Prior Auth Required

65778 - Placement of amniotic membrane on the ocular surface; without sutures

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePlacement of amniotic membrane on the ocular surface; without sutures
Procedure / Service Description

(fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to - 64868 Anastomosis; Facial-Hypoglossal 65756 Keratoplasty (corneal transplant); endothelial 65778 Placement of amniotic membrane on the ocular surface; without sutures 65779 Placement of amniotic membrane on the ocular surface; single layer, sutured 65780 Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.