CPT code 35261: Vessel repair, neck, non-vein graft2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $883.15 for 35261 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35261 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 35261 covers

A surgeon uses this service to reconstruct a blood vessel in the neck with a graft made from material other than a vein. A carotid artery repair using a non-vein graft is a representative situation. The work is typically performed in an operating room by a vascular surgeon or another surgeon managing a neck vascular injury or defect. The operative report should identify the vessel, the neck location, and the graft used.

Choose this code when the neck vessel repair requires a non-vein graft, rather than direct vessel repair or a vein graft. The documentation should support the graft-based reconstruction and distinguish it from other repairs performed during the same session. 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 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 allowed; 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 35261

Across 109 of 109 payment localities, the facility rate for 35261 runs from $783.04 in Wisconsin to $1,144.04 in Miami, FL. Delaware pays $883.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35261 rates by state

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

See 35261 in every payment locality

How the 35261 rate is calculated

Each of 35261’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 35261

35261 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 35261

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

How 35261 has changed in Delaware

Price 35261 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

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