CPT code 00352: Neck vessel anesthesia, simple ligation2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 00352 covers

This service covers anesthesia for simple ligation of a major blood vessel in the neck. It is typically provided by an anesthesiologist or CRNA during an operative procedure in a hospital or other surgical setting. The surgeon reports the operative service separately; this code represents the anesthesia care for that procedure.

Choose 00352 when the documented operation is simple ligation of a major neck vessel. Other major-vessel procedures in the neck generally point to 00350; other neck procedures may fall under 00320, while integumentary procedures of the head, neck, or posterior trunk may fall under 00300. The operative report should identify the vessel and site and establish that the procedure was simple ligation; the anesthesia record should support the care and time reported. This code has 5 base units. Medicare payment is (base units + time units) × the locality’s anesthesia conversion factor; time is reported in minutes from anesthesia preparation until personal attendance ends and the patient can safely be placed under postoperative care, then converted to 15-minute units to one decimal place.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 00352 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

00352 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 00352 rate is calculated

Each of 00352’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 00352

00352 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

00352 compared with similar codes

How to choose

00350Neck vascular anesthesiaMajor-vessel procedures

00352 is specific to simple ligation of a major neck vessel. 00350 is used for other major-vessel procedures in the neck.

00320Neck anesthesiaAge one or older

00320 covers other neck procedures; 00352 is selected for simple ligation of a major neck vessel.

00300Head and neck anesthesiaSkin, muscle, and nerve procedures

00300 covers integumentary procedures of the head, neck, or posterior trunk. 00352 covers anesthesia for simple ligation of a major neck vessel.

Codes related to 00352

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates