CPT code 35180: AV fistula repair, congenital, head and neck2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $654.24 for 35180 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35180 nationwide

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

What 35180 covers

35180 describes operative repair of a congenital arteriovenous fistula located in the head or neck. The surgeon treats an abnormal artery-to-vein connection that has been present since birth; the operation may involve interrupting the connection and addressing the involved vessels. Vascular surgeons and other surgeons managing head and neck vascular lesions may perform the procedure in a hospital operating room.

Report this code when the documented lesion is congenital, is in the head or neck, and is surgically repaired. The operative report should support the lesion’s origin, location, and repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

How Vermont compares for 35180

Across 109 of 109 payment localities, the facility rate for 35180 runs from $626.23 in Wisconsin to $913.22 in Alaska. Vermont pays $654.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35180 rates by state

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

See 35180 in every payment locality

How the 35180 rate is calculated

Each of 35180’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 35180

35180 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 35180

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

How 35180 has changed in Vermont

Price 35180 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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