Posted Jan 08, 2025
EyeMed manages Healthfirst’s prior authorization for surgical and therapeutic vision services as well as network management, related member and provider service calls, and claims payment for routine vision and medical optometry services.
A printable PDF is available here.
| Code | Type | Description |
|---|---|---|
| 65778 | CPT | Placement of amniotic membrane on the ocular surface; without sutures |
| 65779 | CPT | Placement of amniotic membrane on the ocular surface; single layer, sutured |
| 65780 | CPT | Ocular surface reconstruction; amniotic membrane transplantation, multiple layers |
| 65781 | CPT | Ocular surface reconstruction; limbal stem cell allograft (e.g., cadaveric or living donor) |
| 65782 | CPT | Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) |
| V2790 | HCPCS | Amniotic membrane for surgical reconstruction, per procedure (not billable with 65778 or 65779) |
You may view the complete list and request prior authorization from EyeMed here (eyemed.filebound.com/portal/2265).
If you have questions, please contact your network account manager, or Healthfirst Provider Services at 1-888-801-1660, Monday to Friday, 8:30am–5:30pm.
Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”).
Released January 2025