Billing code 15774: Fat graftingMedicare rate & RVUs
Reports each additional 25 cc, or fraction, of liposuction-harvested fat grafted to the face, neck, hands, feet, or other specified sites.
Medicare pays $200.74 for 15774 nationally in the office and $121.58 in a hospital or facility. Local office rates run $178.56–$250.39.
Medicare rate · 15774
Fat grafting
Swap in your local Medicare rate.
- Work RVUs
- 2.35
- Total RVUs
- 6.01
- Global days
- ZZZ
National rate · 2026
$200.74
Office setting, before claim adjustments.
See every locality for 15774 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 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
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$178.56 to $250.39
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $181.02 | $111.76 |
| Alaska* | $240.55 | $156.24 |
| Arizona | $195.33 | $118.62 |
| Arkansas | $178.56 | $110.56 |
| Atlanta | $205.59 | $125.16 |
| Austin | $205.52 | $121.76 |
| Bakersfield | $206.97 | $120.21 |
| Baltimore/Surr. Cntys | $213.27 | $128.34 |
| Beaumont | $190.01 | $117.97 |
| Brazoria | $197.24 | $118.79 |
| Chicago | $220.43 | $140.87 |
| Chico | $205.77 | $119.01 |
| Colorado | $205.44 | $121.21 |
| Connecticut | $213.63 | $128.38 |
| Dallas | $198.97 | $120.13 |
| Dc + Md/Va Suburbs | $225.80 | $132.55 |
| Delaware | $198.39 | $120.18 |
| Detroit | $206.82 | $130.43 |
| East St. Louis | $206.67 | $133.84 |
| El Centro | $205.84 | $119.08 |
| Fort Lauderdale | $213.75 | $133.56 |
| Fort Worth | $198.08 | $120.03 |
| Fresno | $205.77 | $119.01 |
| Galveston | $198.14 | $119.54 |
| Hanford-Corcoran | $205.77 | $119.01 |
| Hawaii, Guam | $209.47 | $119.47 |
| Houston | $206.01 | $127.41 |
| Idaho | $184.54 | $111.71 |
| Indiana | $185.48 | $112.10 |
| Iowa | $182.91 | $110.48 |
| Kansas | $183.26 | $111.70 |
| Kentucky | $187.54 | $117.17 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $218.87 | $125.23 |
| Madera | $205.77 | $119.01 |
| Manhattan | $231.66 | $139.67 |
| Merced | $205.77 | $119.01 |
| Metropolitan Boston | $223.31 | $128.79 |
| Metropolitan Kansas City | $193.83 | $119.50 |
| Metropolitan Philadelphia | $209.35 | $126.94 |
| Metropolitan St. Louis | $195.59 | $120.23 |
| Miami | $227.12 | $144.72 |
| Minnesota | $193.76 | $112.30 |
| Mississippi | $181.99 | $113.84 |
| Modesto | $205.77 | $119.01 |
| Montana** | $200.71 | $121.55 |
| Napa | $232.93 | $128.59 |
| Nebraska | $183.50 | $110.43 |
| Nevada** | $198.45 | $119.21 |
| New Hampshire | $203.37 | $120.96 |
| New Mexico | $194.67 | $122.08 |
| New Orleans | $196.33 | $121.84 |
| North Carolina | $188.33 | $114.47 |
| North Dakota** | $192.21 | $113.05 |
| Northern Nj | $223.92 | $132.10 |
| Nyc Suburbs/Long Island | $238.46 | $144.34 |
| Ohio | $191.47 | $119.20 |
| Oklahoma | $185.99 | $115.30 |
| Oxnard-Thousand Oaks-Ventura | $217.16 | $123.59 |
| Portland | $210.29 | $122.35 |
| Poughkpsie/N Nyc Suburbs | $217.54 | $130.86 |
| Puerto Rico | $201.71 | $121.68 |
| Queens | $231.75 | $138.18 |
| Redding | $205.77 | $119.01 |
| Rest Of California | $205.77 | $119.01 |
| Rest Of Florida | $203.22 | $127.54 |
| Rest Of Georgia | $191.85 | $121.23 |
| Rest Of Illinois | $199.44 | $127.17 |
| Rest Of Louisiana | $187.73 | $117.67 |
| Rest Of Maine | $186.68 | $113.85 |
| Rest Of Maryland | $201.64 | $121.53 |
| Rest Of Massachusetts | $204.80 | $121.44 |
| Rest Of Michigan | $193.21 | $120.93 |
| Rest Of Missouri | $185.48 | $117.24 |
| Rest Of New Jersey | $215.20 | $128.75 |
| Rest Of New York | $191.08 | $115.88 |
| Rest Of Oregon | $196.04 | $117.20 |
| Rest Of Pennsylvania | $191.10 | $118.43 |
| Rest Of Texas | $193.84 | $118.72 |
| Rest Of Washington | $204.05 | $120.69 |
| Rhode Island | $204.24 | $122.47 |
| Riverside-San Bernardino-Ontario | $210.40 | $123.64 |
| Sacramento-Roseville-Folsom | $214.49 | $122.42 |
| Salinas | $213.66 | $121.92 |
| San Diego-Chula Vista-Carlsbad | $217.66 | $122.99 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $244.66 | $133.04 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $244.17 | $132.55 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $250.39 | $136.25 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $248.40 | $134.25 |
| San Luis Obispo-Paso Robles | $210.41 | $120.24 |
| Santa Cruz-Watsonville | $218.92 | $122.74 |
| Santa Maria-Santa Barbara | $214.18 | $121.88 |
| Santa Rosa-Petaluma | $221.03 | $123.82 |
| Seattle (King Cnty) | $226.53 | $129.40 |
| South Carolina | $190.39 | $117.24 |
| South Dakota** | $191.20 | $112.04 |
| Southern Maine | $194.47 | $116.02 |
| Stockton | $205.77 | $119.01 |
| Suburban Chicago | $215.29 | $133.99 |
| Tennessee | $184.27 | $112.32 |
| Utah | $192.80 | $118.39 |
| Vallejo | $232.22 | $127.89 |
| Vermont | $192.57 | $114.20 |
| Virgin Islands | $201.71 | $121.68 |
| Virginia | $194.68 | $116.87 |
| Visalia | $205.77 | $119.01 |
| West Virginia | $192.80 | $124.01 |
| Wisconsin | $186.27 | $110.43 |
| Wyoming** | $197.01 | $117.85 |
| Yuba City | $205.77 | $119.01 |
15774 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$178.56
$240.55
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $240.55 | 1 |
| AL | $181.02 | 1 |
| AR | $178.56 | 1 |
| AZ | $195.33 | 1 |
| CA | $205.77–$250.39 | 29 |
| CO | $205.44 | 1 |
| CT | $213.63 | 1 |
| DC | $225.80 | 1 |
| DE | $198.39 | 1 |
| FL | $203.22–$227.12 | 3 |
| GA | $191.85–$205.59 | 2 |
| GU | $209.47 | 1 |
| HI | $209.47 | 1 |
| IA | $182.91 | 1 |
| ID | $184.54 | 1 |
| IL | $199.44–$220.43 | 4 |
| IN | $185.48 | 1 |
| KS | $183.26 | 1 |
| KY | $187.54 | 1 |
| LA | $187.73–$196.33 | 2 |
| MA | $204.80–$223.31 | 2 |
| MD | $201.64–$225.80 | 3 |
| ME | $186.68–$194.47 | 2 |
| MI | $193.21–$206.82 | 2 |
| MN | $193.76 | 1 |
| MO | $185.48–$195.59 | 3 |
| MS | $181.99 | 1 |
| MT | $200.71 | 1 |
| NC | $188.33 | 1 |
| ND | $192.21 | 1 |
| NE | $183.50 | 1 |
| NH | $203.37 | 1 |
| NJ | $215.20–$223.92 | 2 |
| NM | $194.67 | 1 |
| NV | $198.45 | 1 |
| NY | $191.08–$238.46 | 5 |
| OH | $191.47 | 1 |
| OK | $185.99 | 1 |
| OR | $196.04–$210.29 | 2 |
| PA | $191.10–$209.35 | 2 |
| PR | $201.71 | 1 |
| RI | $204.24 | 1 |
| SC | $190.39 | 1 |
| SD | $191.20 | 1 |
| TN | $184.27 | 1 |
| TX | $190.01–$206.01 | 8 |
| UT | $192.80 | 1 |
| VA | $194.68–$225.80 | 2 |
| VI | $201.71 | 1 |
| VT | $192.57 | 1 |
| WA | $204.05–$226.53 | 2 |
| WI | $186.27 | 1 |
| WV | $192.80 | 1 |
| WY | $197.01 | 1 |
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
Swap in your local Medicare rate.
Work 2.35Practice expense 3.23Malpractice 0.43
All indexes start 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
| 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
15774 vs 15773 vs 15772 vs 15769 vs 15770: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 15773Fat grafting
- 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 grafting
- 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 graft
- 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 graft
- 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
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