CPT code 35276: Vessel repair, intrathoracic, without bypass2026 Medicare rate & RVUs in Maryland
Reports intrathoracic blood vessel repair using a graft other than vein, when the repair is performed without bypass.
CMS doesn’t publish an office rate for 35276 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 35276 covers
This code describes surgical repair of a blood vessel within the chest using a graft made from material other than vein, without bypass. It may be reported by a vascular or cardiothoracic surgeon repairing an injured or diseased intrathoracic vessel when a graft is required rather than direct closure or a vein graft. The operative report should establish the vessel’s intrathoracic location and the repair method.
Report one service for the qualifying repair and document the graft material and whether bypass was used, since these details distinguish this code from nearby choices. Medicare 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 the same session, the highest-valued procedure is paid in full and others at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%. Assistant-at-surgery services 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.
Where 35276 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | $1,481.38 |
| Rest of Maryland | Unavailable | $1,390.61 |
| Washington, DC area | Unavailable | $1,525.33 |
How the 35276 rate is calculated
Each of 35276’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 · 35276
RVUs × geographic indexes × conversion factor
Work25.18
25.18 RVUs× 1.000 GPCI
Practice expense10.54
10.54 RVUs× 1.000 GPCI
Malpractice6.03
6.03 RVUs× 1.000 GPCI
Adjusted RVUs
41.7500
Conversion factor
$33.4009
Medicare rate
$1,394.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35276
35276 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35276
Vessel repair, intrathoracic, without 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 · 35276
Vessel repair, intrathoracic, without 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
35276 without 50 · national facility
$1,394.49
Vessel repair, intrathoracic, without bypass
35276-50 · Bilateral: 150%
$2,091.74
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).
35276 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 35271Vascular graft repairIntrathoracic, with bypass
- Both involve intrathoracic repair with a graft other than vein. 35271 is the bypass counterpart; 35276 is reported when repair is without bypass.
- 35246Vessel repairIntrathoracic, without bypass
- This code uses a graft other than vein for intrathoracic repair without bypass. 35246 is the corresponding repair using a vein graft.
- 35216Vessel repairIntrathoracic, direct, no bypass
- 35216 describes direct intrathoracic vessel repair without a graft. Use 35276 when the repair requires a graft other than vein.
- 35281Vessel repairNonvenous graft, intra-abdominal
- Both use a graft other than vein, but 35281 is for an intra-abdominal vessel; 35276 is for an intrathoracic vessel.
35276 billing questions
How does this differ from 35271?
Both describe intrathoracic vessel repair with a graft other than vein. The distinction is whether bypass is used: 35276 is for repair without bypass.
When would 35246 be reported instead?
35246 describes intrathoracic vessel repair using a vein graft without bypass. Use 35276 when the graft is made from material other than vein.
Can direct vessel repair be reported with this code?
This code represents repair using a graft, not direct closure. A direct repair without a graft is represented by a different code, such as 35216 for the corresponding intrathoracic circumstance.
What documentation supports reporting 35276?
The operative report should identify the vessel’s intrathoracic location, the graft used and its material, and that the repair was performed 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.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services 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
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