2025 CPT code 15774
(Active) Effective Date: N/A Revision Date: N/A Surgery - Other Flaps and Grafts Procedures Surgical Repair (Closure) Procedures on the Integumentary System Feed
Autologous fat grafting via liposuction; each additional 25 cc or part thereof.
Modifiers may be applicable depending on the circumstances; consult local guidelines and payer specifications.
Medical necessity for 15774 is established when autologous fat grafting addresses a specific reconstructive need, such as filling soft tissue defects from trauma, surgery, or disease.Cosmetic enhancement alone may not be considered medically necessary by all payers.
The surgeon or qualified healthcare professional performs liposuction to harvest the fat, prepares it for injection, and injects the fat into the designated recipient sites. Incision closure is also included in the clinical responsibility.
- Surgical Repair (Closure) Procedures on the Integumentary System
- Surgical Repair (Closure) Procedures on the Integumentary System > Other Flaps and Grafts Procedures
In simple words: The doctor uses fat from another part of your body, taken through a small incision and suction, and injects it into another location on your face, eyelids, mouth, neck, ears, genitals, hands, or feet to fill in areas or change the shape. This code is for each extra 25 cubic centimeters of fat or part of that amount injected.
This CPT code reports the injection of autologous fat, harvested using a liposuction technique, into the face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet.The code represents each additional 25 cc of injectate or part thereof, and is reported in addition to the primary procedure code (15773) for the initial 25 cc or less. This procedure is used for filling defects or reshaping contours.The fat is minimally manipulated after harvesting and injected via cannula in multiple small aliquots.
Example 1: A patient presents with facial lipoatrophy following radiotherapy. The surgeon performs liposuction to harvest autologous fat and injects 75 cc into the affected areas (3 units of 15774 in addition to 15773)., A patient desires augmentation of the lips. The physician performs liposuction and injects 50 cc of autologous fat in two sessions (2 units of 15774 in addition to 15773)., A patient has contour irregularities after breast reconstruction surgery.The surgeon utilizes liposuction-harvested autologous fat and injects 100 cc, requiring four additional units of code 15774 in addition to the initial 15773 code.
Detailed operative report specifying the site of fat harvest, quantity of fat harvested and injected, and the precise recipient sites.Preoperative and postoperative photographs are recommended.Consent form indicating procedure details and risks.
** This code is for additional injections of autologous fat beyond the initial 25 cc covered by code 15773.Volume is based on the total injectate.For multiple injection sites, the total volume is summed for sites grouped under the same code descriptor.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Plastic Surgery, Reconstructive Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient