CPT code 35221: Vessel repair, direct repair, intra-abdominal2026 Medicare rate & RVUs in Connecticut
Reports direct repair of an injured intra-abdominal blood vessel, such as primary suture closure, when the operative approach does not use a graft.
In Connecticut, Medicare pays $1,421.08 for 35221 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35221 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 35221 covers
This code describes direct repair of a blood vessel within the abdomen, typically by closing a defect in the vessel without inserting a graft. It may be performed by a vascular, trauma, or general surgeon when an abdominal vessel is injured, including during trauma care or another operation. The operative report should identify the vessel and its location and describe the direct repair performed.
Report this code when the documented work is a direct intra-abdominal vessel repair; a repair using a vein graft or another type of graft belongs to a different code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; 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 Connecticut compares for 35221
Across 109 of 109 payment localities, the facility rate for 35221 runs from $1,176.58 in Wisconsin to $1,690.13 in Alaska. Connecticut pays $1,421.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$1,421.08
- Los Angeles, CA · California$1,346.85−$74.23
- Washington, DC area · District of Columbia$1,454.93+$33.85
- Miami, FL · Florida$1,682.75+$261.67
- Chicago, IL · Illinois$1,628.59+$207.51
- Manhattan, NY · New York$1,562.87+$141.79
- Alaska · Alaska$1,690.13+$269.05
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,211.92 |
| ArkansasArkansas | — | $1,196.73 |
| ArizonaArizona | — | $1,299.07 |
| Bakersfield, CACalifornia | — | $1,293.74 |
| Chico, CACalifornia | — | $1,276.06 |
| El Centro, CACalifornia | — | $1,277.15 |
| Fresno, CACalifornia | — | $1,276.06 |
| Hanford, CACalifornia | — | $1,276.06 |
| Madera, CACalifornia | — | $1,276.06 |
| Merced, CACalifornia | — | $1,276.06 |
| Modesto, CACalifornia | — | $1,276.06 |
| Napa, CACalifornia | — | $1,366.02 |
| Oxnard, CACalifornia | — | $1,326.37 |
| Redding, CACalifornia | — | $1,276.06 |
| Rest of CaliforniaCalifornia | — | $1,276.06 |
| Riverside, CACalifornia | — | $1,346.17 |
| Sacramento, CACalifornia | — | $1,309.49 |
| Salinas, CACalifornia | — | $1,304.14 |
| San Diego, CACalifornia | — | $1,313.95 |
| Marin County, CACalifornia | — | $1,406.34 |
| San Francisco, CACalifornia | — | $1,398.91 |
| San Benito County, CACalifornia | — | $1,444.26 |
| Santa Clara County, CACalifornia | — | $1,413.90 |
| San Luis Obispo, CACalifornia | — | $1,286.94 |
| Santa Cruz, CACalifornia | — | $1,309.65 |
| Santa Maria, CACalifornia | — | $1,303.31 |
| Santa Rosa, CACalifornia | — | $1,320.74 |
| Stockton, CACalifornia | — | $1,276.06 |
| Vallejo, CACalifornia | — | $1,355.31 |
| Visalia, CACalifornia | — | $1,276.06 |
| Yuba City, CACalifornia | — | $1,276.06 |
| ColoradoColorado | — | $1,317.14 |
| DelawareDelaware | — | $1,317.61 |
| Fort Lauderdale, FLFlorida | — | $1,518.17 |
| Rest of FloridaFlorida | — | $1,437.11 |
| Atlanta, GAGeorgia | — | $1,388.93 |
| Rest of GeorgiaGeorgia | — | $1,352.97 |
| Hawaii, Guam, HIHawaii | — | $1,281.10 |
| IowaIowa | — | $1,185.13 |
| IdahoIdaho | — | $1,203.00 |
| East St. Louis, ILIllinois | — | $1,539.62 |
| Rest of IllinoisIllinois | — | $1,439.33 |
| Suburban Chicago, ILIllinois | — | $1,519.91 |
| IndianaIndiana | — | $1,207.61 |
| KansasKansas | — | $1,205.72 |
| KentuckyKentucky | — | $1,291.70 |
| New Orleans, LALouisiana | — | $1,353.14 |
| Rest of LouisianaLouisiana | — | $1,300.08 |
| Metropolitan Boston, MAMassachusetts | — | $1,399.00 |
| Rest of MassachusettsMassachusetts | — | $1,321.32 |
| Baltimore area, MDMaryland | — | $1,422.49 |
| Rest of MarylandMaryland | — | $1,332.17 |
| Rest of MaineMaine | — | $1,235.55 |
| Southern Maine, MEMaine | — | $1,255.49 |
| Detroit, MIMichigan | — | $1,479.36 |
| Rest of MichiganMichigan | — | $1,344.53 |
| MinnesotaMinnesota | — | $1,191.93 |
| Metropolitan Kansas City, MOMissouri | — | $1,317.91 |
| Metropolitan St. Louis, MOMissouri | — | $1,326.66 |
| Rest of MissouriMissouri | — | $1,297.76 |
| MississippiMississippi | — | $1,246.17 |
| MontanaMontana | — | $1,337.94 |
| North CarolinaNorth Carolina | — | $1,242.55 |
| North DakotaNorth Dakota | — | $1,208.62 |
| NebraskaNebraska | — | $1,183.01 |
| New HampshireNew Hampshire | — | $1,321.45 |
| Northern New JerseyNew Jersey | — | $1,448.34 |
| Rest of New JerseyNew Jersey | — | $1,417.53 |
| New MexicoNew Mexico | — | $1,361.27 |
| NevadaNevada | — | $1,302.15 |
| NYC suburbs and Long Island, NYNew York | — | $1,628.90 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,447.30 |
| Queens, NYNew York | — | $1,536.48 |
| Rest of New YorkNew York | — | $1,260.84 |
| OhioOhio | — | $1,318.10 |
| OklahomaOklahoma | — | $1,262.57 |
| Portland, OROregon | — | $1,324.42 |
| Rest of OregonOregon | — | $1,272.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,406.52 |
| Rest of PennsylvaniaPennsylvania | — | $1,305.60 |
| Puerto RicoPuerto Rico | — | $1,337.88 |
| Rhode IslandRhode Island | — | $1,339.61 |
| South CarolinaSouth Carolina | — | $1,286.37 |
| South DakotaSouth Dakota | — | $1,193.33 |
| TennesseeTennessee | — | $1,214.20 |
| Austin, TXTexas | — | $1,329.89 |
| Beaumont, TXTexas | — | $1,300.08 |
| Brazoria, TXTexas | — | $1,294.97 |
| Dallas, TXTexas | — | $1,314.14 |
| Fort Worth, TXTexas | — | $1,314.45 |
| Galveston, TXTexas | — | $1,305.96 |
| Houston, TXTexas | — | $1,425.67 |
| Rest of TexasTexas | — | $1,304.27 |
| UtahUtah | — | $1,300.90 |
| VirginiaVirginia | — | $1,269.85 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,337.88 |
| VermontVermont | — | $1,227.93 |
| Rest of WashingtonWashington | — | $1,310.85 |
| King County, WAWashington | — | $1,399.21 |
| WisconsinWisconsin | — | $1,176.58 |
| West VirginiaWest Virginia | — | $1,399.36 |
| WyomingWyoming | — | $1,281.58 |
35221 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 35221 rate is calculated
Each of 35221’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 · 35221
RVUs × geographic indexes × conversion factor
Work25.95
25.95 RVUs× 1.000 GPCI
Practice expense7.58
7.58 RVUs× 1.000 GPCI
Malpractice6.54
6.54 RVUs× 1.000 GPCI
Adjusted RVUs
40.0700
Conversion factor
$33.4009
Medicare rate
$1,338.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,298
- Code
- 35221
- Physician work
- 25.95
- Practice expense
- 7.58
- Malpractice
- 6.54
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.95 | × 1.020 | 26.4690 |
| Practice expense | 7.58 | × 1.077 | 8.1637 |
| Malpractice | 6.54 | × 1.210 | 7.9134 |
| Total RVUs | 42.5461 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1421.08
Facility: (25.95 × 1.02 + 7.58 × 1.077 + 6.54 × 1.21) × $33.4009 = $1421.08
Payment rules and modifiers for 35221
35221 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35221
Vessel repair, direct repair, intra-abdominal
| 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 · 35221
Vessel repair, direct repair, intra-abdominal
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
35221 without 50 · national facility
$1,338.37
Vessel repair, direct repair, intra-abdominal
35221-50 · Bilateral: 150%
$2,007.55
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 35221 has changed in Connecticut
35221 · 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 | $1,421.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,421.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,421.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,421.48 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,499.51 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,499.51 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,499.51 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,499.51 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,544.17 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,544.17 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,544.17 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,544.17 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,518.97 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,548.08 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,548.08 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,548.08 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,548.08 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,563.49 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,563.49 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,563.49 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,563.49 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,560.54 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,560.54 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,560.54 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,560.54 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,627.79 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,627.79 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,627.79 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,627.79 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,646.90 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,646.90 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,646.90 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,646.90 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,643.43 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,643.43 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,643.43 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,643.43 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,647.03 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,647.03 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,647.03 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,647.03 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,648.39 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,648.39 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,648.39 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,648.39 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,650.63 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,650.63 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,642.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,642.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,626.94 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,626.94 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,626.94 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,626.94 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,596.50 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,596.50 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,596.50 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,596.50 | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
35221 billing questions
How do I distinguish direct repair from a graft repair?
Use this code when the vessel is repaired directly, such as by closing the defect without an interposed graft. A vein graft or another graft material points to a different intra-abdominal repair code.
What documentation supports reporting this code?
The operative report should identify the intra-abdominal vessel and describe the direct repair technique. It should make clear whether a graft was used.
How does the multiple-procedure reduction affect this code?
When other procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Can modifier 50 be used for bilateral repair?
CMS lists this as a bilateral procedure; when reported bilaterally with modifier 50, payment is at 150%.
How are assistant and co-surgeon services handled?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, while 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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