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CPT 15777 Fee Schedule

Last Verified: February 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Implantation Of Biologic Implant (Eg Acellular Dermal Matrix) For Soft Tissue Reinforcement (Ie Breast Trunk) (List Separately In Addition To Code For Primary Procedure) (Revised 01/01/2014)
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

50 - Bilateral Procedure

RT - Right side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 15777

National average reimbursement for CPT 15777 by major payers:

bcbs

$312.68

uhc

$289.86

aetna

$287.48

cigna

$363.42

Preview provider-level rates for...
For billing codeCPT 15777
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 15777

United
15777$116.001033102140 - SSC HOLDINGS LLC, SEDONA SURGERY CENTER470887316 - (CA) SSC HOLDINGS LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$228.001265624696 - CENTRAL OHIO UROLOGY SURGERY CENTER, LLC261240704 - (OH) CENTRAL OHIO UROLOGY SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$85.001235706888 - SOUTHERN SURGICAL CENTER, LLC844035828 - (LA) SOUTHERN SURGICAL CENTER LLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$125.001144745951 - METROPOLITAN SURGICAL CENTER, LLC821761609 - (MN) METROPOLITAN SURGICAL CENTER LLCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$553.001669496345 - MNGI ENDOSCOPY ASC INC205174032 - (MN) MNGI ENDOSCOPY ASC INCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$506.001821421256 - MONOCACY SURGERY CENTER LLC462861862 - (MD) MONOCACY SURGERY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$67.001386820694 - URO-CENTER AMBULATORY SURGICAL CENTER LLC522267795 - (MD) UROCENTER AMBULATORY SURGICAL CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$379.611548379738 - TEODORA BOTEZ350593390 - DEACONESS HOSPITAL INCINAnesthesiology Physician (207L00000X)
United
15777$164.001699711382 - TOWSON SURGICAL CENTER LLC, TOWSON SURGICAL CENTER521945958 - (MD) TOWSON SURGICAL CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$110.001356305916 - THE ROME ENDOSCOPY CENTER581866240 - (GA) THE ROME ENDOSCOPY CENTERGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$574.001790252864 - TREASURE COAST ASC, LLC, TREASURE COAST CENTER FOR SURGERY384092821FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$121.001497751747 - MID-ATLANTIC ENDOSCOPY CENTER, LLC, MID-ATLANTIC GASTROINTESTINAL CENTER II233096335 - (DE) MIDATLANTIC ENDOSCOPY CENTER LLCDEAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$1492.001255787867 - THE METROHEALTH SYSTEM, METROHEALTH SYSTEM PARMA AMBULATORY SURGERY CENTER346004382OHAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$645.001649269663 - PHYSICIANS ALLIANCE LC, PHYSICIANS ALLIANCE SURGERY CENTER431832038 - (MO) PHYSICIANS ALLIANCE LCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15777$475.001104880723 - WNC EYE SURGERY CENTERS INC200067898 - (NC) WNC EYE SURGERY CENTERS INCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 15777 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15777 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 15777 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
15734-CPTHighMuscle Myo/Fasciocutaneous Flap Trunk
15738-CPTHighMuscle Myo/Fasciocutaneous Falp Low Extr
15775-CPTModeratePunch Grft Hair Trans 1-15 Grfts
15777-CPTModerateImplantation Of Biologic Implant (Eg Acellular Dermal Matrix) For Soft Tissue Reinforcement (Ie Breast Trunk) (List Separately In Addition To Code For Primary Procedure) (Revised 01/01/2014)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15777. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15777 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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Frequently Asked Questions