CPT code 35231: Vascular repair, neck, vein graft2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,021.44 for 35231 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35231 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 35231 covers

A vascular surgeon uses a vein graft to reconstruct a blood vessel in the neck when injury, disease, or removal of adjacent tissue leaves a defect that requires graft material. The repair may restore continuity across a segmental defect or reinforce a vessel wall defect. This service is generally performed in an operating room, often during treatment of a neck vascular injury or as part of a larger operation involving a neck vessel.

Select this code for the neck location and vein-graft method; a direct suture repair or repair using a non-vein graft belongs to a different code. The operative report should identify the vessel and neck site, the defect being repaired, why graft reconstruction was needed, and the vein graft used. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 North Carolina compares for 35231

Across 109 of 109 payment localities, the facility rate for 35231 runs from $985.70 in Nebraska to $1,390.41 in Alaska. North Carolina pays $1,021.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35231 rates by state

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

See 35231 in every payment locality

How the 35231 rate is calculated

Each of 35231’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 35231

35231 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 35231

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

How 35231 has changed in North Carolina

Price 35231 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

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