CPT code 15774: Fat grafting, each additional 25 cc2026 Medicare rate & RVUs in Florida
Reports each additional 25 cc, or fraction, of liposuction-harvested fat grafted to the face, neck, hands, feet, or other specified sites.
Medicare pays $203.22–$227.12 for 15774 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 15774 covers
This add-on represents additional placement of the patient’s own fat, harvested using liposuction, into the face, eyelids, mouth, neck, ears, orbits, genitalia, hands, or feet. Plastic and reconstructive surgeons may use the technique to restore volume or address contour defects. For example, facial fat grafting may be performed as part of reconstructive or aesthetic surgery; the recipient site determines which fat-grafting code family applies.
Report 15774 for each additional 25 cc, or part of 25 cc, grafted beyond the amount represented by the primary code 15773. Base the units on the volume grafted, not simply the amount removed from the donor site. The operative report should identify recipient sites and document the volume placed. CMS classifies 15774 as an add-on: report it only with its primary procedure, and payment is within that procedure’s global period.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 15774 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$203.22 to $227.12
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $213.75 | $133.56 |
| Miami, FL | $227.12 | $144.72 |
| Rest of Florida | $203.22 | $127.54 |
How the 15774 rate is calculated
Each of 15774’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 15774
RVUs × geographic indexes × conversion factor
Work2.35
2.35 RVUs× 1.000 GPCI
Practice expense3.23
3.23 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
6.0100
Conversion factor
$33.4009
Medicare rate
$200.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 15774
The CMS indicators that decide how 15774 is paid alongside other services.
CMS payment indicators · 15774
Fat grafting, each additional 25 cc
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
15774 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 15773Fat grafting25 cc or less, specified sites
- 15773 reports the initial 25 cc or less for the specified recipient sites. Use 15774 only for additional grafted volume and only with the primary code.
- 15772Fat graftingEach additional 50 cc
- 15772 is the additional-volume code for grafting to the trunk, breasts, scalp, arms, or legs. 15774 is for the face, eyelids, mouth, neck, ears, orbits, genitalia, hands, or feet.
- 15769Soft-tissue graftDirect-excision harvest
- 15769 describes autologous soft-tissue grafting obtained by direct excision. 15774 is for additional volume of fat harvested by liposuction and is an add-on to 15773.
- 15770Composite tissue graftDermis, fat, and fascia
- 15770 describes a dermal-fat-fascia graft. 15774 concerns additional liposuction-harvested fat grafting to its specified recipient sites.
15774 billing questions
Which primary code must accompany 15774?
Report 15774 with 15773, which represents the initial 25 cc or less for the specified recipient sites. 15774 accounts for additional grafted volume.
When does 15774 apply instead of 15772?
Use 15774 for additional liposuction-harvested fat grafted to the face, eyelids, mouth, neck, ears, orbits, genitalia, hands, or feet. Code 15772 is for the separate trunk, breast, scalp, arm, and leg site group.
How should units be determined?
Count each additional 25 cc, or fraction of 25 cc, grafted beyond the initial amount represented by 15773. Document the volume placed at the recipient site or sites.
Can 15774 be reported by itself?
No. It is an add-on code and must be reported with its primary procedure, 15773.
What should the operative note support?
Document the recipient site or sites and the amount of fat grafted. The recorded volume should support the number of additional 25-cc increments reported.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 15774 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist