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.

CMS RVU26DEffective Oct 1, 2026One payment locality167 Medicare services in 2024

In North Carolina, Medicare pays $1,227.28 for 35211 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,227.28Hospital or facility

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.

We’ll open 35211 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 35211 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

35211 in North Carolina vs other payment areas
  1. North Carolina · this page$1,227.28
  2. Los Angeles, CA · California$1,345.47+$118.19
  3. Washington, DC area · District of Columbia$1,443.21+$215.93
  4. Miami, FL · Florida$1,636.37+$409.09
  5. Chicago, IL · Illinois$1,584.05+$356.77
  6. Manhattan, NY · New York$1,539.75+$312.47
  7. Alaska · Alaska$1,652.62+$425.34

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

35211 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
35211 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

See 35211 in every payment locality

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

Office or facility?

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
Facility calculation for 35211 in North Carolina
ComponentRVULocality factorAdjusted
Physician work23.97× 1.00023.9700
Practice expense9.63× 0.9338.9848
Malpractice5.93× 0.6393.7893
Total RVUs36.7441
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

Open 35211 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,227.28RVU26D
2026-07-01Not available in this setting$1,227.28RVU26C
2026-04-01Not available in this setting$1,227.28RVU26B
2026-01-01Not available in this setting$1,227.28RVU26A
2025-10-01Not available in this setting$1,243.88RVU25D
2025-07-01Not available in this setting$1,243.88RVU25C
2025-04-01Not available in this setting$1,243.88RVU25B
2025-01-01Not available in this setting$1,243.88RVU25A
2024-10-01Not available in this setting$1,275.68RVU24D
2024-07-01Not available in this setting$1,275.68RVU24C
2024-04-01Not available in this setting$1,275.68RVU24B
2024-03-09Not available in this setting$1,275.68RVU24AR
2024-01-01Not available in this setting$1,254.86RVU24A
2023-10-01Not available in this setting$1,305.61RVU23D
2023-07-01Not available in this setting$1,305.61RVU23C
2023-04-01Not available in this setting$1,305.61RVU23B
2023-01-01Not available in this setting$1,305.61RVU23A
2022-10-01Not available in this setting$1,357.42RVU22D
2022-07-01Not available in this setting$1,357.42RVU22C
2022-04-01Not available in this setting$1,357.42RVU22B
2022-01-01Not available in this setting$1,357.42RVU22A
2021-10-01Not available in this setting$1,361.04RVU21D
2021-07-01Not available in this setting$1,361.04RVU21C
2021-04-01Not available in this setting$1,361.04RVU21B
2021-01-01Not available in this setting$1,361.04RVU21A
2020-10-01Not available in this setting$1,378.03RVU20D
2020-07-01Not available in this setting$1,378.03RVU20C
2020-04-01Not available in this setting$1,378.03RVU20B
2020-01-01Not available in this setting$1,378.03RVU20A
2019-10-01Not available in this setting$1,357.10RVU19D
2019-07-01Not available in this setting$1,357.10RVU19C
2019-04-01Not available in this setting$1,357.10RVU19B
2019-01-01Not available in this setting$1,357.10RVU19A
2018-10-01Not available in this setting$1,356.38RVU18D
2018-07-01Not available in this setting$1,356.38RVU18C
2018-04-01Not available in this setting$1,356.38RVU18B
2018-01-01Not available in this setting$1,356.38RVU18AR1
2017-10-01Not available in this setting$1,361.02RVU17D
2017-07-01Not available in this setting$1,361.02RVU17C
2017-04-01Not available in this setting$1,361.02RVU17B
2017-01-01Not available in this setting$1,361.02RVU17A
2016-10-01Not available in this setting$1,369.87RVU16D
2016-07-01Not available in this setting$1,369.87RVU16C
2016-04-01Not available in this setting$1,369.87RVU16B
2016-01-01Not available in this setting$1,369.87RVU16A
2015-10-01Not available in this setting$1,373.38RVU15D
2015-07-01Not available in this setting$1,373.38RVU15C
2015-04-01Not available in this setting$1,366.55RVU15B
2015-01-01Not available in this setting$1,366.55RVU15A
2014-10-01Not available in this setting$1,369.46RVU14D
2014-07-01Not available in this setting$1,369.46RVU14C
2014-04-01Not available in this setting$1,369.46RVU14B
2014-01-01Not available in this setting$1,369.46RVU14A
2013-10-01Not available in this setting$1,326.43RVU13D
2013-07-01Not available in this setting$1,326.43RVU13C
2013-04-01Not available in this setting$1,326.43RVU13B
2013-01-01Not available in this setting$1,326.43RVU13AR

Price 35211 for an earlier date of service

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

Browse all communities in North Carolina

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
RVUs for 35211PPRRVU2026_Oct_nonQPP.csv, line 4,296 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 35211 pays in North Carolina?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 35211 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet