMR Letter

American Speech Language Hearing Association

Ø Link to: ASHA Letter

United Cerebral Palsy Research & Education Foundation

Ø Link to: UCPA REF Letter

Review of professional literature (through 1999) describing effectiveness of SGD use by individuals with severe communication impairments:

Ø Link to: Formal Request for National Coverage Decision for Augmentative&Alternative Communication Devices (Dec.1999)

American Speech Language Hearing Association memorandum supporting SGDs as effective treatment and medically necessary items for individuals with Aphonia.

Ø Link to: Steve White Memo, June 2000

B. HCPCS Codes for SGDs & SGD Related Items

Ø Link to: SGD & SGD Related Items HCPCS Codes Table

C. Description of Speech Generating Device “Coding”

Ø Link to: Speech Generating Device “Coding” Memorandum

D. Medicare SGD Fee Schedule

HCPCS Code	Code Description	2011 Medicare SGD Fee Schedule Amount
E 2500	Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time.	$ 410.20
E 2502	Speech generating device, digitized speech, using pre-recorded messages, with greater than 8 but less than or equal to 20 minutes of recording time	$ 1,254.33
E 2504	Speech generating device, digitized speech, using pre-recorded messages, with greater than 20 but less than 40 minutes of recording time.	$ 1,654.33
E 2506	Speech generating device, digitized speech, using pre-recorded messages, with greater than 40 minutes of recording time	$ 2,426.18
E 2508	Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device.	$ 3,751.68
E 2510	Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access	$ 7,099.55

E. Medicare SLP Services Fee Schedule

CPT Code	Code Description	2011 Medicare SLP Fee Schedule Amount
CPT 92607	Evaluation for speech generating device, first hour	$ 176.34
CPT 92608	Evaluation for speech generating device, additional 30 minutes	$ 52.32
CPT 92609	Speech-generating device services	$ 115.86

This information was taken from the ASHA web page.

Note: rates may vary slightly from state to state.

^Top^