CPT code 35271: Vascular graft repair, intrathoracic, with bypass2026 Medicare rate & RVUs in Austin, TX

Reports reconstruction of an intrathoracic blood vessel using a graft other than vein when the operative repair includes a bypass.

CMS RVU26DEffective Oct 1, 2026One payment locality83 Medicare services in 2024

In Austin, TX, Medicare pays $1,321.28 for 35271 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,321.28Hospital or facility

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.

We’ll open 35271 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Austin, TX
  2. What 35271 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 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 Austin, TX 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. Austin, TX pays $1,321.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

35271 in Austin, TX vs other payment areas
  1. Austin, TX · this page$1,321.28
  2. Beaumont, TX · Texas$1,279.02−$42.26
  3. Brazoria, TX · Texas$1,283.67−$37.61
  4. Dallas, TX · Texas$1,301.05−$20.23
  5. Fort Worth, TX · Texas$1,300.23−$21.05
  6. Galveston, TX · Texas$1,293.52−$27.76
  7. Houston, TX · Texas$1,398.40+$77.12

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

Every other payment area

35271 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas—$1,286.93
Los Angeles, CACalifornia—$1,351.31
Washington, DC areaDistrict of Columbia—$1,446.00
Miami, FLFlorida—$1,628.52
Chicago, ILIllinois—$1,577.44
Manhattan, NYNew York—$1,539.25
AlaskaAlaska—$1,658.19
AlabamaAlabama—$1,197.99

35271 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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35271 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 35271 in every payment locality

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

Office or facility?

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 Austin, TX 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

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Facility calculation for 35271 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work23.97× 1.00224.0179
Practice expense9.89× 1.05810.4636
Malpractice5.73× 0.8865.0768
Total RVUs39.5583
Conversion factor× 33.4009

Facility rate, Austin, TX$1321.28

Facility: (23.97 × 1.002 + 9.89 × 1.058 + 5.73 × 0.886) × $33.4009 = $1321.28

Open 35271 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

How 35271 has changed in Austin, TX

35271 · 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$1,321.28RVU26D
2026-07-01Not available in this setting$1,321.28RVU26C
2026-04-01Not available in this setting$1,321.28RVU26B
2026-01-01Not available in this setting$1,321.28RVU26A
2025-10-01Not available in this setting$1,320.20RVU25D
2025-07-01Not available in this setting$1,320.20RVU25C
2025-04-01Not available in this setting$1,320.20RVU25B
2025-01-01Not available in this setting$1,320.20RVU25A
2024-10-01Not available in this setting$1,359.66RVU24D
2024-07-01Not available in this setting$1,359.66RVU24C
2024-04-01Not available in this setting$1,359.66RVU24B
2024-03-09Not available in this setting$1,359.66RVU24AR
2024-01-01Not available in this setting$1,337.46RVU24A
2023-10-01Not available in this setting$1,343.82RVU23D
2023-07-01Not available in this setting$1,343.82RVU23C
2023-04-01Not available in this setting$1,343.82RVU23B
2023-01-01Not available in this setting$1,343.82RVU23A
2022-10-01Not available in this setting$1,334.99RVU22D
2022-07-01Not available in this setting$1,334.99RVU22C
2022-04-01Not available in this setting$1,334.99RVU22B
2022-01-01Not available in this setting$1,334.99RVU22A
2021-10-01Not available in this setting$1,342.14RVU21D
2021-07-01Not available in this setting$1,342.14RVU21C
2021-04-01Not available in this setting$1,342.14RVU21B
2021-01-01Not available in this setting$1,342.14RVU21A
2020-10-01Not available in this setting$1,385.25RVU20D
2020-07-01Not available in this setting$1,385.25RVU20C
2020-04-01Not available in this setting$1,385.25RVU20B
2020-01-01Not available in this setting$1,385.25RVU20A
2019-10-01Not available in this setting$1,399.07RVU19D
2019-07-01Not available in this setting$1,399.07RVU19C
2019-04-01Not available in this setting$1,399.07RVU19B
2019-01-01Not available in this setting$1,399.07RVU19A
2018-10-01Not available in this setting$1,398.06RVU18D
2018-07-01Not available in this setting$1,398.06RVU18C
2018-04-01Not available in this setting$1,398.06RVU18B
2018-01-01Not available in this setting$1,398.06RVU18AR1
2017-10-01Not available in this setting$1,404.65RVU17D
2017-07-01Not available in this setting$1,404.65RVU17C
2017-04-01Not available in this setting$1,404.65RVU17B
2017-01-01Not available in this setting$1,404.65RVU17A
2016-10-01Not available in this setting$1,397.12RVU16D
2016-07-01Not available in this setting$1,397.12RVU16C
2016-04-01Not available in this setting$1,397.12RVU16B
2016-01-01Not available in this setting$1,397.12RVU16A
2015-10-01Not available in this setting$1,410.98RVU15D
2015-07-01Not available in this setting$1,410.98RVU15C
2015-04-01Not available in this setting$1,403.96RVU15B
2015-01-01Not available in this setting$1,403.96RVU15A
2014-10-01Not available in this setting$1,402.28RVU14D
2014-07-01Not available in this setting$1,402.28RVU14C
2014-04-01Not available in this setting$1,402.28RVU14B
2014-01-01Not available in this setting$1,402.28RVU14A
2013-10-01Not available in this setting$1,378.00RVU13D
2013-07-01Not available in this setting$1,378.00RVU13C
2013-04-01Not available in this setting$1,378.00RVU13B
2013-01-01Not available in this setting$1,378.00RVU13AR

Price 35271 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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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
RVUs for 35271PPRRVU2026_Oct_nonQPP.csv, line 4,308 (RVU26D)
Geographic factors for Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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