CPT code 35251: Vessel repair, intra-abdominal vein graft2026 Medicare rate & RVUs in New Mexico

Reports operative repair of an intra-abdominal blood vessel using a vein graft, such as during reconstruction after vessel injury or resection.

CMS RVU26DEffective Oct 1, 2026One payment locality189 Medicare services in 2024

In New Mexico, Medicare pays $1,596.27 for 35251 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,596.27Hospital or facility

Check a contract rate as a % of Medicare · 35251 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 35251 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 35251 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 35251 covers

This code describes surgical reconstruction of a blood vessel within the abdomen when the repair uses a vein graft. Vascular surgeons commonly perform it during open abdominal operations for vessel injury or when a segment must be reconstructed after disease or tumor resection. The operative report should identify the vessel and its abdominal location, the defect or reason for reconstruction, and the vein graft used.

Select this code when the documented repair uses a vein graft; a direct repair or repair using another graft material belongs to a different code. The procedure has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same 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%. An assistant at surgery may be paid; 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 New Mexico compares for 35251

Across 109 of 109 payment localities, the facility rate for 35251 runs from $1,372.96 in Wisconsin to $1,984.50 in Alaska. New Mexico pays $1,596.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

35251 in New Mexico vs other payment areas
  1. New Mexico · this page$1,596.27
  2. Los Angeles, CA · California$1,568.35−$27.92
  3. Washington, DC area · District of Columbia$1,698.27+$102.00
  4. Miami, FL · Florida$1,977.23+$380.96
  5. Chicago, IL · Illinois$1,913.64+$317.37
  6. Manhattan, NY · New York$1,828.45+$232.18
  7. Alaska · Alaska$1,984.50+$388.23

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

Every other payment area

35251 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,418.68
ArkansasArkansas—$1,401.08
ArizonaArizona—$1,519.55
Bakersfield, CACalifornia—$1,508.09
Chico, CACalifornia—$1,486.87
El Centro, CACalifornia—$1,488.18
Fresno, CACalifornia—$1,486.87
Hanford, CACalifornia—$1,486.87

35251 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
35251 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 35251 in every payment locality

How the 35251 rate is calculated

Each of 35251’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 · 35251

RVUs × geographic indexes × conversion factor

Office or facility?

Work31.11

31.11 RVUs× 1.000 GPCI

Practice expense7.91

7.91 RVUs× 1.000 GPCI

Malpractice7.85

7.85 RVUs× 1.000 GPCI

Adjusted RVUs

46.8700

Conversion factor

$33.4009

Medicare rate

$1,565.50

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,304

Code
35251
Physician work
31.11
Practice expense
7.91
Malpractice
7.85

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 35251 in New Mexico
ComponentRVULocality factorAdjusted
Physician work31.11× 1.00031.1100
Practice expense7.91× 0.9177.2535
Malpractice7.85× 1.2019.4278
Total RVUs47.7913
Conversion factor× 33.4009

Facility rate, New Mexico$1596.27

Facility: (31.11 × 1 + 7.91 × 0.917 + 7.85 × 1.201) × $33.4009 = $1596.27

Open 35251 in the RVU calculator

Payment rules and modifiers for 35251

35251 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35251

Vessel repair, intra-abdominal 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 · 35251

Vessel repair, intra-abdominal 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

35251 without 50 · national facility

$1,565.50

Vessel repair, intra-abdominal vein graft

35251-50 · Bilateral: 150%

$2,348.25

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 35251 has changed in New Mexico

35251 · 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$1,596.27RVU26D
2026-07-01Not available in this setting$1,596.27RVU26C
2026-04-01Not available in this setting$1,596.27RVU26B
2026-01-01Not available in this setting$1,596.27RVU26A
2025-10-01Not available in this setting$1,660.17RVU25D
2025-07-01Not available in this setting$1,660.17RVU25C
2025-04-01Not available in this setting$1,660.17RVU25B
2025-01-01Not available in this setting$1,660.17RVU25A
2024-10-01Not available in this setting$1,715.74RVU24D
2024-07-01Not available in this setting$1,715.74RVU24C
2024-04-01Not available in this setting$1,715.74RVU24B
2024-03-09Not available in this setting$1,715.74RVU24AR
2024-01-01Not available in this setting$1,687.74RVU24A
2023-10-01Not available in this setting$1,748.27RVU23D
2023-07-01Not available in this setting$1,748.27RVU23C
2023-04-01Not available in this setting$1,748.27RVU23B
2023-01-01Not available in this setting$1,748.27RVU23A
2022-10-01Not available in this setting$1,770.36RVU22D
2022-07-01Not available in this setting$1,770.36RVU22C
2022-04-01Not available in this setting$1,770.36RVU22B
2022-01-01Not available in this setting$1,770.36RVU22A
2021-10-01Not available in this setting$1,767.46RVU21D
2021-07-01Not available in this setting$1,767.46RVU21C
2021-04-01Not available in this setting$1,767.46RVU21B
2021-01-01Not available in this setting$1,767.46RVU21A
2020-10-01Not available in this setting$1,847.43RVU20D
2020-07-01Not available in this setting$1,847.43RVU20C
2020-04-01Not available in this setting$1,847.43RVU20B
2020-01-01Not available in this setting$1,847.43RVU20A
2019-10-01Not available in this setting$1,849.49RVU19D
2019-07-01Not available in this setting$1,849.49RVU19C
2019-04-01Not available in this setting$1,849.49RVU19B
2019-01-01Not available in this setting$1,849.49RVU19A
2018-10-01Not available in this setting$1,860.64RVU18D
2018-07-01Not available in this setting$1,860.64RVU18C
2018-04-01Not available in this setting$1,860.64RVU18B
2018-01-01Not available in this setting$1,860.64RVU18AR1
2017-10-01Not available in this setting$1,820.54RVU17D
2017-07-01Not available in this setting$1,820.54RVU17C
2017-04-01Not available in this setting$1,820.54RVU17B
2017-01-01Not available in this setting$1,820.54RVU17A
2016-10-01Not available in this setting$1,804.26RVU16D
2016-07-01Not available in this setting$1,804.26RVU16C
2016-04-01Not available in this setting$1,804.26RVU16B
2016-01-01Not available in this setting$1,804.26RVU16A
2015-10-01Not available in this setting$1,818.30RVU15D
2015-07-01Not available in this setting$1,818.30RVU15C
2015-04-01Not available in this setting$1,809.25RVU15B
2015-01-01Not available in this setting$1,809.25RVU15A
2014-10-01Not available in this setting$1,756.20RVU14D
2014-07-01Not available in this setting$1,756.20RVU14C
2014-04-01Not available in this setting$1,756.20RVU14B
2014-01-01Not available in this setting$1,756.20RVU14A
2013-10-01Not available in this setting$1,713.93RVU13D
2013-07-01Not available in this setting$1,713.93RVU13C
2013-04-01Not available in this setting$1,713.93RVU13B
2013-01-01Not available in this setting$1,713.93RVU13AR

Price 35251 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

35251 billing questions

How does this differ from 35221?

This code is for an intra-abdominal vessel repair using a vein graft. Code 35221 describes direct repair without a graft.

When would 35281 be considered instead?

Use 35281 when the intra-abdominal vessel repair uses a graft other than a vein graft. The operative report should support the graft material used.

What documentation supports reporting this code?

Document the abdominal vessel repaired, the reason for reconstruction, and that a vein graft was used. The operative details should distinguish graft reconstruction from direct closure.

How is the 90-day global period applied?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How are multiple procedures and bilateral reporting handled?

For procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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
RVUs for 35251PPRRVU2026_Oct_nonQPP.csv, line 4,304 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 35251 pays in New Mexico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 35251 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet