The descriptor currently reads, “Placement of amniotic membrane on the ocular surface; without sutures”. In 2014, CPT amended the code descriptor for 65778 from the original, which had existed since 2011. How do we code for the ProKera ring? Subscribe to Codify and get the code details in a flash. Prokera Lens Icd 10 Pcs Code. I know the code fore this is 29807, but not sure about the injection. The cell activity in the tissue has been inactivated to eliminate the possibility of graft rejection while retaining the natural biologic properties. Prokera is the only FDA cleared therapeutic device that both reduces inflammation and promotes healing. ANSWER: CPT code 65778 describes this procedure. CPT codes not covered for indications listed in the CPB: Sural nerve grafting - no specific code: Other CPT codes related to this CPB: 65450: Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization: HCPCS codes covered if selection criteria are met: V2790: Amniotic membrane for surgical reconstruction, per procedure 3 QUESTION: Does Medicare cover placement of a PROKERA biologic corneal … The Code on Dental Procedures and Nomenclature (Code) is published in Current Dental Terminology (CDT). PROKERA® is the only FDA-cleared therapeutic device that can both reduce inflammation and promote healing. The 2021 edition of ICD-10-CM H16.109 became effective on October 1, 2020. Our expert staff have decades of combined experience, covering all aspects of coding and reimbursement. The descriptor currently reads, “ Placement of amniotic membrane on the ocular surface; without sutures”. Jenny Edgar CPC, CPCO, OCS, OCSRManager, Coding and Reimbursement, David B. Glasser, MDSecretary, Federal Affairs, Michael X. Repka, MD, MBAMedical Director, Government Affairs, Sue Vicchrilli, COT, OCS, OCSRDirector, Coding and Reimbursement, Joy Woodke, COE, OCS, OCSRCoding and Practice Management Executive. If planned prospectively, use 65778 with modifier 58 Staged or related procedure or service by the same physician during the postoperative period. This is the American ICD-10-CM version of H16.109 - other international versions of ICD-10 H16.109 may differ. Continues to provide growth factors. In 2014, CPT amended the code descriptor for 65778 from the original, which had existed since 2011. In an inpatient facility reimbursement for HCPCS code V2790 is included in the Outpatient Prospective Payment … AMA, are not part of CPT, and the AMA is not recommending their use. Jun 25, 2014 … lens bandage, marketed under the name PROKERA® is authorized under …. 2. At that time, claims submitted on TOB 85X with revenue code (RC) 96X, 97X or 98X , a Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code with a bilateral indicator of ‘1’ or ‘3’, modifier 50 and more than one service unit on the same line will be returned to the provider. The device is intended for use in eyes in which the ocular surface cells have been damaged, or underlying stroma is type of biological contact lens bandage (CPT code 65778) on the. In a dry eye study with 160 respondents, 95% said Prokera healed their eye, and 81% said it improved their vision. The American Medical Association created CPT Code 65778 (currently defined as: “Placement of amniotic membrane on the ocular surface; without sutures,”with a 10-day global period) because it recognized the importance of delivering the wound healing properties of cryopreserved amniotic membrane to the ocular surface without the use of sutures. In 2011, Bio-Tissue achieved its goal and the American Medical Association created CPT code 65778 (currently defined as: “Placement of amniotic membrane on the ocular surface; without sutures,”) in recognition of the importance of delivering the wound healing properties of cryopreserved amniotic membrane to the ocular surface without the use of sutures. 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Learn more about AMT in … H16.109 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. AHA Coding Clinic ® for HCPCS - current + archives AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - current + archives AMA CPT ® Assistant - current + archives AMA CPT ® Knowledge Base Q/A BC Advantage Articles, Webinars, 20+ CEUs - current + archives DecisionHealth Pink Sheets, Part B News - current + archives Find-A-Code Articles … CPT code 65222 is removal of foreign body, external eye; corneal, with slit lamp.