15777 Acellular derm matrix implt
What 15777 is
CMS fee schedule short descriptor: Acellular derm matrix implt.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 15777 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 3.56 | 2.48 | 0.67 | 6.71 | $224.12 |
| Facility (hospital, ASC) | 3.56 | 1.23 | 0.67 | 5.46 | $182.37 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 15777 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 15777? These codes are bundled into it
15777 is a Column 1 code in 109 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0437T | Impltj synth rnfcmt abdl wal | 1 - modifier may bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36400 | Vnpnxr<3yrs phy/qhp fem/jug | 1 - modifier may bypass | Check pair |
36405 | Vnpnxr<3yrs phy/qhp scalp vn | 1 - modifier may bypass | Check pair |
36406 | Vnpnxr<3yrs phy/qhp other vn | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36420 | Venipuncture cutdown < 1 yr | 1 - modifier may bypass | Check pair |
36425 | Venipuncture cutdown 1 yr/> | 1 - modifier may bypass | Check pair |
36430 | Transfusion bld/bld compnt | 1 - modifier may bypass | Check pair |
36440 | Bld push tfuj 2 yr/< | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
36600 | Withdrawal of arterial blood | 1 - modifier may bypass | Check pair |
36640 | Insertion catheter artery | 1 - modifier may bypass | Check pair |
43752 | Nasal/orogastric w/tube plmt | 1 - modifier may bypass | Check pair |
51701 | Insert bladder catheter | 1 - modifier may bypass | Check pair |
51702 | Insert temp bladder cath | 1 - modifier may bypass | Check pair |
51703 | Insert bladder cath complex | 1 - modifier may bypass | Check pair |
55874 | Tprnl plmt biodegrdabl matrl | 1 - modifier may bypass | Check pair |
61650 | Evasc prlng admn rx agnt 1st | 1 - modifier may bypass | Check pair |
62320 | Njx interlaminar crv/thrc | 0 - no modifier bypass | Check pair |
62321 | Njx interlaminar crv/thrc | 0 - no modifier bypass | Check pair |
62322 | Njx interlaminar lmbr/sac | 0 - no modifier bypass | Check pair |
Showing 30 of 109 column 2 codes. Use the pair checker for any specific combination.
15777 is bundled into these codes
15777 appears as a Column 2 code in 72 active edits. Reported with one of these Column 1 codes on the same date of service, 15777 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
11004 | Dbrdmt skin xtrnl gent&per | 1 | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 | Check pair |
15271 | Skin sub graft trnk/arm/leg | 1 | Check pair |
15272 | Skin sub graft t/a/l add-on | 1 | Check pair |
15273 | Skin sub grft t/arm/lg child | 1 | Check pair |
15274 | Skn sub grft t/a/l child add | 1 | Check pair |
15275 | Skin sub graft face/nk/hf/g | 1 | Check pair |
15276 | Skin sub graft f/n/hf/g addl | 1 | Check pair |
15277 | Skn sub grft f/n/hf/g child | 1 | Check pair |
15278 | Skn sub grft f/n/hf/g ch add | 1 | Check pair |
32800 | Repair lung hernia | 1 | Check pair |
39503 | Repair of diaphragm hernia | 1 | Check pair |
39540 | Repair of diaphragm hernia | 1 | Check pair |
39541 | Repair of diaphragm hernia | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.