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CPT code 15777: Biologic implant, soft tissue reinforcement2026 Medicare rate & RVUs in Houston, TX

Reports placement of an acellular dermal matrix or other biologic implant to reinforce soft tissue, commonly during breast reconstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality5.4K Medicare services in 2024

In Houston, TX, Medicare pays $232.91 for 15777 in the office and $191.45 when it’s performed in a hospital or facility.

$232.91Office (non-facility)
$191.45Hospital or facility
+3.9%vs the national office rate ($224.12)

Check a contract rate as a % of Medicare · 15777 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 15777 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 15777 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 15777 covers

This add-on covers placement of a biologic implant, such as acellular dermal matrix, to reinforce soft tissue. A plastic surgeon commonly uses it during breast reconstruction to support an implant or tissue expander, including reconstruction after mastectomy. The service may also involve reinforcement at another soft-tissue site, such as the trunk, when the implant is used for that purpose.

Report 15777 only with the primary procedure it supplements, not as a standalone service. The operative report should identify the biologic material, the reinforced site, and its role in the reconstruction. CMS pays the add-on within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150%.

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.

How Houston, TX compares for 15777

Across 109 of 109 payment localities, the office rate for 15777 runs from $201.59 in Arkansas to $278.91 in Alaska. Houston, TX pays $232.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

15777 in Houston, TX vs other payment areas
  1. Houston, TX · this page$232.91
  2. Austin, TX · Texas$226.61−$6.30
  3. Beaumont, TX · Texas$215.08−$17.83
  4. Brazoria, TX · Texas$219.40−$13.51
  5. Dallas, TX · Texas$221.68−$11.23
  6. Fort Worth, TX · Texas$221.14−$11.77
  7. Galveston, TX · Texas$220.64−$12.27

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

15777 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$217.72$178.10
Los Angeles, CACalifornia$236.63$187.24
Washington, DC areaDistrict of Columbia$247.81$198.63
Miami, FLFlorida$261.73$218.27
Chicago, ILIllinois$254.35$212.39
Manhattan, NYNew York$258.26$209.75
AlaskaAlaska$278.91$234.44
AlabamaAlabama$204.05$167.52

15777 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$201.59

$278.91

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
15777 office rate range by state
State / territoryOffice rate rangeLocalities
AK$278.911
AL$204.051
AR$201.591
AZ$218.331
CA$223.71–$263.4329
CO$225.951
CT$237.581
DC$247.811
DE$221.461
FL$231.73–$261.733
GA$219.47–$230.302
GU$226.051
HI$226.051
IA$203.581
ID$205.701
IL$229.51–$254.354
IN$206.571
KS$205.071
KY$213.021
LA$213.65–$222.282
MA$225.87–$242.602
MD$224.47–$247.813
ME$209.03–$215.122
MI$219.80–$236.572
MN$210.771
MO$212.11–$220.193
MS$206.771
MT$224.081
NC$210.491
ND$210.831
NE$203.821
NH$224.721
NJ$238.67–$246.392
NM$221.741
NV$220.471
NY$213.33–$266.565
OH$217.091
OK$210.271
OR$217.14–$229.492
PA$216.10–$233.982
PR$224.701
RI$226.701
SC$214.471
SD$209.261
TN$206.221
TX$215.08–$232.918
UT$216.871
VA$216.13–$247.812
VI$224.701
VT$212.241
WA$224.71–$244.772
WI$205.161
WV$222.911
WY$218.301

See 15777 in every payment locality

How the 15777 rate is calculated

Each of 15777’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 · 15777

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.56

3.56 RVUs× 1.000 GPCI

Practice expense2.48

2.48 RVUs× 1.000 GPCI

Malpractice0.67

0.67 RVUs× 1.000 GPCI

Adjusted RVUs

6.7100

Conversion factor

$33.4009

Medicare rate

$224.12

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,549

Code
15777
Physician work
3.56
Practice expense
2.48
Malpractice
0.67

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 15777 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work3.56× 1.0083.5885
Practice expense2.48× 0.9932.4626
Malpractice0.67× 1.3760.9219
Total RVUs6.9730
Conversion factor× 33.4009

Office rate, Houston, TX$232.91

Office: (3.56 × 1.008 + 2.48 × 0.993 + 0.67 × 1.376) × $33.4009 = $232.91

Facility: (3.56 × 1.008 + 1.23 × 0.993 + 0.67 × 1.376) × $33.4009 = $191.45

Open 15777 in the RVU calculator

Payment rules and modifiers for 15777

The CMS indicators that decide how 15777 is paid alongside other services.

CMS payment indicators · 15777

Biologic implant, soft tissue reinforcement

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

15777 without 50 · national office

$224.12

Biologic implant, soft tissue reinforcement

15777-50 · Bilateral: 150%

$336.18

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 15777

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 15777
CodeHow it relatesOffice range, Houston, TX
Primary code
19357Breast reconstruction, tissue expander placementBiologic reinforcement may accompany breast reconstruction using a tissue expander.No office rate
19340Breast implant, immediate postmastectomy placementMay accompany immediate breast implant placement when biologic reinforcement is performed.No office rate
Used instead
15770Composite tissue graft, dermis, fat, and fasciaUses an autologous dermal-fat-fascia graft rather than an implanted biologic matrix.No office rate

How 15777 has changed in Houston, TX

15777 · Office / nonfacility

$232.91

Effective 2026-10-01

The base rate is $14.26 higher than on 2025-10-01, moving from $218.65 to $232.91 (6.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $218.65changed to$232.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.65 changed to 3.56
    • Practice expense RVU 2.08 changed to 2.48
    • Malpractice RVU 0.69 changed to 0.67
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $223.61changed to$218.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.01 changed to 2.08
    • Malpractice RVU 0.71 changed to 0.69

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $219.96changed to$223.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $223.41changed to$219.96

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.03 changed to 2.01
    • Malpractice RVU 0.69 changed to 0.71
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $222.93changed to$223.41

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.97 changed to 2.03
    • Malpractice RVU 0.72 changed to 0.69
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $223.52changed to$222.93

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.68 changed to 0.72

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $228.51changed to$223.52

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.96 changed to 1.97
    • Malpractice RVU 0.64 changed to 0.68
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $227.25changed to$228.51

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $227.00changed to$227.25

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $225.52changed to$227.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.91 changed to 1.96
    • Malpractice RVU 0.67 changed to 0.64
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $222.32changed to$225.52

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.82 changed to 1.91
    • Malpractice RVU 0.69 changed to 0.67
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $223.14changed to$222.32

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.83 changed to 1.82
    • Malpractice RVU 0.68 changed to 0.69

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $222.03changed to$223.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $219.70changed to$222.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.73 changed to 1.83
    • Malpractice RVU 0.74 changed to 0.68
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $199.94changed to$219.70

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.48 changed to 1.73
    • Malpractice RVU 0.77 changed to 0.74
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $199.94

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$232.91$191.45RVU26D
2026-07-01$232.91$191.45RVU26C
2026-04-01$232.91$191.45RVU26B
2026-01-01$232.91$191.45RVU26A
2025-10-01$218.65$218.65RVU25D
2025-07-01$218.65$218.65RVU25C
2025-04-01$218.65$218.65RVU25B
2025-01-01$218.65$218.65RVU25A
2024-10-01$223.61$223.61RVU24D
2024-07-01$223.61$223.61RVU24C
2024-04-01$223.61$223.61RVU24B
2024-03-09$223.61$223.61RVU24AR
2024-01-01$219.96$219.96RVU24A
2023-10-01$223.41$223.41RVU23D
2023-07-01$223.41$223.41RVU23C
2023-04-01$223.41$223.41RVU23B
2023-01-01$223.41$223.41RVU23A
2022-10-01$222.93$222.93RVU22D
2022-07-01$222.93$222.93RVU22C
2022-04-01$222.93$222.93RVU22B
2022-01-01$222.93$222.93RVU22A
2021-10-01$223.52$223.52RVU21D
2021-07-01$223.52$223.52RVU21C
2021-04-01$223.52$223.52RVU21B
2021-01-01$223.52$223.52RVU21A
2020-10-01$228.51$228.51RVU20D
2020-07-01$228.51$228.51RVU20C
2020-04-01$228.51$228.51RVU20B
2020-01-01$228.51$228.51RVU20A
2019-10-01$227.25$227.25RVU19D
2019-07-01$227.25$227.25RVU19C
2019-04-01$227.25$227.25RVU19B
2019-01-01$227.25$227.25RVU19A
2018-10-01$227.00$227.00RVU18D
2018-07-01$227.00$227.00RVU18C
2018-04-01$227.00$227.00RVU18B
2018-01-01$227.00$227.00RVU18AR1
2017-10-01$225.52$225.52RVU17D
2017-07-01$225.52$225.52RVU17C
2017-04-01$225.52$225.52RVU17B
2017-01-01$225.52$225.52RVU17A
2016-10-01$222.32$222.32RVU16D
2016-07-01$222.32$222.32RVU16C
2016-04-01$222.32$222.32RVU16B
2016-01-01$222.32$222.32RVU16A
2015-10-01$223.14$223.14RVU15D
2015-07-01$223.14$223.14RVU15C
2015-04-01$222.03$222.03RVU15B
2015-01-01$222.03$222.03RVU15A
2014-10-01$219.70$219.70RVU14D
2014-07-01$219.70$219.70RVU14C
2014-04-01$219.70$219.70RVU14B
2014-01-01$219.70$219.70RVU14A
2013-10-01$199.94$199.94RVU13D
2013-07-01$199.94$199.94RVU13C
2013-04-01$199.94$199.94RVU13B
2013-01-01$199.94$199.94RVU13AR

Price 15777 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

15777 billing questions

Can 15777 be reported by itself?

No. It is an add-on for biologic implant placement and must be reported with the primary procedure it supplements.

When might 15777 accompany breast reconstruction?

It may accompany reconstruction with a tissue expander or breast implant when biologic material is placed to reinforce soft tissue. The operative documentation should establish that role.

How is bilateral placement reported?

For a bilateral procedure, report modifier 50. CMS pays the bilateral service at 150%.

What should the operative report document?

Document the biologic implant used, the site where it was placed, and how it reinforces soft tissue as part of the primary procedure.

Is 15777 paid outside the primary procedure's global period?

No. CMS identifies it as an add-on paid within the primary procedure’s global period.

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
RVUs for 15777PPRRVU2026_Oct_nonQPP.csv, line 1,549 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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