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CPT code 35206: Vessel repair, upper extremity, direct repair2026 Medicare rate & RVUs

Reports direct operative repair of an injured blood vessel in the upper extremity when the vessel can be repaired without a graft.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.4K Medicare services in 2024

Medicare pays $724.13 for 35206 nationally in a facility.

Medicare rate · 35206

Vessel repair, upper extremity, direct repair

Office or facility?

Work RVUs
13.49
Total RVUs
21.68
Global days
090

National rate · 2026

$724.13

Facility setting, before claim adjustments.

See every locality for 35206 →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 35206 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 35206 covers

A vascular, trauma, or other qualified surgeon reports this service for direct repair of an upper-extremity blood vessel, such as a primary repair of a lacerated artery or vein or a direct end-to-end repair. The code is selected for the upper extremity; repairs in the hand or fingers and repairs in other body regions have separate site-specific codes. The repair is performed in an operative setting, commonly after traumatic vessel injury or during surgery when an injured vessel requires reconstruction.

Documentation should identify the vessel and upper-extremity site, the injury or defect, and the direct repair performed without a graft. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery payment may be allowed; 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 35206 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

35206 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$657.63
AlaskaUnavailable$913.47
ArizonaUnavailable$703.84
ArkansasUnavailable$649.60
Atlanta, GAUnavailable$749.20
Austin, TXUnavailable$722.92
Bakersfield, CAUnavailable$708.04
Baltimore area, MDUnavailable$768.46
Beaumont, TXUnavailable$701.50
Brazoria, TXUnavailable$703.22

35206 rates by state

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

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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
35206 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 35206 rate is calculated

Each of 35206’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 · 35206

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.49

13.49 RVUs× 1.000 GPCI

Practice expense5.06

5.06 RVUs× 1.000 GPCI

Malpractice3.13

3.13 RVUs× 1.000 GPCI

Adjusted RVUs

21.6800

Conversion factor

$33.4009

Medicare rate

$724.13

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

Payment rules and modifiers for 35206

35206 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35206

Vessel repair, upper extremity, direct repair

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 · 35206

Vessel repair, upper extremity, direct repair

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 50 · payment effect

With and without the modifier

35206 without 50 · national facility

$724.13

Vessel repair, upper extremity, direct repair

35206-50 · Bilateral: 150%

$1,086.20

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

35206 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 35206

    Vessel repair, upper extremity, direct repair13.49 wRVU

    Not priced

  • 35207

    Vessel repair, direct repair, hand or finger10.67 wRVU

    Not priced

  • 35226

    Vessel repair, direct repair, lower extremity14.92 wRVU

    Not priced

  • 35236

    Vessel repair, upper extremity, vein graft17.57 wRVU

    Not priced

  • 35266

    Vessel repair, upper extremity, nonvein graft15.43 wRVU

    Not priced

How to choose

35207Vessel repairDirect repair, hand or finger
Both describe direct vessel repair, but 35207 is for the hand or fingers; 35206 is for other upper-extremity sites.
35226Vessel repairDirect repair, lower extremity
This is the direct-repair code for the lower extremity. Choose 35206 when the repaired vessel is in the upper extremity.
35236Vessel repairUpper extremity, vein graft
35236 describes upper-extremity repair using a vein graft. Use 35206 when the vessel is repaired directly without a graft.
35266Vessel repairUpper extremity, nonvein graft
35266 describes upper-extremity repair using a graft other than a vein; 35206 is for direct repair without a graft.

Codes related to 35206

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

Codes related to 35206
CodeHow it relatesNational office range
Same family
35207Vessel repair, direct repair, hand or fingerDirect vessel repair assigned specifically to the hand or fingers.No office rate
35226Vessel repair, direct repair, lower extremityDirect vessel repair for the lower extremity rather than the upper extremity.No office rate
35201Vessel repair, direct repair, neckDirect vessel repair assigned to the neck site.No office rate
Used instead
35236Vessel repair, upper extremity, vein graftUpper-extremity vessel reconstruction using a vein graft.No office rate
35266Vessel repair, upper extremity, nonvein graftUpper-extremity vessel reconstruction using a graft other than a vein.No office rate

35206 billing questions

How does this differ from the hand and finger repair code?

Use 35206 for direct vessel repair in the upper extremity outside the hand and fingers. Code 35207 identifies direct repair at the hand or finger site.

When is a graft code more appropriate?

This code describes direct repair without a graft. When the reconstruction uses a vein graft or a graft other than a vein, consider the corresponding upper-extremity graft code instead.

What documentation supports reporting 35206?

The operative report should establish the upper-extremity vessel and site, the injury or defect, and how the surgeon repaired it directly without a graft.

How are bilateral repairs and multiple procedures handled?

CMS pays bilateral reporting with modifier 50 at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

What should the practice know about surgical assistance and the global period?

Assistant-at-surgery payment may be allowed, while co-surgeon payment requires supporting documentation; team surgery is not permitted. The 90-day global includes the day-before preoperative visit and related postoperative care.

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 35206PPRRVU2026_Oct_nonQPP.csv, line 4,293 (RVU26D)

Open CMS sourceHow we calculate rates

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