Prior Auth Required

65767 - Epikeratoplasty

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEpikeratoplasty
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 65757 Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) 65767 Epikeratoplasty 65778 Placement of amniotic membrane on the ocular surface; without sutures 65782 Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)

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.