$226.70
Choose 15778 for absorbable mesh or another prosthesis used in delayed defect closure. 15777 describes a biologic implant for soft-tissue reinforcement.
On this page
CMS RVU26D · Effective 2026-10-01
15778 Absorbable mesh Medicare reimbursement rates in Rhode Island
Reports absorbable mesh or another prosthesis placed to support delayed closure of a defect, such as one involving the abdominal wall or perineum. Compare 15778 office and facility rates across CMS payment localities in Rhode Island.
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 15778 in Rhode Island?
Rhode Island 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
No supported rate
Facility setting
$353.82
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Surgical procedure
About 15778: Absorbable mesh for delayed defect closure
Reports absorbable mesh or another prosthesis placed to support delayed closure of a defect, such as one involving the abdominal wall or perineum.
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.
CMS billing rules for 15778
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.87 · 65%
- Practice expense (office) RVU2.01 · 19%
- Malpractice RVU1.70 · 16%
339
Medicare services in 2024 · #3887 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.
15778 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
49900 describes secondary suture closure of an abdominal wall for evisceration or dehiscence. 15778 captures the prosthesis placement used to support delayed closure.
No office rate
49002 describes reopening a recent laparotomy. 15778 describes placing a prosthesis for delayed defect closure, not reopening the prior incision.
Compare 15778 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$353.82
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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 15778 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,550
- Code
- 15778
- Physician work
- 6.87
- Practice expense
- 2.01
- Malpractice
- 1.70
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.87 | × 1.019 | 7.0005 |
| Practice expense | 2.01 | × 1.033 | 2.0763 |
| Malpractice | 1.70 | × 0.892 | 1.5164 |
| Total RVUs | 10.5933 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$353.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.87 | 1.019 |
| Practice expense | 2.01 | 1.033 |
| Malpractice | 1.7 | 0.892 |
(6.87 × 1.019 + 2.01 × 1.033 + 1.7 × 0.892) × $33.4009 = $353.82
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.
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 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.
1,54715775,,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
1,55315782,,Dermabrasion other than face,A,,4.33,9.48,,4.83,,0.43,14.24,9.59,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537