CPT code 35236: Vessel repair, upper extremity, vein graft2026 Medicare rate & RVUs in Delaware

Reconstructs an upper-extremity blood vessel with a vein graft when a damaged segment or defect requires graft repair.

CMS RVU26DEffective Oct 1, 2026One payment locality275 Medicare services in 2024

In Delaware, Medicare pays $903.58 for 35236 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$903.58Hospital or facility

Check a contract rate as a % of Medicare · 35236 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 35236 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 35236 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 35236 covers

This service reconstructs a blood vessel in the arm or hand using a vein graft to restore blood flow across a damaged segment or defect. Vascular and other surgeons may perform it during operative treatment of an upper-extremity vessel injury or another condition requiring graft reconstruction, typically in a hospital or other surgical facility. The operative record should identify the vessel and site, the defect being repaired, and use of a vein graft.

Report this code when the repair is in the upper extremity and uses a vein graft; direct vessel repair and repair with a graft other than vein are distinct choices. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for a bilateral procedure 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 Delaware compares for 35236

Across 109 of 109 payment localities, the facility rate for 35236 runs from $811.48 in Wisconsin to $1,159.47 in Alaska. Delaware pays $903.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

35236 in Delaware vs other payment areas
  1. Delaware · this page$903.58
  2. Los Angeles, CA · California$928.37+$24.79
  3. Washington, DC area · District of Columbia$998.49+$94.91
  4. Miami, FL · Florida$1,140.97+$237.39
  5. Chicago, IL · Illinois$1,105.21+$201.63
  6. Manhattan, NY · New York$1,068.17+$164.59
  7. Alaska · Alaska$1,159.47+$255.89

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

Every other payment area

35236 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$832.24
ArkansasArkansas—$822.01
ArizonaArizona—$890.98
Bakersfield, CACalifornia—$891.24
Chico, CACalifornia—$879.76
El Centro, CACalifornia—$880.46
Fresno, CACalifornia—$879.76
Hanford, CACalifornia—$879.76

35236 rates by state

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

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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
35236 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 35236 in every payment locality

How the 35236 rate is calculated

Each of 35236’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 · 35236

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.57

17.57 RVUs× 1.000 GPCI

Practice expense5.66

5.66 RVUs× 1.000 GPCI

Malpractice4.23

4.23 RVUs× 1.000 GPCI

Adjusted RVUs

27.4600

Conversion factor

$33.4009

Medicare rate

$917.19

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,301

Code
35236
Physician work
17.57
Practice expense
5.66
Malpractice
4.23

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 35236 in Delaware
ComponentRVULocality factorAdjusted
Physician work17.57× 1.00517.6578
Practice expense5.66× 0.9885.5921
Malpractice4.23× 0.8993.8028
Total RVUs27.0527
Conversion factor× 33.4009

Facility rate, Delaware$903.58

Facility: (17.57 × 1.005 + 5.66 × 0.988 + 4.23 × 0.899) × $33.4009 = $903.58

Open 35236 in the RVU calculator

Payment rules and modifiers for 35236

35236 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35236

Vessel repair, upper extremity, vein graft

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 · 35236

Vessel repair, upper extremity, vein graft

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

35236 without 50 · national facility

$917.19

Vessel repair, upper extremity, vein graft

35236-50 · Bilateral: 150%

$1,375.79

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 35236 has changed in Delaware

35236 · 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$903.58RVU26D
2026-07-01Not available in this setting$903.58RVU26C
2026-04-01Not available in this setting$903.58RVU26B
2026-01-01Not available in this setting$903.58RVU26A
2025-10-01Not available in this setting$962.35RVU25D
2025-07-01Not available in this setting$962.35RVU25C
2025-04-01Not available in this setting$962.35RVU25B
2025-01-01Not available in this setting$962.35RVU25A
2024-10-01Not available in this setting$976.26RVU24D
2024-07-01Not available in this setting$976.26RVU24C
2024-04-01Not available in this setting$976.26RVU24B
2024-03-09Not available in this setting$976.26RVU24AR
2024-01-01Not available in this setting$960.32RVU24A
2023-10-01Not available in this setting$987.32RVU23D
2023-07-01Not available in this setting$987.32RVU23C
2023-04-01Not available in this setting$987.32RVU23B
2023-01-01Not available in this setting$987.32RVU23A
2022-10-01Not available in this setting$1,015.65RVU22D
2022-07-01Not available in this setting$1,015.65RVU22C
2022-04-01Not available in this setting$1,015.65RVU22B
2022-01-01Not available in this setting$1,015.65RVU22A
2021-10-01Not available in this setting$1,022.33RVU21D
2021-07-01Not available in this setting$1,022.33RVU21C
2021-04-01Not available in this setting$1,022.33RVU21B
2021-01-01Not available in this setting$1,022.33RVU21A
2020-10-01Not available in this setting$1,065.75RVU20D
2020-07-01Not available in this setting$1,065.75RVU20C
2020-04-01Not available in this setting$1,065.75RVU20B
2020-01-01Not available in this setting$1,065.75RVU20A
2019-10-01Not available in this setting$1,072.31RVU19D
2019-07-01Not available in this setting$1,072.31RVU19C
2019-04-01Not available in this setting$1,072.31RVU19B
2019-01-01Not available in this setting$1,072.31RVU19A
2018-10-01Not available in this setting$1,069.23RVU18D
2018-07-01Not available in this setting$1,069.23RVU18C
2018-04-01Not available in this setting$1,069.23RVU18B
2018-01-01Not available in this setting$1,069.23RVU18AR1
2017-10-01Not available in this setting$1,060.04RVU17D
2017-07-01Not available in this setting$1,060.04RVU17C
2017-04-01Not available in this setting$1,060.04RVU17B
2017-01-01Not available in this setting$1,060.04RVU17A
2016-10-01Not available in this setting$1,062.80RVU16D
2016-07-01Not available in this setting$1,062.80RVU16C
2016-04-01Not available in this setting$1,062.80RVU16B
2016-01-01Not available in this setting$1,062.80RVU16A
2015-10-01Not available in this setting$1,067.10RVU15D
2015-07-01Not available in this setting$1,067.10RVU15C
2015-04-01Not available in this setting$1,061.79RVU15B
2015-01-01Not available in this setting$1,061.79RVU15A
2014-10-01Not available in this setting$1,035.20RVU14D
2014-07-01Not available in this setting$1,035.20RVU14C
2014-04-01Not available in this setting$1,035.20RVU14B
2014-01-01Not available in this setting$1,035.20RVU14A
2013-10-01Not available in this setting$997.61RVU13D
2013-07-01Not available in this setting$997.61RVU13C
2013-04-01Not available in this setting$997.61RVU13B
2013-01-01Not available in this setting$997.61RVU13AR

Price 35236 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

35236 billing questions

When is 35236 reported instead of 35206?

Use 35236 when the upper-extremity vessel repair uses a vein graft. Code 35206 describes direct repair without a graft.

How does 35236 differ from 35266?

Both describe graft repair in the upper extremity, but 35236 is for a vein graft and 35266 is for a graft other than vein.

What documentation supports reporting 35236?

Document the upper-extremity vessel and site, the defect or injury, and that a vein graft was used to reconstruct the vessel.

How is bilateral reporting handled?

For a bilateral procedure, modifier 50 is paid at 150%.

What should the billing team know about surgical assistance and the global period?

Assistant-at-surgery payment may be available, while co-surgeon payment requires supporting documentation. The 90-day global includes the day-before preoperative visit and related postoperative care.

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 35236PPRRVU2026_Oct_nonQPP.csv, line 4,301 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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