2025 CPT code 65779
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Placement of amniotic membrane on the ocular surface; single layer, sutured.
Modifiers 50, RT, and LT are applicable.
Medical necessity for 65779 is established by the presence of a corneal or conjunctival defect that is not responding to conservative management and requires surgical intervention for healing and/or prevention of vision loss.Documentation must support the severity of the condition and the need for amniotic membrane transplantation.
Preparation and draping of the eye, removal of diseased epithelium, placement and suturing of the amniotic membrane.
In simple words: A thin layer of tissue from a placenta is placed on the surface of the eye to help heal a wound or injury.It's held in place with stitches.This may need to be done again later.
The provider prepares and drapes the eye in a sterile manner.The diseased or necrotic epithelium is removed. A single layer of amniotic membrane is trimmed and applied to the ocular surface, covering the lesion. The membrane is secured with interrupted sutures to the cornea.Growth factors within the amniotic membrane stimulate healing, tissue repair, and inhibit unwanted vessel formation.The effects are temporary, and repeat procedures may be necessary.
Example 1: A patient presents with a corneal ulcer.The physician performs 65779 to promote healing and prevent complications., A patient with Stevens-Johnson syndrome requires amniotic membrane transplantation to protect and reconstruct the ocular surface.The physician performs 65779., Following chemical burn injury to the cornea, 65779 is performed to aid in corneal wound healing and improve visual outcome.
Pre-operative assessment of the patient's ocular condition, including photographs and imaging if necessary. Intra-operative documentation of the procedure, including type and amount of amniotic membrane used, suture technique, and post-operative care instructions.Post-operative examination notes documenting healing progress.
** This code is for the placement of a single layer of amniotic membrane secured with sutures. For placement without sutures, see code 65778. For placement using tissue glue, see code 66999.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Ophthalmology
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient