CPT code 35201: Vessel repair, direct repair, neck2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $746.08 for 35201 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35201 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 35201 covers

This service covers operative repair of a neck blood vessel by directly restoring the vessel rather than replacing a segment with a graft. It may be needed for traumatic injuries or vessel damage during another operation, involving structures such as the carotid artery or jugular vein. Vascular, trauma, or head-and-neck surgeons typically perform the repair in an operating room, often as part of a larger procedure.

Select this code when the documented repair method and neck location support direct repair; use a graft-repair code when a graft is used. The operative report should identify the injured vessel, its location, the repair performed, and any graft material. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 triggers bilateral payment at 150%. 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.

How Wisconsin compares for 35201

Across 109 of 109 payment localities, the facility rate for 35201 runs from $746.08 in Wisconsin to $1,071.55 in Alaska. Wisconsin pays $746.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35201 rates by state

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

See 35201 in every payment locality

How the 35201 rate is calculated

Each of 35201’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 35201

35201 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 50

Codes related to 35201

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

How 35201 has changed in Wisconsin

Price 35201 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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