Reimbursement for Amniotic Membrane Transplantation

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Topic: Amniotic Membrane

Sponsor: BioTissue

Updated: 07/25/2022

This FAQ addresses the following:

What is AmnioGraft®?
Which CPT codes are used for amniotic membrane transplantation?
Does Medicare cover procedures using amniotic membrane tissue?
What are the indications for AmnioGraft?
What are Medicare’s allowed amounts for these procedures?
Are there any other restrictions on Medicare reimbursement?
Does Medicare pay for the supply of AmnioGraft separately?

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The reimbursement information is provided by Corcoran Consulting Group based on publicly available information from CMS, the AMA, and other sources. The reader is strongly encouraged to review federal and state laws, regulations, code sets, and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. Although we believe this information is accurate at the time of publication, the reader is reminded that this information, including references and hyperlinks, changes over time, and may be incorrect at any time following publication.

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