15777
Acellular derm matrix implt
Code typeAdd-on
Paid withContractor-defined
Payment statusActive (A)
Global periodAdd-on code
Add-On Payment Increment
What 15777 adds per unit to the primary it is billed with — not a total, since this code is never payable on its own.
Line
Qty
Global fee
Pro fee
Add-on15777Acellular derm matrix implt
1
$224.12
$182.37
RVU Breakdown
Component
Office
Facility
Work
3.56
3.56
Practice expense
2.48
1.23
Malpractice
0.67
0.67
Total RVU
6.71
5.46
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $336.18 office.
Not applicable to this code
Multiple procedure Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split