2025 HCPCS code V2790
(Active) Effective Date: N/A Revision Date: N/A Vision Services - Vision Services V2700-V2799 Vision Services V2020-V2799 Feed
Amniotic membrane for surgical reconstruction, per procedure.
Medical necessity must be established for the underlying condition requiring amniotic membrane application, such as corneal ulcers, chemical burns, or post-surgical scarring. Payor policies may require prior authorization.
Reported for the amniotic membrane used by a provider to repair or reconstruct the cornea or conjunctiva. This can be for various conditions like corneal defects, injuries, chemical burns, ulceration, certain conjunctival diseases, eyelid defects, or conjunctival scarring.
In simple words: This code covers the use of a special tissue (amniotic membrane) to repair the front of your eye (cornea) or the lining of your eyelids and eyeball (conjunctiva).
This code covers the use of amniotic membrane to repair or reconstruct the cornea or conjunctiva. It is reported for each procedure using amniotic membrane for reconstruction.
Example 1: A patient with a corneal ulcer undergoes amniotic membrane transplantation to promote healing., A patient with a chemical burn to the eye requires amniotic membrane grafting for reconstruction., Following a trabeculectomy, a patient receives an amniotic membrane graft to address conjunctival scarring.
Documentation should support the medical necessity of the amniotic membrane application, including the diagnosis, procedure performed, and the size or quantity of the membrane used.
** For accurate billing and reimbursement, contacting the patient’s insurance provider is recommended to confirm coverage, prior authorization requirements, and any specific billing instructions.
- Payment Status: Included in procedure codes 65778 and 65779 in facility settings, separately billable with 65780 in office settings.
- Specialties:Ophthalmology
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital