CPT code 15778: Absorbable mesh, delayed defect closure2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $347.99 for 15778 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 15778 nationwide

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

What 15778 covers

15778 describes placing absorbable mesh or another prosthesis to support delayed closure of a defect, rather than using it simply to reinforce a completed repair. Abdominal-wall and perineal defects are examples. The service may occur during a staged operation after earlier surgery or wound treatment. Surgeons performing complex abdominal or perineal procedures are the typical users; the code represents the implant placement, not the underlying operation that created or treated the defect.

Report 15778 as an add-on with the primary procedure, not as a stand-alone service. The operative note should identify the defect, explain why closure was delayed, and document the prosthesis placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

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 Delaware compares for 15778

Across 109 of 109 payment localities, the facility rate for 15778 runs from $311.27 in Wisconsin to $446.98 in Alaska. Delaware pays $347.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15778 rates by state

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

See 15778 in every payment locality

How the 15778 rate is calculated

Each of 15778’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.

Payment rules and modifiers for 15778

The CMS indicators that decide how 15778 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 15778

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

How 15778 has changed in Delaware

Price 15778 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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

Open CMS sourceHow we calculate rates