CPT code 15777: Biologic implant2026 Medicare rate & RVUs
Reports placement of an acellular dermal matrix or other biologic implant to reinforce soft tissue, commonly during breast reconstruction.
Medicare pays $224.12 for 15777 nationally in the office and $182.37 in a hospital or facility. Local office rates run $201.59–$278.91.
Medicare rate · 15777
Biologic implant
- Work RVUs
- 3.56
- Total RVUs
- 6.71
- Global days
- ZZZ
National rate · 2026
$224.12
Office setting, before claim adjustments.
See every locality for 15777 →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 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.
Where 15777 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
$201.59 to $278.91
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $204.05 | $167.52 |
| Alaska* | $278.91 | $234.44 |
| Arizona | $218.33 | $177.87 |
| Arkansas | $201.59 | $165.72 |
| Atlanta | $230.30 | $187.88 |
| Austin | $226.61 | $182.44 |
| Bakersfield | $225.58 | $179.82 |
| Baltimore/Surr. Cntys | $237.37 | $192.57 |
| Beaumont | $215.08 | $177.08 |
| Brazoria | $219.40 | $178.03 |
| Chicago | $254.35 | $212.39 |
| Chico | $223.71 | $177.95 |
| Colorado | $225.95 | $181.52 |
| Connecticut | $237.58 | $192.61 |
| Dallas | $221.68 | $180.10 |
| Dc + Md/Va Suburbs | $247.81 | $198.63 |
| Delaware | $221.46 | $180.21 |
| Detroit | $236.57 | $196.28 |
| East St. Louis | $240.19 | $201.77 |
| El Centro | $223.82 | $178.06 |
| Fort Lauderdale | $243.28 | $200.98 |
| Fort Worth | $221.14 | $179.98 |
| Fresno | $223.71 | $177.95 |
| Galveston | $220.64 | $179.18 |
| Hanford-Corcoran | $223.71 | $177.95 |
| Hawaii, Guam | $226.05 | $178.58 |
| Houston | $232.91 | $191.45 |
| Idaho | $205.70 | $167.29 |
| Indiana | $206.57 | $167.87 |
| Iowa | $203.58 | $165.38 |
| Kansas | $205.07 | $167.33 |
| Kentucky | $213.02 | $175.91 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $236.63 | $187.24 |
| Madera | $223.71 | $177.95 |
| Manhattan | $258.26 | $209.75 |
| Merced | $223.71 | $177.95 |
| Metropolitan Boston | $242.60 | $192.75 |
| Metropolitan Kansas City | $218.55 | $179.35 |
| Metropolitan Philadelphia | $233.98 | $190.51 |
| Metropolitan St. Louis | $220.19 | $180.44 |
| Miami | $261.73 | $218.27 |
| Minnesota | $210.77 | $167.81 |
| Mississippi | $206.77 | $170.82 |
| Modesto | $223.71 | $177.95 |
| Montana** | $224.08 | $182.32 |
| Napa | $246.94 | $191.91 |
| Nebraska | $203.82 | $165.29 |
| Nevada** | $220.47 | $178.67 |
| New Hampshire | $224.72 | $181.26 |
| New Mexico | $221.74 | $183.46 |
| New Orleans | $222.28 | $182.99 |
| North Carolina | $210.49 | $171.54 |
| North Dakota** | $210.83 | $169.08 |
| Northern Nj | $246.39 | $197.96 |
| Nyc Suburbs/Long Island | $266.56 | $216.92 |
| Ohio | $217.09 | $178.97 |
| Oklahoma | $210.27 | $172.98 |
| Oxnard-Thousand Oaks-Ventura | $234.09 | $184.74 |
| Portland | $229.49 | $183.10 |
| Poughkpsie/N Nyc Suburbs | $242.04 | $196.32 |
| Puerto Rico | $224.70 | $182.49 |
| Queens | $256.70 | $207.35 |
| Redding | $223.71 | $177.95 |
| Rest Of California | $223.71 | $177.95 |
| Rest Of Florida | $231.73 | $191.82 |
| Rest Of Georgia | $219.47 | $182.23 |
| Rest Of Illinois | $229.51 | $191.39 |
| Rest Of Louisiana | $213.65 | $176.70 |
| Rest Of Maine | $209.03 | $170.62 |
| Rest Of Maryland | $224.47 | $182.22 |
| Rest Of Massachusetts | $225.87 | $181.91 |
| Rest Of Michigan | $219.80 | $181.68 |
| Rest Of Missouri | $212.11 | $176.12 |
| Rest Of New Jersey | $238.67 | $193.08 |
| Rest Of New York | $213.33 | $173.67 |
| Rest Of Oregon | $217.14 | $175.56 |
| Rest Of Pennsylvania | $216.10 | $177.77 |
| Rest Of Texas | $217.72 | $178.10 |
| Rest Of Washington | $224.71 | $180.74 |
| Rhode Island | $226.70 | $183.57 |
| Riverside-San Bernardino-Ontario | $230.92 | $185.16 |
| Sacramento-Roseville-Folsom | $231.52 | $182.96 |
| Salinas | $230.59 | $182.20 |
| San Diego-Chula Vista-Carlsbad | $233.67 | $183.74 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $257.27 | $198.40 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $256.51 | $197.64 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $263.43 | $203.22 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $260.32 | $200.11 |
| San Luis Obispo-Paso Robles | $227.27 | $179.72 |
| Santa Cruz-Watsonville | $234.04 | $183.32 |
| Santa Maria-Santa Barbara | $230.82 | $182.13 |
| Santa Rosa-Petaluma | $236.19 | $184.92 |
| Seattle (King Cnty) | $244.77 | $193.54 |
| South Carolina | $214.47 | $175.89 |
| South Dakota** | $209.26 | $167.51 |
| Southern Maine | $215.12 | $173.74 |
| Stockton | $223.71 | $177.95 |
| Suburban Chicago | $244.47 | $201.59 |
| Tennessee | $206.22 | $168.27 |
| Utah | $216.87 | $177.62 |
| Vallejo | $245.85 | $190.82 |
| Vermont | $212.24 | $170.90 |
| Virgin Islands | $224.70 | $182.49 |
| Virginia | $216.13 | $175.09 |
| Visalia | $223.71 | $177.95 |
| West Virginia | $222.91 | $186.63 |
| Wisconsin | $205.16 | $165.16 |
| Wyoming** | $218.30 | $176.55 |
| Yuba City | $223.71 | $177.95 |
15777 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.
$201.59
$278.91
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 | $278.91 | 1 |
| AL | $204.05 | 1 |
| AR | $201.59 | 1 |
| AZ | $218.33 | 1 |
| CA | $223.71–$263.43 | 29 |
| CO | $225.95 | 1 |
| CT | $237.58 | 1 |
| DC | $247.81 | 1 |
| DE | $221.46 | 1 |
| FL | $231.73–$261.73 | 3 |
| GA | $219.47–$230.30 | 2 |
| GU | $226.05 | 1 |
| HI | $226.05 | 1 |
| IA | $203.58 | 1 |
| ID | $205.70 | 1 |
| IL | $229.51–$254.35 | 4 |
| IN | $206.57 | 1 |
| KS | $205.07 | 1 |
| KY | $213.02 | 1 |
| LA | $213.65–$222.28 | 2 |
| MA | $225.87–$242.60 | 2 |
| MD | $224.47–$247.81 | 3 |
| ME | $209.03–$215.12 | 2 |
| MI | $219.80–$236.57 | 2 |
| MN | $210.77 | 1 |
| MO | $212.11–$220.19 | 3 |
| MS | $206.77 | 1 |
| MT | $224.08 | 1 |
| NC | $210.49 | 1 |
| ND | $210.83 | 1 |
| NE | $203.82 | 1 |
| NH | $224.72 | 1 |
| NJ | $238.67–$246.39 | 2 |
| NM | $221.74 | 1 |
| NV | $220.47 | 1 |
| NY | $213.33–$266.56 | 5 |
| OH | $217.09 | 1 |
| OK | $210.27 | 1 |
| OR | $217.14–$229.49 | 2 |
| PA | $216.10–$233.98 | 2 |
| PR | $224.70 | 1 |
| RI | $226.70 | 1 |
| SC | $214.47 | 1 |
| SD | $209.26 | 1 |
| TN | $206.22 | 1 |
| TX | $215.08–$232.91 | 8 |
| UT | $216.87 | 1 |
| VA | $216.13–$247.81 | 2 |
| VI | $224.70 | 1 |
| VT | $212.24 | 1 |
| WA | $224.71–$244.77 | 2 |
| WI | $205.16 | 1 |
| WV | $222.91 | 1 |
| WY | $218.30 | 1 |
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
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.
Payment rules and modifiers for 15777
The CMS indicators that decide how 15777 is paid alongside other services.
CMS payment indicators · 15777
Biologic implant
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
15777 without 50 · national office
$224.12
Biologic implant
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).
15777 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 15770Composite tissue graft
- 15770 describes an autologous dermal-fat-fascia graft. Use 15777 for biologic implant material placed for soft-tissue reinforcement.
- 15778Absorbable mesh
- 15778 concerns absorbable mesh or another prosthesis for delayed closure; 15777 is for a biologic implant used to reinforce soft tissue.
- 19357Breast reconstruction
- 19357 reports breast reconstruction with a tissue expander. Report 15777 as an add-on only when biologic material is also placed for soft-tissue reinforcement.
- 19340Breast implant
- 19340 reports breast implant placement. It is a primary reconstruction procedure, while 15777 reports biologic implant placement for reinforcement alongside a primary procedure.
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
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