CPT code 35241: Vascular repair, intrathoracic, vein graft with bypass2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,275.40 for 35241 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35241 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 35241 covers

A surgeon uses a vein graft to reconstruct a blood vessel within the thorax as part of an operation involving bypass. The service is typically performed by a cardiothoracic or vascular surgeon in an operating room, for a planned reconstruction or repair of an intrathoracic vessel defect. The operative report should identify the vessel and location, the vein graft used, and the bypass performed.

Select this code when the repair uses a vein graft and is performed with bypass; direct repair and repair using another graft material belong to different code choices. Medicare 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% multiple-procedure reduction. Modifier 50 applies to a bilateral procedure, 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 35241

Across 109 of 109 payment localities, the facility rate for 35241 runs from $1,217.72 in Wisconsin to $1,718.86 in Alaska. North Carolina pays $1,275.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35241 rates by state

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

See 35241 in every payment locality

How the 35241 rate is calculated

Each of 35241’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 35241

35241 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 35241

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

How 35241 has changed in North Carolina

Price 35241 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