CPT code 35261: Vessel repair, neck, non-vein graft2026 Medicare rate & RVUs in Minnesota
Reports open reconstruction of a neck blood vessel using a graft other than a vein, such as when vessel damage requires graft repair.
In Minnesota, Medicare pays $789.80 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.
On this page 11 sections
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 Minnesota 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. Minnesota pays $789.80. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$789.80
- Los Angeles, CA · California$892.03+$102.23
- Washington, DC area · District of Columbia$970.38+$180.58
- Miami, FL · Florida$1,144.04+$354.24
- Chicago, IL · Illinois$1,107.01+$317.21
- Manhattan, NY · New York$1,049.34+$259.54
- Alaska · Alaska$1,143.26+$353.46
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $813.68 |
| ArkansasArkansas | — | $803.67 |
| ArizonaArizona | — | $870.95 |
| Bakersfield, CACalifornia | — | $859.15 |
| Chico, CACalifornia | — | $846.38 |
| El Centro, CACalifornia | — | $847.17 |
| Fresno, CACalifornia | — | $846.38 |
| Hanford, CACalifornia | — | $846.38 |
| Madera, CACalifornia | — | $846.38 |
| Merced, CACalifornia | — | $846.38 |
| Modesto, CACalifornia | — | $846.38 |
| Napa, CACalifornia | — | $897.43 |
| Oxnard, CACalifornia | — | $877.40 |
| Redding, CACalifornia | — | $846.38 |
| Rest of CaliforniaCalifornia | — | $846.38 |
| Riverside, CACalifornia | — | $897.08 |
| Sacramento, CACalifornia | — | $866.28 |
| Salinas, CACalifornia | — | $862.71 |
| San Diego, CACalifornia | — | $867.55 |
| Marin County, CACalifornia | — | $920.67 |
| San Francisco, CACalifornia | — | $915.29 |
| San Benito County, CACalifornia | — | $946.00 |
| Santa Clara County, CACalifornia | — | $924.04 |
| San Luis Obispo, CACalifornia | — | $851.62 |
| Santa Cruz, CACalifornia | — | $863.36 |
| Santa Maria, CACalifornia | — | $861.71 |
| Santa Rosa, CACalifornia | — | $870.50 |
| Stockton, CACalifornia | — | $846.38 |
| Vallejo, CACalifornia | — | $889.69 |
| Visalia, CACalifornia | — | $846.38 |
| Yuba City, CACalifornia | — | $846.38 |
| ColoradoColorado | — | $878.10 |
| ConnecticutConnecticut | — | $952.40 |
| DelawareDelaware | — | $883.15 |
| Fort Lauderdale, FLFlorida | — | $1,026.72 |
| Rest of FloridaFlorida | — | $971.59 |
| Atlanta, GAGeorgia | — | $933.04 |
| Rest of GeorgiaGeorgia | — | $914.65 |
| Hawaii, Guam, HIHawaii | — | $847.67 |
| IowaIowa | — | $791.85 |
| IdahoIdaho | — | $804.47 |
| East St. Louis, ILIllinois | — | $1,047.93 |
| Rest of IllinoisIllinois | — | $975.82 |
| Suburban Chicago, ILIllinois | — | $1,027.06 |
| IndianaIndiana | — | $807.38 |
| KansasKansas | — | $807.42 |
| KentuckyKentucky | — | $870.52 |
| New Orleans, LALouisiana | — | $911.78 |
| Rest of LouisianaLouisiana | — | $876.83 |
| Metropolitan Boston, MAMassachusetts | — | $929.08 |
| Rest of MassachusettsMassachusetts | — | $881.75 |
| Baltimore area, MDMaryland | — | $953.71 |
| Rest of MarylandMaryland | — | $892.17 |
| Rest of MaineMaine | — | $828.01 |
| Southern Maine, MEMaine | — | $838.09 |
| Detroit, MIMichigan | — | $1,001.59 |
| Rest of MichiganMichigan | — | $907.26 |
| Metropolitan Kansas City, MOMissouri | — | $886.41 |
| Metropolitan St. Louis, MOMissouri | — | $891.95 |
| Rest of MissouriMissouri | — | $876.55 |
| MississippiMississippi | — | $839.30 |
| MontanaMontana | — | $897.17 |
| North CarolinaNorth Carolina | — | $832.28 |
| North DakotaNorth Dakota | — | $803.64 |
| NebraskaNebraska | — | $789.83 |
| New HampshireNew Hampshire | — | $882.73 |
| Northern New JerseyNew Jersey | — | $966.64 |
| Rest of New JerseyNew Jersey | — | $948.73 |
| New MexicoNew Mexico | — | $919.12 |
| NevadaNevada | — | $871.22 |
| NYC suburbs and Long Island, NYNew York | — | $1,095.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $970.03 |
| Queens, NYNew York | — | $1,029.03 |
| Rest of New YorkNew York | — | $844.46 |
| OhioOhio | — | $888.14 |
| OklahomaOklahoma | — | $849.21 |
| Portland, OROregon | — | $880.45 |
| Rest of OregonOregon | — | $850.07 |
| Metropolitan Philadelphia, PAPennsylvania | — | $944.09 |
| Rest of PennsylvaniaPennsylvania | — | $878.80 |
| Puerto RicoPuerto Rico | — | $896.45 |
| Rhode IslandRhode Island | — | $896.18 |
| South CarolinaSouth Carolina | — | $864.52 |
| South DakotaSouth Dakota | — | $792.58 |
| TennesseeTennessee | — | $813.24 |
| Austin, TXTexas | — | $887.78 |
| Beaumont, TXTexas | — | $875.29 |
| Brazoria, TXTexas | — | $866.57 |
| Dallas, TXTexas | — | $880.12 |
| Fort Worth, TXTexas | — | $880.95 |
| Galveston, TXTexas | — | $874.40 |
| Houston, TXTexas | — | $960.97 |
| Rest of TexasTexas | — | $875.94 |
| UtahUtah | — | $874.05 |
| VirginiaVirginia | — | $848.96 |
| Virgin Islands, VIUnited States Virgin Islands | — | $896.45 |
| VermontVermont | — | $818.22 |
| Rest of WashingtonWashington | — | $874.21 |
| King County, WAWashington | — | $927.12 |
| WisconsinWisconsin | — | $783.04 |
| West VirginiaWest Virginia | — | $949.60 |
| WyomingWyoming | — | $856.41 |
35261 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 35261
RVUs × geographic indexes × conversion factor
Work18.49
18.49 RVUs× 1.000 GPCI
Practice expense3.65
3.65 RVUs× 1.000 GPCI
Malpractice4.73
4.73 RVUs× 1.000 GPCI
Adjusted RVUs
26.8700
Conversion factor
$33.4009
Medicare rate
$897.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,306
- Code
- 35261
- Physician work
- 18.49
- Practice expense
- 3.65
- Malpractice
- 4.73
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.49 | × 1.000 | 18.4900 |
| Practice expense | 3.65 | × 1.029 | 3.7558 |
| Malpractice | 4.73 | × 0.296 | 1.4001 |
| Total RVUs | 23.6459 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$789.80
Facility: (18.49 × 1 + 3.65 × 1.029 + 4.73 × 0.296) × $33.4009 = $789.80
Payment rules and modifiers for 35261
35261 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35261
Vessel repair, neck, non-vein graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35261
Vessel repair, neck, non-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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35261 without 50 · national facility
$897.48
Vessel repair, neck, non-vein graft
35261-50 · Bilateral: 150%
$1,346.22
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).
How 35261 has changed in Minnesota
35261 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $789.80 | RVU26D |
| 2026-07-01 | Not available in this setting | $789.80 | RVU26C |
| 2026-04-01 | Not available in this setting | $789.80 | RVU26B |
| 2026-01-01 | Not available in this setting | $789.80 | RVU26A |
| 2025-10-01 | Not available in this setting | $833.24 | RVU25D |
| 2025-07-01 | Not available in this setting | $833.24 | RVU25C |
| 2025-04-01 | Not available in this setting | $833.24 | RVU25B |
| 2025-01-01 | Not available in this setting | $833.24 | RVU25A |
| 2024-10-01 | Not available in this setting | $853.10 | RVU24D |
| 2024-07-01 | Not available in this setting | $853.10 | RVU24C |
| 2024-04-01 | Not available in this setting | $853.10 | RVU24B |
| 2024-03-09 | Not available in this setting | $853.10 | RVU24AR |
| 2024-01-01 | Not available in this setting | $839.18 | RVU24A |
| 2023-10-01 | Not available in this setting | $868.28 | RVU23D |
| 2023-07-01 | Not available in this setting | $868.28 | RVU23C |
| 2023-04-01 | Not available in this setting | $868.28 | RVU23B |
| 2023-01-01 | Not available in this setting | $868.28 | RVU23A |
| 2022-10-01 | Not available in this setting | $890.14 | RVU22D |
| 2022-07-01 | Not available in this setting | $890.14 | RVU22C |
| 2022-04-01 | Not available in this setting | $890.14 | RVU22B |
| 2022-01-01 | Not available in this setting | $890.14 | RVU22A |
| 2021-10-01 | Not available in this setting | $891.54 | RVU21D |
| 2021-07-01 | Not available in this setting | $891.54 | RVU21C |
| 2021-04-01 | Not available in this setting | $891.54 | RVU21B |
| 2021-01-01 | Not available in this setting | $891.54 | RVU21A |
| 2020-10-01 | Not available in this setting | $922.57 | RVU20D |
| 2020-07-01 | Not available in this setting | $922.57 | RVU20C |
| 2020-04-01 | Not available in this setting | $922.57 | RVU20B |
| 2020-01-01 | Not available in this setting | $922.57 | RVU20A |
| 2019-10-01 | Not available in this setting | $920.20 | RVU19D |
| 2019-07-01 | Not available in this setting | $920.20 | RVU19C |
| 2019-04-01 | Not available in this setting | $919.42 | RVU19B |
| 2019-01-01 | Not available in this setting | $919.42 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,006.75 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,006.75 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,006.75 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,006.75 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,016.40 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,016.40 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,016.40 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,016.40 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,014.99 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,014.99 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,014.99 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,014.99 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,031.96 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,031.96 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,026.83 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,026.83 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,012.78 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,012.78 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,012.78 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,012.78 | RVU14A |
| 2013-10-01 | Not available in this setting | $980.54 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
35261 billing questions
How does this differ from 35231?
Both codes describe graft repair of a neck blood vessel. Use 35261 for a graft other than a vein; 35231 is for a vein graft.
When is 35201 a better fit?
Use 35201 for direct repair of a neck blood vessel without graft reconstruction. Use 35261 when the documented repair uses a non-vein graft.
What should the operative report document?
Document the neck vessel repaired, the need for graft reconstruction, and that the graft material was other than a vein. The report should also distinguish the repair from any separate procedures performed in the same session.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Unrelated services require documentation supporting their separate nature.
How are multiple procedures and bilateral repairs handled?
For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. CMS pays bilateral reporting with modifier 50 at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. 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
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