CPT code 35184: Fistula repair, congenital, extremity2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $902.12 for 35184 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35184 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 35184 covers

This operation closes or reconstructs an abnormal artery-to-vein connection that has been present from birth in an arm or leg. A vascular surgeon typically performs it in an operating room, often for a congenital lesion causing high-flow shunting, limb enlargement, pain, or other effects of altered circulation. The operative report should establish the congenital fistula and identify the extremity treated; acquired fistulas and congenital fistulas in other body regions are coded differently.

Select this code based on both the congenital origin and extremity location, and document the operative work performed to repair the fistula. Medicare assigns 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% multiple-procedure reduction. Bilateral adjustment does not apply, so modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 New Mexico compares for 35184

Across 109 of 109 payment localities, the facility rate for 35184 runs from $766.75 in Wisconsin to $1,123.82 in Miami, FL. New Mexico pays $902.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35184 rates by state

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

See 35184 in every payment locality

How the 35184 rate is calculated

Each of 35184’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 35184

35184 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 35184

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

How 35184 has changed in New Mexico

Price 35184 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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