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

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 Vermont, Medicare pays $212.24 for 15777 in the office and $170.90 when it’s performed in a hospital or facility.

$212.24Office (non-facility)
$170.90Hospital or facility
−5.3%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 Vermont
  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 Vermont 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. Vermont pays $212.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

15777 in Vermont vs other payment areas
  1. Vermont · this page$212.24
  2. Los Angeles, CA · California$236.63+$24.39
  3. Washington, DC area · District of Columbia$247.81+$35.57
  4. Miami, FL · Florida$261.73+$49.49
  5. Chicago, IL · Illinois$254.35+$42.11
  6. Manhattan, NY · New York$258.26+$46.02
  7. Alaska · Alaska$278.91+$66.67

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

Every other payment area

15777 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$204.05$167.52
ArkansasArkansas$201.59$165.72
ArizonaArizona$218.33$177.87
Bakersfield, CACalifornia$225.58$179.82
Chico, CACalifornia$223.71$177.95
El Centro, CACalifornia$223.82$178.06
Fresno, CACalifornia$223.71$177.95
Hanford, CACalifornia$223.71$177.95

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 15777 in Vermont
ComponentRVULocality factorAdjusted
Physician work3.56× 1.0003.5600
Practice expense2.48× 0.9902.4552
Malpractice0.67× 0.5060.3390
Total RVUs6.3542
Conversion factor× 33.4009

Office rate, Vermont$212.24

Office: (3.56 × 1 + 2.48 × 0.99 + 0.67 × 0.506) × $33.4009 = $212.24

Facility: (3.56 × 1 + 1.23 × 0.99 + 0.67 × 0.506) × $33.4009 = $170.90

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, Vermont
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 Vermont

15777 · Office / nonfacility

$212.24

Effective 2026-10-01

The base rate is $15.80 higher than on 2025-10-01, moving from $196.44 to $212.24 (8.0%).

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

    $196.44changed to$212.24

    • 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
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $200.18changed to$196.44

    • 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

    $196.91changed to$200.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $204.97changed to$196.91

    • 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
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $208.73changed to$204.97

    • 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
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $209.67changed to$208.73

    • 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

    $216.47changed to$209.67

    • 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
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $216.96changed to$216.47

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $216.72changed to$216.96

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $215.59changed to$216.72

    • 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 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $212.96changed to$215.59

    • 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
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $213.84changed to$212.96

    • 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

    $212.78changed to$213.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $209.48changed to$212.78

    • 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
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$209.48

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$212.24$170.90RVU26D
2026-07-01$212.24$170.90RVU26C
2026-04-01$212.24$170.90RVU26B
2026-01-01$212.24$170.90RVU26A
2025-10-01$196.44$196.44RVU25D
2025-07-01$196.44$196.44RVU25C
2025-04-01$196.44$196.44RVU25B
2025-01-01$196.44$196.44RVU25A
2024-10-01$200.18$200.18RVU24D
2024-07-01$200.18$200.18RVU24C
2024-04-01$200.18$200.18RVU24B
2024-03-09$200.18$200.18RVU24AR
2024-01-01$196.91$196.91RVU24A
2023-10-01$204.97$204.97RVU23D
2023-07-01$204.97$204.97RVU23C
2023-04-01$204.97$204.97RVU23B
2023-01-01$204.97$204.97RVU23A
2022-10-01$208.73$208.73RVU22D
2022-07-01$208.73$208.73RVU22C
2022-04-01$208.73$208.73RVU22B
2022-01-01$208.73$208.73RVU22A
2021-10-01$209.67$209.67RVU21D
2021-07-01$209.67$209.67RVU21C
2021-04-01$209.67$209.67RVU21B
2021-01-01$209.67$209.67RVU21A
2020-10-01$216.47$216.47RVU20D
2020-07-01$216.47$216.47RVU20C
2020-04-01$216.47$216.47RVU20B
2020-01-01$216.47$216.47RVU20A
2019-10-01$216.96$216.96RVU19D
2019-07-01$216.96$216.96RVU19C
2019-04-01$216.96$216.96RVU19B
2019-01-01$216.96$216.96RVU19A
2018-10-01$216.72$216.72RVU18D
2018-07-01$216.72$216.72RVU18C
2018-04-01$216.72$216.72RVU18B
2018-01-01$216.72$216.72RVU18AR1
2017-10-01$215.59$215.59RVU17D
2017-07-01$215.59$215.59RVU17C
2017-04-01$215.59$215.59RVU17B
2017-01-01$215.59$215.59RVU17A
2016-10-01$212.96$212.96RVU16D
2016-07-01$212.96$212.96RVU16C
2016-04-01$212.96$212.96RVU16B
2016-01-01$212.96$212.96RVU16A
2015-10-01$213.84$213.84RVU15D
2015-07-01$213.84$213.84RVU15C
2015-04-01$212.78$212.78RVU15B
2015-01-01$212.78$212.78RVU15A
2014-10-01$209.48$209.48RVU14D
2014-07-01$209.48$209.48RVU14C
2014-04-01$209.48$209.48RVU14B
2014-01-01$209.48$209.48RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 15777 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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