2025 CPT code 15777
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Implantation of a biologic implant (e.g., acellular dermal matrix) for soft tissue reinforcement (e.g., breast, trunk).This is an add-on code requiring a primary procedure code.
Modifiers may apply depending on the primary procedure and circumstances.Consult the CPT manual and NCCI edits for appropriate modifier usage. Modifier 50 should not be used with bilateral procedures.
Medical necessity is established by the need for soft tissue reinforcement to improve healing, prevent complications (e.g., hernia), or achieve optimal cosmetic results in the context of a primary surgical procedure. Documentation should clearly demonstrate the medical need for the implant and its role in improving the outcome of the primary procedure.
The surgeon prepares the biologic implant (hydration, shaping), positions it for tissue reinforcement, and attaches it using sutures.Wound closure and dressing are included.
In simple words: This code is for when a doctor uses a special material (like a type of mesh) to strengthen tissue in the breast or trunk area during another surgery.This code is added to the bill along with the main surgery code, and can't be billed on its own.
CPT code 15777 describes the implantation of a biologic implant, such as an acellular dermal matrix, for soft tissue reinforcement in the breast or trunk.The procedure includes preparation of the implant (hydration, shaping, etc.), placement for scaffolding effect, and attachment (e.g., suturing). This code is reported in addition to the code for the primary procedure and cannot be used independently. For bilateral breast procedures, report 15777 twice; modifier 50 should not be used.For soft tissue reinforcement in areas other than the breast and trunk, use code 17999. The supply of the biologic implant is reported separately.
Example 1: A patient undergoes a breast reconstruction following a mastectomy.An acellular dermal matrix is used to reinforce the soft tissue and provide support during healing. Code 15777 is added to the code for the breast reconstruction., A patient with a large abdominal wound requires soft tissue reinforcement to promote healing and prevent hernia formation. An acellular dermal matrix is implanted, and code 15777 is appended to the code for the primary wound repair procedure., A patient undergoes a bilateral breast augmentation.Acellular dermal matrices are used on both sides to reinforce the tissue. Code 15777 is reported twice, once for each breast.
Operative report detailing the type of biologic implant used, the location of implantation, the method of attachment, and the size and quantity of implant material used.Preoperative and postoperative photographs may also be beneficial for documentation.
** The supply of the biologic implant should be reported separately with appropriate HCPCS codes.This code should only be used when an acellular dermal matrix or similar biologic implant is used for soft tissue reinforcement.
- Revenue Code: P5A (AMBULATORY PROCEDURES - SKIN)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Plastic Surgery, General Surgery, Reconstructive Surgery
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital