CPT code 35216: Vessel repair, intrathoracic, direct, no bypass2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $1,907.93 for 35216 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35216 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 35216 covers

This service covers direct operative repair of an intrathoracic blood vessel, such as repair of a vessel injured during chest trauma or another thoracic operation. A cardiothoracic or vascular surgeon typically performs it in an operating room as part of a major procedure. The repair addresses the vessel itself without a bypass; it is distinct from repair using a vein graft or another graft method.

Select the code based on the operative site, direct repair method, and whether bypass was used. The operative report should identify the vessel and chest location and describe the repair and any bypass or graft. 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 other procedures at 50%. Modifier 50 identifies bilateral performance, paid at 150%. 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 Puerto Rico compares for 35216

Across 109 of 109 payment localities, the facility rate for 35216 runs from $1,690.77 in Wisconsin to $2,402.42 in Alaska. Puerto Rico pays $1,907.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35216 rates by state

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

See 35216 in every payment locality

How the 35216 rate is calculated

Each of 35216’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 35216

35216 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 35216

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

How 35216 has changed in Puerto Rico

Price 35216 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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