CPT code 00352: Neck vessel anesthesia, simple ligation2026 Medicare rate & RVUs in Maryland
Anesthesia for simple ligation of a major neck vessel, selected when the operative service is vessel ligation rather than another neck procedure.
CMS doesn’t publish an office rate for 00352 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | Unavailable |
| Rest of Maryland | Unavailable | Unavailable |
| Washington, DC area | Unavailable | Unavailable |
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.
How the rate is built · 00352
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 00352
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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00352 isn’t priced in this setting.
00352 compared with similar codes
Compare codes · National
4 codes, side by side
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.
00352 billing questions
When should 00352 be chosen instead of 00350?
Use 00352 for simple ligation of a major neck vessel. Use 00350 for other procedures on major neck vessels.
What documentation supports 00352?
The operative record should identify the major neck vessel and document simple ligation. The anesthesia record should support the anesthesia service and reported time.
Are the surgeon’s procedure and anesthesia reported separately?
Yes. The surgeon reports the operative procedure, and the anesthesia practitioner reports the anesthesia service.
How are anesthesia time units calculated for 00352?
Report anesthesia time in minutes. Medicare converts minutes into 15-minute time units to one decimal place.
How does Medicare calculate payment for 00352?
Medicare uses 5 base units plus time units, multiplied by the anesthesia conversion factor for the payment locality.
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
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