CPT code 35271: Vascular graft repair, intrathoracic, with bypass2026 Medicare rate & RVUs in Kansas
Reports reconstruction of an intrathoracic blood vessel using a graft other than vein when the operative repair includes a bypass.
In Kansas, Medicare pays $1,195.70 for 35271 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35271 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 35271 covers
This code represents open reconstruction of a blood vessel within the chest using a graft made from material other than vein, with a bypass as part of the repair. Vascular and cardiothoracic surgeons may perform the service during operations for vessel injury or disease requiring restoration of blood flow. The operative report should establish the intrathoracic site and describe the graft reconstruction and bypass performed.
Select this code when the documented repair uses a non-vein graft and includes bypass; a direct repair or vein graft reconstruction falls into a different code. Documentation should identify the vessel, graft material, and bypass configuration. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. For a bilateral procedure reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons require 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 Kansas compares for 35271
Across 109 of 109 payment localities, the facility rate for 35271 runs from $1,176.03 in Wisconsin to $1,658.19 in Alaska. Kansas pays $1,195.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kansas · this page$1,195.70
- Los Angeles, CA · California$1,351.31+$155.61
- Washington, DC area · District of Columbia$1,446.00+$250.30
- Miami, FL · Florida$1,628.52+$432.82
- Chicago, IL · Illinois$1,577.44+$381.74
- Manhattan, NY · New York$1,539.25+$343.55
- Alaska · Alaska$1,658.19+$462.49
Other areas in Kansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,197.99 |
| ArkansasArkansas | — | $1,182.94 |
| ArizonaArizona | — | $1,284.54 |
| Bakersfield, CACalifornia | — | $1,294.43 |
| Chico, CACalifornia | — | $1,278.86 |
| El Centro, CACalifornia | — | $1,279.82 |
| Fresno, CACalifornia | — | $1,278.86 |
| Hanford, CACalifornia | — | $1,278.86 |
| Madera, CACalifornia | — | $1,278.86 |
| Merced, CACalifornia | — | $1,278.86 |
| Modesto, CACalifornia | — | $1,278.86 |
| Napa, CACalifornia | — | $1,383.66 |
| Oxnard, CACalifornia | — | $1,332.73 |
| Redding, CACalifornia | — | $1,278.86 |
| Rest of CaliforniaCalifornia | — | $1,278.86 |
| Riverside, CACalifornia | — | $1,340.33 |
| Sacramento, CACalifornia | — | $1,316.20 |
| Salinas, CACalifornia | — | $1,310.88 |
| San Diego, CACalifornia | — | $1,323.45 |
| Marin County, CACalifornia | — | $1,430.30 |
| San Francisco, CACalifornia | — | $1,423.79 |
| San Benito County, CACalifornia | — | $1,467.61 |
| Santa Clara County, CACalifornia | — | $1,441.01 |
| San Luis Obispo, CACalifornia | — | $1,293.07 |
| Santa Cruz, CACalifornia | — | $1,321.37 |
| Santa Maria, CACalifornia | — | $1,310.79 |
| Santa Rosa, CACalifornia | — | $1,332.87 |
| Stockton, CACalifornia | — | $1,278.86 |
| Vallejo, CACalifornia | — | $1,374.29 |
| Visalia, CACalifornia | — | $1,278.86 |
| Yuba City, CACalifornia | — | $1,278.86 |
| ColoradoColorado | — | $1,311.18 |
| ConnecticutConnecticut | — | $1,403.98 |
| DelawareDelaware | — | $1,303.05 |
| Fort Lauderdale, FLFlorida | — | $1,481.28 |
| Rest of FloridaFlorida | — | $1,404.07 |
| Atlanta, GAGeorgia | — | $1,368.50 |
| Rest of GeorgiaGeorgia | — | $1,323.41 |
| Hawaii, Guam, HIHawaii | — | $1,287.02 |
| IowaIowa | — | $1,178.86 |
| IdahoIdaho | — | $1,195.05 |
| East St. Louis, ILIllinois | — | $1,489.98 |
| Rest of IllinoisIllinois | — | $1,401.35 |
| Suburban Chicago, ILIllinois | — | $1,484.62 |
| IndianaIndiana | — | $1,199.85 |
| KentuckyKentucky | — | $1,269.41 |
| New Orleans, LALouisiana | — | $1,328.88 |
| Rest of LouisianaLouisiana | — | $1,276.31 |
| Metropolitan Boston, MAMassachusetts | — | $1,398.20 |
| Rest of MassachusettsMassachusetts | — | $1,313.81 |
| Baltimore area, MDMaryland | — | $1,404.62 |
| Rest of MarylandMaryland | — | $1,318.62 |
| Rest of MaineMaine | — | $1,223.57 |
| Southern Maine, MEMaine | — | $1,248.75 |
| Detroit, MIMichigan | — | $1,442.07 |
| Rest of MichiganMichigan | — | $1,318.29 |
| MinnesotaMinnesota | — | $1,197.18 |
| Metropolitan Kansas City, MOMissouri | — | $1,297.79 |
| Metropolitan St. Louis, MOMissouri | — | $1,306.87 |
| Rest of MissouriMissouri | — | $1,271.78 |
| MississippiMississippi | — | $1,226.47 |
| MontanaMontana | — | $1,321.96 |
| North CarolinaNorth Carolina | — | $1,231.12 |
| North DakotaNorth Dakota | — | $1,208.66 |
| NebraskaNebraska | — | $1,177.86 |
| New HampshireNew Hampshire | — | $1,311.96 |
| Northern New JerseyNew Jersey | — | $1,438.65 |
| Rest of New JerseyNew Jersey | — | $1,403.32 |
| New MexicoNew Mexico | — | $1,333.39 |
| NevadaNevada | — | $1,290.71 |
| NYC suburbs and Long Island, NYNew York | — | $1,600.03 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,429.94 |
| Queens, NYNew York | — | $1,518.30 |
| Rest of New YorkNew York | — | $1,248.98 |
| OhioOhio | — | $1,295.13 |
| OklahomaOklahoma | — | $1,244.32 |
| Portland, OROregon | — | $1,322.82 |
| Rest of OregonOregon | — | $1,264.18 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,387.23 |
| Rest of PennsylvaniaPennsylvania | — | $1,284.73 |
| Puerto RicoPuerto Rico | — | $1,323.10 |
| Rhode IslandRhode Island | — | $1,327.78 |
| South CarolinaSouth Carolina | — | $1,268.53 |
| South DakotaSouth Dakota | — | $1,195.26 |
| TennesseeTennessee | — | $1,203.67 |
| Austin, TXTexas | — | $1,321.28 |
| Beaumont, TXTexas | — | $1,279.02 |
| Brazoria, TXTexas | — | $1,283.67 |
| Dallas, TXTexas | — | $1,301.05 |
| Fort Worth, TXTexas | — | $1,300.23 |
| Galveston, TXTexas | — | $1,293.52 |
| Houston, TXTexas | — | $1,398.40 |
| Rest of TexasTexas | — | $1,286.93 |
| UtahUtah | — | $1,283.00 |
| VirginiaVirginia | — | $1,260.46 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,323.10 |
| VermontVermont | — | $1,224.49 |
| Rest of WashingtonWashington | — | $1,304.52 |
| King County, WAWashington | — | $1,402.33 |
| WisconsinWisconsin | — | $1,176.03 |
| West VirginiaWest Virginia | — | $1,361.56 |
| WyomingWyoming | — | $1,272.58 |
35271 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 35271 rate is calculated
Each of 35271’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 · 35271
RVUs × geographic indexes × conversion factor
Work23.97
23.97 RVUs× 1.000 GPCI
Practice expense9.89
9.89 RVUs× 1.000 GPCI
Malpractice5.73
5.73 RVUs× 1.000 GPCI
Adjusted RVUs
39.5900
Conversion factor
$33.4009
Medicare rate
$1,322.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,308
- Code
- 35271
- Physician work
- 23.97
- Practice expense
- 9.89
- Malpractice
- 5.73
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.97 | × 1.000 | 23.9700 |
| Practice expense | 9.89 | × 0.904 | 8.9406 |
| Malpractice | 5.73 | × 0.504 | 2.8879 |
| Total RVUs | 35.7985 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1195.70
Facility: (23.97 × 1 + 9.89 × 0.904 + 5.73 × 0.504) × $33.4009 = $1195.70
Payment rules and modifiers for 35271
35271 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35271
Vascular graft repair, intrathoracic, with bypass
| 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 · 35271
Vascular graft repair, intrathoracic, with bypass
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
35271 without 50 · national facility
$1,322.34
Vascular graft repair, intrathoracic, with bypass
35271-50 · Bilateral: 150%
$1,983.51
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 35271 has changed in Kansas
35271 · 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 | $1,195.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,195.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,195.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,195.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,202.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,202.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,202.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,202.22 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,238.09 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,238.09 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,238.09 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,238.09 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,217.89 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,248.15 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,248.15 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,248.15 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,248.15 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,265.10 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,265.10 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,265.10 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,265.10 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,272.24 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,272.24 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,272.24 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,272.24 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,317.68 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,317.68 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,317.68 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,317.68 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,333.45 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,333.45 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,333.45 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,333.45 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,332.14 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,332.14 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,332.14 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,332.14 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,339.89 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,339.89 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,339.89 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,339.89 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,335.00 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,335.00 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,335.00 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,335.00 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,347.38 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,347.38 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,340.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,340.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,371.93 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,371.93 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,371.93 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,371.93 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,377.17 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,377.17 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,377.17 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,377.17 | RVU13AR |
Where the Kansas rate applies
Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.
- Abbyville
- Abilene
- Ada
- Admire
- Agenda
- Agra
- Albert
- Alden
35271 billing questions
How does this code differ from 35276?
Both describe intrathoracic vessel reconstruction with a graft other than vein. Use 35271 when the repair includes bypass; 35276 describes the repair without bypass.
When should a vein-graft code be used instead?
Use 35241 for an intrathoracic bypass repair using a vein graft. This code is for a graft other than vein.
What should the operative report document?
Document the intrathoracic vessel repaired, the graft material, and the bypass reconstruction. Those details distinguish this service from direct repair, vein-graft repair, and repair without bypass.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period for this major surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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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