Title: Coding Communication
Ocular Surface Reconstruction
CPT code 65780, Ocular surface reconstruction; amniotic membrane transplantation, was first introduced in CPT codebook 2004. This code was designed for use in severe ocular surface disease in which there is a persistent corneal epithelial defect as well as stromal thinning due to neurotrophic keratopathy, corneal ulcer, or non-healing surgical wounds. This procedure involves debridement of the involved epithelium and stroma followed by the placement and suturing of one or more layers of amniotic membrane over the defect.
There is another surgical service that utilizes amniotic membrane that may lead to some confusion in coding. In some surgical procedures, amniotic membrane is used after the removal of a conjuctival growth known as pterygium graft. In those situations, the correct code to report is 65426, Excision or transposition of pterygium; with graft.
Hope this helps!
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