No office rate
15770 describes an autologous dermal-fat-fascia graft. Use 15777 for biologic implant material placed for soft-tissue reinforcement.
On this page
CMS RVU26D · Effective 2026-10-01
15777 Biologic implant Medicare reimbursement rates in Oklahoma
Reports placement of an acellular dermal matrix or other biologic implant to reinforce soft tissue, commonly during breast reconstruction. Compare 15777 office and facility rates across CMS payment localities in Oklahoma.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 15777 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$210.27
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$172.98
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Plastic surgery
About 15777: Biologic implant for soft tissue reinforcement
Reports placement of an acellular dermal matrix or other biologic implant to reinforce soft tissue, commonly during breast reconstruction.
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%.
CMS billing rules for 15777
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU3.56 · 53%
- Practice expense (office) RVU2.48 · 37%
- Malpractice RVU0.67 · 10%
5.4K
Medicare services in 2024 · #1824 by national volume
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.
15777 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
15778 concerns absorbable mesh or another prosthesis for delayed closure; 15777 is for a biologic implant used to reinforce soft tissue.
No office rate
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.
No office rate
19340 reports breast implant placement. It is a primary reconstruction procedure, while 15777 reports biologic implant placement for reinforcement alongside a primary procedure.
Compare 15777 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
$210.27
Facility
$172.98
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 15777 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
1,549
- Code
- 15777
- Physician work
- 3.56
- Practice expense
- 2.48
- Malpractice
- 0.67
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.56 | × 1.000 | 3.5600 |
| Practice expense | 2.48 | × 0.893 | 2.2146 |
| Malpractice | 0.67 | × 0.777 | 0.5206 |
| Total RVUs | 6.2952 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$210.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.56 | 1 |
| Practice expense | 2.48 | 0.893 |
| Malpractice | 0.67 | 0.777 |
(3.56 × 1 + 2.48 × 0.893 + 0.67 × 0.777) × $33.4009 = $210.27
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.56 | 1 |
| Practice expense | 1.23 | 0.893 |
| Malpractice | 0.67 | 0.777 |
(3.56 × 1 + 1.23 × 0.893 + 0.67 × 0.777) × $33.4009 = $172.98
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,54615774,,Gfrg autol fat lipo ea addl,A,,2.35,3.23,,0.86,,0.43,6.01,3.64,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54715775,,Hair trnspl 1-15 punch grfts,R,,3.85,7.48,,2.12,,0.71,12.04,6.68,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54815776,,Hair trnspl >15 punch grafts,R,,5.39,9.89,,2.68,,1.02,16.30,9.09,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,54915777,,Acellular derm matrix implt,A,,3.56,2.48,,1.23,,0.67,6.71,5.46,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55015778,,Impl absrb msh/prsth dly cls,A,,6.87,2.01,NA,2.01,,1.70,10.58,10.58,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55115780,,Dermabrasion total face,A,,8.51,15.44,,7.54,,0.84,24.79,16.89,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,55215781,,Dermabrasion segmental face,A,,4.89,10.11,,5.56,,0.58,15.58,11.03,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193