V2790 — Amniotic membrane for surgical reconstruction, per procedure
V2790 is a HCPCS Level II code for amniotic membrane for surgical reconstruction, per procedure. It belongs to the Vision, Hearing and Speech-Language Pathology section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of V2790 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3 — Date of Service Edit: Clinical · Code Descriptor / CPT Instruction
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Code Descriptor / CPT Instruction
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for V2790
- Long descriptor
- Amniotic membrane for surgical reconstruction, per procedure
- Short descriptor
- Amniotic membrane
- Added
- January 1, 2001
- BETOS
- Z2
- Pricing indicator
- 57 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Other carrier priced.
Codes adjacent to V2790
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V2790 is not quite right, the correct code is very often within a few positions of it.
- V2781Progressive lens, per lens
- V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens
- V2783Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens
- V2784Lens, polycarbonate or equal, any index, per lens
- V2785Processing, preserving and transporting corneal tissue
- V2786Specialty occupational multifocal lens, per lens
- V2787Astigmatism correcting function of intraocular lens
- V2788Presbyopia correcting function of intraocular lens
- V2797Vision supply, accessory and/or service component of another hcpcs vision code
- V2799Vision item or service, miscellaneous
- V5008Hearing screening
- V5010Assessment for hearing aid
- V5011Fitting/orientation/checking of hearing aid
- V5014Repair/modification of a hearing aid
- V5020Conformity evaluation
- V5030Hearing aid, monaural, body worn, air conduction
Questions about V2790
What is HCPCS code V2790?
V2790 is a HCPCS Level II code for amniotic membrane for surgical reconstruction, per procedure. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V2790?
The CMS HCPCS file marks V2790 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is V2790 paid under the physician fee schedule?
V2790 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.