Does Insurance or Medicare cover placement of a OcuGraft corneal bandage?
Yes, when medically necessary.
Reimbursement Resources
OcuGraft provides comprehensive reimbursement support for our physicians and their staff that includes patient pre-authorization review, patient benefit eligibility and individual claims support. Please reach out for training and access to reimbursement resources by clicking the link below.
Frequently Asked Questions:
Does insurance or Medicare cover placement of a OcuGraft biologic corneal graft?
Yes, when medically necessary.
What CPT or HCPCS codes describes administration of OcuGraft?
There are several different codes that apply when using OcuGraft. We encourage you to reach out to our team for reimbursement and billing support. We offer a comprehensive guide to billing for OcuGraft as well as offer support with many services including pre-authorization and claims support. Click Here to learn more about reimbursement support for OcuGraft.
Some conditions for which OcuGraft may be used include:
Post-op care after corneal procedures
Post-op care after pterygium surgery
Dry Eye Syndrome
Exposure Keratopathy
Corneal Ulcers
Corneal Erosion
Filamentary Keratitis
Infectious Keratitis
Epithelial Basement Dystrophy
What is OcuGraft?
OcuGraft is made from amniotic membrane which has natural anti-inflammatory and anti-scarring properties. It helps repair your cornea and return your eye to a normal, healthy state. OcuGraft contains a molecular complex called high molecular weight or “heavy-chain” hyaluronic acid (“HC-HA”). OcuGraft is made from amniotic tissue and many of the regenerative properties of amniotic tissue have been attributed to HC-HA.
OcuGraft is committed to provide accurate coding information, this information should not be interpreted as providing clinical advice, dictating reimbursement policy or substitute for the judgment of a practitioner. It is always the provider’s responsibility to determine and submit appropriate codes, charges and modifiers for rendered services. OcuGraft assumes no responsibility or liability for the timeliness, accuracy and completeness of the information contained below. Since reimbursement laws, regulations and payor policies change frequently, it is recommended that providers consult with their payors, coding specialists, and/or legal counsel regarding coverage, coding and payment issues.