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

Reports absorbable mesh or another prosthesis placed to support delayed closure of a defect, such as one involving the abdominal wall or perineum.

CMS RVU26DEffective Oct 1, 2026One payment locality339 Medicare services in 2024

In New Mexico, Medicare pays $359.22 for 15778 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$359.22Hospital or facility

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.

We’ll open 15778 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 15778 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 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 New Mexico 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. New Mexico pays $359.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

15778 in New Mexico vs other payment areas
  1. New Mexico · this page$359.22
  2. Los Angeles, CA · California$356.00−$3.22
  3. Washington, DC area · District of Columbia$384.14+$24.92
  4. Miami, FL · Florida$442.95+$83.73
  5. Chicago, IL · Illinois$428.86+$69.64
  6. Manhattan, NY · New York$412.22+$53.00
  7. Alaska · Alaska$446.98+$87.76

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

Every other payment area

15778 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$320.35
ArkansasArkansas—$316.38
ArizonaArizona—$343.12
Bakersfield, CACalifornia—$341.98
Chico, CACalifornia—$337.38
El Centro, CACalifornia—$337.66
Fresno, CACalifornia—$337.38
Hanford, CACalifornia—$337.38

15778 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
15778 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 15778

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.87

6.87 RVUs× 1.000 GPCI

Practice expense2.01

2.01 RVUs× 1.000 GPCI

Malpractice1.70

1.70 RVUs× 1.000 GPCI

Adjusted RVUs

10.5800

Conversion factor

$33.4009

Medicare rate

$353.38

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,550

Code
15778
Physician work
6.87
Practice expense
2.01
Malpractice
1.70

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 15778 in New Mexico
ComponentRVULocality factorAdjusted
Physician work6.87× 1.0006.8700
Practice expense2.01× 0.9171.8432
Malpractice1.70× 1.2012.0417
Total RVUs10.7549
Conversion factor× 33.4009

Facility rate, New Mexico$359.22

Facility: (6.87 × 1 + 2.01 × 0.917 + 1.7 × 1.201) × $33.4009 = $359.22

Open 15778 in the RVU calculator

Payment rules and modifiers for 15778

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

CMS payment indicators · 15778

Absorbable mesh, delayed defect closure

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15778 without 51 · national facility

$353.38

Absorbable mesh, delayed defect closure

15778-51 · Second procedure: 50%

$176.69

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 15778 has changed in New Mexico

15778 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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, 2023

    RVU23A

    No ratechanged toNo rate

    Held through RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$359.22RVU26D
2026-07-01Not available in this setting$359.22RVU26C
2026-04-01Not available in this setting$359.22RVU26B
2026-01-01Not available in this setting$359.22RVU26A
2025-10-01Not available in this setting$381.07RVU25D
2025-07-01Not available in this setting$381.07RVU25C
2025-04-01Not available in this setting$381.07RVU25B
2025-01-01Not available in this setting$381.07RVU25A
2024-10-01Not available in this setting$383.11RVU24D
2024-07-01Not available in this setting$383.11RVU24C
2024-04-01Not available in this setting$383.11RVU24B
2024-03-09Not available in this setting$383.11RVU24AR
2024-01-01Not available in this setting$376.86RVU24A
2023-10-01Not available in this setting$387.21RVU23D
2023-07-01Not available in this setting$387.21RVU23C
2023-04-01Not available in this setting$387.21RVU23B
2023-01-01Not available in this setting$387.21RVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 15778 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

15778 billing questions

Can 15778 be reported by itself?

No. It is an add-on for absorbable mesh or another prosthesis placed for delayed defect closure and is reported with the primary procedure.

How is 15778 different from 15777?

15778 describes absorbable mesh or another prosthesis used for delayed defect closure. 15777 concerns a biologic implant used for soft-tissue reinforcement.

What documentation supports 15778?

Document the defect and its site, the reason closure was delayed, and the placement of the absorbable mesh or other prosthesis. The record should also identify the primary procedure.

Should modifier 50 be appended for defects on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

How does the multiple-procedure reduction affect 15778?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the remaining procedures are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.

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 15778PPRRVU2026_Oct_nonQPP.csv, line 1,550 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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