V2790 HCPCS code: Amniotic membrane for surgical reconstruction, per procedure
V2790 is the HCPCS Level II code for amniotic membrane for surgical reconstruction, per procedure. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on outpatient hospital claims.
Code details
| Field | Value |
|---|---|
| Section | V codes — Vision, hearing and speech-language pathology services |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 57 |
| BETOS category | Z2 |
| Added | 2001-01-01 |
| Last action effective | 2003-10-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A53441: Billing and Coding: Amniotic Membrane Billing Guidelines for HCPCS Code V2790 (Palmetto GBA (MAC - Part B))
What changed for V2790
- 2001-01-01: V2790 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code V2790?
V2790 is the HCPCS Level II code for amniotic membrane for surgical reconstruction, per procedure. Short descriptor: "Amniotic membrane".
Does Medicare cover V2790?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of V2790 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related V27 codes
- V2700 — Balance lens, per lens ($53.63–$99.58)
- V2702 — Deluxe lens feature
- V2710 — Slab off prism, glass or plastic, per lens ($78.50–$154.85)
- V2715 — Prism, per lens ($14.23–$97.78)
- V2718 — Press-on lens, fresnell prism, per lens ($34.95–$96.72)
- V2730 — Special base curve, glass or plastic, per lens ($7.60–$37.36)
- V2744 — Tint, photochromatic, per lens ($15.43–$26.78)
- V2745 — Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ($12.57–$16.76)
- V2750 — Anti-reflective coating, per lens ($23.37–$48.05)
- V2755 — U-v lens, per lens ($14.47–$27.11)
- V2756 — Eye glass case
- V2760 — Scratch resistant coating, per lens ($10.06–$36.57)
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Next steps
- Run a reimbursement report for a device billed under V2790
- Watch V2790 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2790
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.