Amniotic Membrane Transplant (AMT) is commonly used in ophthalmology for healing and regeneration of the ocular surface.
🔹 What is AMT?
AMT involves placing a biologic membrane on the eye to promote healing.
Used for:
- Corneal ulcers
- Dry eye syndrome
- Chemical burns
- Persistent epithelial defects
🔹 CPT Codes
- 65778 – Placement of amniotic membrane (without sutures)
- 65779 – Placement with sutures
🔹 Supply Codes (HCPCS)
- V2790 – Amniotic membrane (varies by payer)
👉 Some payers require separate billing for the membrane, others bundle it.
🔹 Billing Rules
- Must show medical necessity
- Include procedure note + indication
- Check payer policy for bundling vs separate reimbursement
🔹 Common Mistakes
- Missing documentation of defect severity
- Incorrect use of supply code
- Billing AMT for non-covered conditions
