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CPT code 35182: AV fistula repair, congenital, thorax or abdomen2026 Medicare rate & RVUs

Reports open surgical correction of a congenital artery-to-vein connection located in the thorax or abdomen, with repair tailored to the involved anatomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,688.42 for 35182 nationally in a facility.

Medicare rate · 35182

AV fistula repair, congenital, thorax or abdomen

Office or facility?

Work RVUs
30.92
Total RVUs
50.55
Global days
090

National rate · 2026

$1,688.42

Facility setting, before claim adjustments.

See every locality for 35182 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 35182 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 35182 covers

This service is the operative correction of an abnormal artery-to-vein connection that is congenital and located in the thoracic or abdominal region. A vascular surgeon or another surgeon with relevant vascular expertise performs the repair, typically in a hospital operating room. The operative approach and any vessel reconstruction depend on the fistula’s anatomy and the structures involved. This code is distinct from repair of an acquired fistula and from congenital fistula repair in the head, neck, or extremities.

Select the code when the record establishes both congenital origin and a thoracic or abdominal site. The operative report should identify the location and document the repair performed. This major operation has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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.

Where 35182 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

35182 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,526.16
AlaskaUnavailable$2,113.84
ArizonaUnavailable$1,638.73
ArkansasUnavailable$1,506.58
Atlanta, GAUnavailable$1,750.08
Austin, TXUnavailable$1,683.81
Bakersfield, CAUnavailable$1,644.43
Baltimore area, MDUnavailable$1,795.42
Beaumont, TXUnavailable$1,634.34
Brazoria, TXUnavailable$1,635.95

35182 rates by state

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

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
35182 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 35182 rate is calculated

Each of 35182’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 · 35182

RVUs × geographic indexes × conversion factor

Office or facility?

Work30.92

30.92 RVUs× 1.000 GPCI

Practice expense11.85

11.85 RVUs× 1.000 GPCI

Malpractice7.78

7.78 RVUs× 1.000 GPCI

Adjusted RVUs

50.5500

Conversion factor

$33.4009

Medicare rate

$1,688.42

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 35182

35182 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35182

AV fistula repair, congenital, thorax or abdomen

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35182

AV fistula repair, congenital, thorax or abdomen

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

35182 without 51 · national facility

$1,688.42

AV fistula repair, congenital, thorax or abdomen

35182-51 · Second procedure: 50%

$844.21

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

35182 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 35182

    AV fistula repair, congenital, thorax or abdomen30.92 wRVU

    Not priced

  • 35189

    AV fistula repair, acquired, thorax or abdomen29.23 wRVU

    Not priced

  • 35180

    AV fistula repair, congenital, head and neck14.72 wRVU

    Not priced

  • 35184

    Fistula repair, congenital, extremity18.35 wRVU

    Not priced

How to choose

35189AV fistula repairAcquired, thorax or abdomen
Both concern the thorax or abdomen, but 35182 is for congenital origin and 35189 is for acquired origin.
35180AV fistula repairCongenital, head and neck
This code is for congenital fistula repair in the thorax or abdomen; 35180 is for the head or neck.
35184Fistula repairCongenital, extremity
This code is for congenital fistula repair in the thorax or abdomen; 35184 is for an extremity.

Codes related to 35182

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

Codes related to 35182
CodeHow it relatesNational office range
Same family
35180AV fistula repair, congenital, head and neckCongenital fistula repair in the head or neck rather than the thorax or abdomen.No office rate
35184Fistula repair, congenital, extremityCongenital fistula repair in an extremity rather than the thorax or abdomen.No office rate
Used instead
35189AV fistula repair, acquired, thorax or abdomenRepair of an acquired fistula in the thorax or abdomen rather than a congenital one.No office rate

35182 billing questions

How do I distinguish this code from 35189?

Use 35182 for a congenital fistula in the thorax or abdomen. Code 35189 is for an acquired fistula in those regions.

What documentation supports reporting this code?

The operative record should establish congenital origin, identify the thoracic or abdominal location, and describe the repair performed.

Are related postoperative visits separately included?

Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.

Can modifier 50 be reported for bilateral repair?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation.

How is this code paid when another procedure is performed in the same session?

The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple procedure reduction.

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

Show the CMS file lines behind this rate
RVUs for 35182PPRRVU2026_Oct_nonQPP.csv, line 4,287 (RVU26D)

Open CMS sourceHow we calculate rates

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