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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 RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)3.562.480.676.71$224.12
Facility (hospital, ASC)3.561.230.675.46$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.

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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 codeShort descriptionModifier indicator
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0437TImpltj synth rnfcmt abdl wal1 - modifier may bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36400Vnpnxr<3yrs phy/qhp fem/jug1 - modifier may bypassCheck pair
36405Vnpnxr<3yrs phy/qhp scalp vn1 - modifier may bypassCheck pair
36406Vnpnxr<3yrs phy/qhp other vn1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36420Venipuncture cutdown < 1 yr1 - modifier may bypassCheck pair
36425Venipuncture cutdown 1 yr/>1 - modifier may bypassCheck pair
36430Transfusion bld/bld compnt1 - modifier may bypassCheck pair
36440Bld push tfuj 2 yr/<1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
36600Withdrawal of arterial blood1 - modifier may bypassCheck pair
36640Insertion catheter artery1 - modifier may bypassCheck pair
43752Nasal/orogastric w/tube plmt1 - modifier may bypassCheck pair
51701Insert bladder catheter1 - modifier may bypassCheck pair
51702Insert temp bladder cath1 - modifier may bypassCheck pair
51703Insert bladder cath complex1 - modifier may bypassCheck pair
55874Tprnl plmt biodegrdabl matrl1 - modifier may bypassCheck pair
61650Evasc prlng admn rx agnt 1st1 - modifier may bypassCheck pair
62320Njx interlaminar crv/thrc0 - no modifier bypassCheck pair
62321Njx interlaminar crv/thrc0 - no modifier bypassCheck pair
62322Njx interlaminar lmbr/sac0 - no modifier bypassCheck 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 codeShort descriptionModifier indicator
11004Dbrdmt skin xtrnl gent&per1Check pair
11005Dbrdmt skin abdominal wall1Check pair
11006Dbrdmt skin xtrnl gent per1Check pair
15271Skin sub graft trnk/arm/leg1Check pair
15272Skin sub graft t/a/l add-on1Check pair
15273Skin sub grft t/arm/lg child1Check pair
15274Skn sub grft t/a/l child add1Check pair
15275Skin sub graft face/nk/hf/g1Check pair
15276Skin sub graft f/n/hf/g addl1Check pair
15277Skn sub grft f/n/hf/g child1Check pair
15278Skn sub grft f/n/hf/g ch add1Check pair
32800Repair lung hernia1Check pair
39503Repair of diaphragm hernia1Check pair
39540Repair of diaphragm hernia1Check pair
39541Repair of diaphragm hernia1Check 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.