CPT code 35211: Vessel repair, intrathoracic, with bypass2026 Medicare rate & RVUs in North Carolina
Reports direct repair of an intrathoracic blood vessel when the operation includes a bypass rather than a graft-based vessel reconstruction.
In North Carolina, Medicare pays $1,227.28 for 35211 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35211 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 35211 covers
This operation repairs a blood vessel within the chest by direct means and includes a bypass. It is generally performed by a vascular or cardiothoracic surgeon in an operating room, often during open chest surgery for a vessel injury or planned reconstruction. The operative report should identify the vessel and its intrathoracic location, describe the direct repair, and document the bypass performed.
Select this code when the repair is direct and includes a bypass; use a different vessel-repair code when the repair method or anatomic site differs. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons are paid only with 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 North Carolina compares for 35211
Across 109 of 109 payment localities, the facility rate for 35211 runs from $1,169.77 in Wisconsin to $1,652.62 in Alaska. North Carolina pays $1,227.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$1,227.28
- Los Angeles, CA · California$1,345.47+$118.19
- Washington, DC area · District of Columbia$1,443.21+$215.93
- Miami, FL · Florida$1,636.37+$409.09
- Chicago, IL · Illinois$1,584.05+$356.77
- Manhattan, NY · New York$1,539.75+$312.47
- Alaska · Alaska$1,652.62+$425.34
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,194.17 |
| ArkansasArkansas | — | $1,178.92 |
| ArizonaArizona | — | $1,281.84 |
| Bakersfield, CACalifornia | — | $1,288.98 |
| Chico, CACalifornia | — | $1,272.92 |
| El Centro, CACalifornia | — | $1,273.91 |
| Fresno, CACalifornia | — | $1,272.92 |
| Hanford, CACalifornia | — | $1,272.92 |
| Madera, CACalifornia | — | $1,272.92 |
| Merced, CACalifornia | — | $1,272.92 |
| Modesto, CACalifornia | — | $1,272.92 |
| Napa, CACalifornia | — | $1,375.61 |
| Oxnard, CACalifornia | — | $1,326.62 |
| Redding, CACalifornia | — | $1,272.92 |
| Rest of CaliforniaCalifornia | — | $1,272.92 |
| Riverside, CACalifornia | — | $1,336.51 |
| Sacramento, CACalifornia | — | $1,309.69 |
| Salinas, CACalifornia | — | $1,304.40 |
| San Diego, CACalifornia | — | $1,316.68 |
| Marin County, CACalifornia | — | $1,421.12 |
| San Francisco, CACalifornia | — | $1,414.38 |
| San Benito County, CACalifornia | — | $1,458.67 |
| Santa Clara County, CACalifornia | — | $1,431.14 |
| San Luis Obispo, CACalifornia | — | $1,286.75 |
| Santa Cruz, CACalifornia | — | $1,314.40 |
| Santa Maria, CACalifornia | — | $1,304.25 |
| Santa Rosa, CACalifornia | — | $1,325.79 |
| Stockton, CACalifornia | — | $1,272.92 |
| Vallejo, CACalifornia | — | $1,365.91 |
| Visalia, CACalifornia | — | $1,272.92 |
| Yuba City, CACalifornia | — | $1,272.92 |
| ColoradoColorado | — | $1,307.15 |
| ConnecticutConnecticut | — | $1,402.71 |
| DelawareDelaware | — | $1,300.48 |
| Fort Lauderdale, FLFlorida | — | $1,484.56 |
| Rest of FloridaFlorida | — | $1,405.81 |
| Atlanta, GAGeorgia | — | $1,367.70 |
| Rest of GeorgiaGeorgia | — | $1,323.63 |
| Hawaii, Guam, HIHawaii | — | $1,281.02 |
| IowaIowa | — | $1,173.56 |
| IdahoIdaho | — | $1,190.22 |
| East St. Louis, ILIllinois | — | $1,495.45 |
| Rest of IllinoisIllinois | — | $1,403.87 |
| Suburban Chicago, ILIllinois | — | $1,487.53 |
| IndianaIndiana | — | $1,195.05 |
| KansasKansas | — | $1,191.22 |
| KentuckyKentucky | — | $1,267.80 |
| New Orleans, LALouisiana | — | $1,328.30 |
| Rest of LouisianaLouisiana | — | $1,275.03 |
| Metropolitan Boston, MAMassachusetts | — | $1,393.78 |
| Rest of MassachusettsMassachusetts | — | $1,309.99 |
| Baltimore area, MDMaryland | — | $1,403.57 |
| Rest of MarylandMaryland | — | $1,315.96 |
| Rest of MaineMaine | — | $1,219.74 |
| Southern Maine, MEMaine | — | $1,244.36 |
| Detroit, MIMichigan | — | $1,444.95 |
| Rest of MichiganMichigan | — | $1,317.90 |
| MinnesotaMinnesota | — | $1,190.23 |
| Metropolitan Kansas City, MOMissouri | — | $1,296.16 |
| Metropolitan St. Louis, MOMissouri | — | $1,305.29 |
| Rest of MissouriMissouri | — | $1,270.80 |
| MississippiMississippi | — | $1,223.93 |
| MontanaMontana | — | $1,319.94 |
| North DakotaNorth Dakota | — | $1,202.69 |
| NebraskaNebraska | — | $1,172.37 |
| New HampshireNew Hampshire | — | $1,308.77 |
| Northern New JerseyNew Jersey | — | $1,435.71 |
| Rest of New JerseyNew Jersey | — | $1,401.17 |
| New MexicoNew Mexico | — | $1,333.45 |
| NevadaNevada | — | $1,287.58 |
| NYC suburbs and Long Island, NYNew York | — | $1,602.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,428.52 |
| Queens, NYNew York | — | $1,517.66 |
| Rest of New YorkNew York | — | $1,245.43 |
| OhioOhio | — | $1,293.94 |
| OklahomaOklahoma | — | $1,241.75 |
| Portland, OROregon | — | $1,318.15 |
| Rest of OregonOregon | — | $1,260.22 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,386.16 |
| Rest of PennsylvaniaPennsylvania | — | $1,283.07 |
| Puerto RicoPuerto Rico | — | $1,320.90 |
| Rhode IslandRhode Island | — | $1,324.77 |
| South CarolinaSouth Carolina | — | $1,266.18 |
| South DakotaSouth Dakota | — | $1,188.82 |
| TennesseeTennessee | — | $1,199.36 |
| Austin, TXTexas | — | $1,318.01 |
| Beaumont, TXTexas | — | $1,277.33 |
| Brazoria, TXTexas | — | $1,280.27 |
| Dallas, TXTexas | — | $1,298.13 |
| Fort Worth, TXTexas | — | $1,297.49 |
| Galveston, TXTexas | — | $1,290.42 |
| Houston, TXTexas | — | $1,398.96 |
| Rest of TexasTexas | — | $1,284.72 |
| UtahUtah | — | $1,280.84 |
| VirginiaVirginia | — | $1,256.64 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,320.90 |
| VermontVermont | — | $1,219.28 |
| Rest of WashingtonWashington | — | $1,300.46 |
| King County, WAWashington | — | $1,397.14 |
| WisconsinWisconsin | — | $1,169.77 |
| West VirginiaWest Virginia | — | $1,363.57 |
| WyomingWyoming | — | $1,268.84 |
35211 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 35211 rate is calculated
Each of 35211’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 · 35211
RVUs × geographic indexes × conversion factor
Work23.97
23.97 RVUs× 1.000 GPCI
Practice expense9.63
9.63 RVUs× 1.000 GPCI
Malpractice5.93
5.93 RVUs× 1.000 GPCI
Adjusted RVUs
39.5300
Conversion factor
$33.4009
Medicare rate
$1,320.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,296
- Code
- 35211
- Physician work
- 23.97
- Practice expense
- 9.63
- Malpractice
- 5.93
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.97 | × 1.000 | 23.9700 |
| Practice expense | 9.63 | × 0.933 | 8.9848 |
| Malpractice | 5.93 | × 0.639 | 3.7893 |
| Total RVUs | 36.7441 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Carolina$1227.28
Facility: (23.97 × 1 + 9.63 × 0.933 + 5.93 × 0.639) × $33.4009 = $1227.28
Payment rules and modifiers for 35211
35211 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35211
Vessel repair, intrathoracic, with bypass
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35211
Vessel repair, intrathoracic, with bypass
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35211 without 50 · national facility
$1,320.34
Vessel repair, intrathoracic, with bypass
35211-50 · Bilateral: 150%
$1,980.51
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).
How 35211 has changed in North Carolina
35211 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,227.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,227.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,227.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,227.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,243.88 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,243.88 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,243.88 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,243.88 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,275.68 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,275.68 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,275.68 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,275.68 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,254.86 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,305.61 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,305.61 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,305.61 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,305.61 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,357.42 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,357.42 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,357.42 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,357.42 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,361.04 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,361.04 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,361.04 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,361.04 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,378.03 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,378.03 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,378.03 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,378.03 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,357.10 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,357.10 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,357.10 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,357.10 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,356.38 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,356.38 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,356.38 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,356.38 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,361.02 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,361.02 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,361.02 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,361.02 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,369.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,369.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,369.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,369.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,373.38 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,373.38 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,366.55 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,366.55 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,369.46 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,369.46 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,369.46 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,369.46 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,326.43 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,326.43 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,326.43 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,326.43 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
35211 billing questions
How does this code differ from 35216?
Both describe direct repair of an intrathoracic vessel. Use 35211 when a bypass is included; 35216 is the corresponding repair without bypass.
When should a graft-based repair code be considered?
Use a graft-based code when the operative method uses a vein graft or another graft rather than direct repair. The operative report should support the reconstruction method.
Does the 90-day global include related postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is this handled with other procedures in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
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