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V2790
Amniotic membrane for surgical reconstruction, per procedure
HCPCS code
Medical Policies and Guidelines for Amniotic membrane for surgical reconstruction, per procedure
Related policies from health plans
HUMANA
Ocular Surface Disease Diagnosis and Treatments
HUMANA
Ocular Surface Disease Diagnosis and Treatments - Medicare Advantage
HUMANA
Ocular Surface Disease Diagnosis and Treatments - Medicare Advantage
HUMANA
Skin and Tissue Substitutes - Medicare Advantage
ANTHEM-BLUECROSS-CT
SURG.00011 Allogeneic, Xenographic, Synthetic, Bioengineered, and Composite Products for Wound Healing and Soft Tissue Grafting
Similar Codes
ICD10CM codes
O34.29
- Maternal care due to uterine scar from other previous surgery
Z03.71
- Encounter for suspected problem with amniotic cavity and membrane ruled out
O41.1
- Infection of amniotic sac and membranes
O41.101
- Infection of amniotic sac and membranes, unspecified, first trimester
O41.90
- Disorder of amniotic fluid and membranes, unspecified, unspecified trimester
O41.90X9
- Disorder of amniotic fluid and membranes, unspecified, unspecified trimester, other fetus
O41.91
- Disorder of amniotic fluid and membranes, unspecified, first trimester
O41.90X1
- Disorder of amniotic fluid and membranes, unspecified, unspecified trimester, fetus 1
O34.2
- Maternal care due to uterine scar from previous surgery
O41.91X9
- Disorder of amniotic fluid and membranes, unspecified, first trimester, other fetus
HCPCS codes
V2790
- Amniotic membrane for surgical reconstruction, per procedure
Q4139
- Amniomatrix or biodmatrix, injectable, 1 cc
Q4137
- Amnioexcel, amnioexcel plus or biodexcel, per square centimeter
G0288
- Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery
Q4151
- Amnioband or guardian, per square centimeter
V2785
- Processing, preserving and transporting corneal tissue
A4649
- Surgical supply; miscellaneous
D4273
- SUBEPITHELIAL CONNECTIVE TISSUE GRAFT PROCEDURES
D4266
- GUIDED TISSUE REGENERATION - RESORBABLE BARRIER
L8670
- Vascular graft material, synthetic, implant
CPT4 codes
65780
- Ocular surface reconstruction; amniotic membrane transplantation, multiple layers
65779
- Placement of amniotic membrane on the ocular surface; single layer, sutured
88235
- Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells
59001
- Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance)
59000
- Amniocentesis; diagnostic
31605
- Tracheostomy, emergency procedure; cricothyroid membrane
00948
- Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervic
00102
- Anesthesia for procedures involving plastic repair of cleft lip
59070
- Transabdominal amnioinfusion, including ultrasound guidance
65778
- Placement of amniotic membrane on the ocular surface; without sutures