Prior Auth Required

65780 - Ocular surface reconstruction; amniotic membrane transplantation, multiple layers

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Procedure / ServiceOcular surface reconstruction; amniotic membrane transplantation, multiple layers
Procedure / Service Description

(fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to - 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 Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device 66174 or stent

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