CPT code 35276: Vessel repair, intrathoracic, without bypass2026 Medicare rate & RVUs in Virgin Islands, VI
Reports intrathoracic blood vessel repair using a graft other than vein, when the repair is performed without bypass.
In Virgin Islands, VI, Medicare pays $1,395.34 for 35276 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35276 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 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.
How Virgin Islands, VI compares for 35276
Across 109 of 109 payment localities, the facility rate for 35276 runs from $1,240.33 in Wisconsin to $1,747.46 in Alaska. Virgin Islands, VI pays $1,395.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virgin Islands, VI · this page$1,395.34
- Los Angeles, CA · California$1,425.72+$30.38
- Washington, DC area · District of Columbia$1,525.33+$129.99
- Miami, FL · Florida$1,716.87+$321.53
- Chicago, IL · Illinois$1,662.96+$267.62
- Manhattan, NY · New York$1,623.37+$228.03
- Alaska · Alaska$1,747.46+$352.12
Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,263.07 |
| ArkansasArkansas | — | $1,247.17 |
| ArizonaArizona | — | $1,354.57 |
| Bakersfield, CACalifornia | — | $1,365.51 |
| Chico, CACalifornia | — | $1,349.13 |
| El Centro, CACalifornia | — | $1,350.14 |
| Fresno, CACalifornia | — | $1,349.13 |
| Hanford, CACalifornia | — | $1,349.13 |
| Madera, CACalifornia | — | $1,349.13 |
| Merced, CACalifornia | — | $1,349.13 |
| Modesto, CACalifornia | — | $1,349.13 |
| Napa, CACalifornia | — | $1,460.33 |
| Oxnard, CACalifornia | — | $1,406.18 |
| Redding, CACalifornia | — | $1,349.13 |
| Rest of CaliforniaCalifornia | — | $1,349.13 |
| Riverside, CACalifornia | — | $1,413.82 |
| Sacramento, CACalifornia | — | $1,388.70 |
| Salinas, CACalifornia | — | $1,383.08 |
| San Diego, CACalifornia | — | $1,396.47 |
| Marin County, CACalifornia | — | $1,509.76 |
| San Francisco, CACalifornia | — | $1,502.92 |
| San Benito County, CACalifornia | — | $1,549.15 |
| Santa Clara County, CACalifornia | — | $1,521.16 |
| San Luis Obispo, CACalifornia | — | $1,364.27 |
| Santa Cruz, CACalifornia | — | $1,394.39 |
| Santa Maria, CACalifornia | — | $1,383.02 |
| Santa Rosa, CACalifornia | — | $1,406.53 |
| Stockton, CACalifornia | — | $1,349.13 |
| Vallejo, CACalifornia | — | $1,450.46 |
| Visalia, CACalifornia | — | $1,349.13 |
| Yuba City, CACalifornia | — | $1,349.13 |
| ColoradoColorado | — | $1,383.00 |
| ConnecticutConnecticut | — | $1,480.71 |
| DelawareDelaware | — | $1,374.13 |
| Fort Lauderdale, FLFlorida | — | $1,561.80 |
| Rest of FloridaFlorida | — | $1,480.31 |
| Atlanta, GAGeorgia | — | $1,443.13 |
| Rest of GeorgiaGeorgia | — | $1,395.14 |
| Hawaii, Guam, HIHawaii | — | $1,357.93 |
| IowaIowa | — | $1,243.12 |
| IdahoIdaho | — | $1,260.18 |
| East St. Louis, ILIllinois | — | $1,570.55 |
| Rest of IllinoisIllinois | — | $1,477.25 |
| Suburban Chicago, ILIllinois | — | $1,565.37 |
| IndianaIndiana | — | $1,265.26 |
| KansasKansas | — | $1,260.79 |
| KentuckyKentucky | — | $1,338.29 |
| New Orleans, LALouisiana | — | $1,401.11 |
| Rest of LouisianaLouisiana | — | $1,345.54 |
| Metropolitan Boston, MAMassachusetts | — | $1,475.11 |
| Rest of MassachusettsMassachusetts | — | $1,385.72 |
| Baltimore area, MDMaryland | — | $1,481.38 |
| Rest of MarylandMaryland | — | $1,390.61 |
| Rest of MaineMaine | — | $1,290.19 |
| Southern Maine, MEMaine | — | $1,317.00 |
| Detroit, MIMichigan | — | $1,520.33 |
| Rest of MichiganMichigan | — | $1,389.84 |
| MinnesotaMinnesota | — | $1,262.91 |
| Metropolitan Kansas City, MOMissouri | — | $1,368.38 |
| Metropolitan St. Louis, MOMissouri | — | $1,377.99 |
| Rest of MissouriMissouri | — | $1,340.67 |
| MississippiMississippi | — | $1,292.99 |
| MontanaMontana | — | $1,394.08 |
| North CarolinaNorth Carolina | — | $1,298.19 |
| North DakotaNorth Dakota | — | $1,274.85 |
| NebraskaNebraska | — | $1,242.10 |
| New HampshireNew Hampshire | — | $1,383.75 |
| Northern New JerseyNew Jersey | — | $1,517.50 |
| Rest of New JerseyNew Jersey | — | $1,480.05 |
| New MexicoNew Mexico | — | $1,405.75 |
| NevadaNevada | — | $1,361.20 |
| NYC suburbs and Long Island, NYNew York | — | $1,687.46 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,508.07 |
| Queens, NYNew York | — | $1,601.41 |
| Rest of New YorkNew York | — | $1,317.07 |
| OhioOhio | — | $1,365.47 |
| OklahomaOklahoma | — | $1,311.90 |
| Portland, OROregon | — | $1,395.46 |
| Rest of OregonOregon | — | $1,333.26 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,462.93 |
| Rest of PennsylvaniaPennsylvania | — | $1,354.54 |
| Puerto RicoPuerto Rico | — | $1,395.34 |
| Rhode IslandRhode Island | — | $1,400.33 |
| South CarolinaSouth Carolina | — | $1,337.52 |
| South DakotaSouth Dakota | — | $1,260.75 |
| TennesseeTennessee | — | $1,269.20 |
| Austin, TXTexas | — | $1,393.63 |
| Beaumont, TXTexas | — | $1,348.50 |
| Brazoria, TXTexas | — | $1,353.74 |
| Dallas, TXTexas | — | $1,372.05 |
| Fort Worth, TXTexas | — | $1,371.15 |
| Galveston, TXTexas | — | $1,364.11 |
| Houston, TXTexas | — | $1,474.48 |
| Rest of TexasTexas | — | $1,357.00 |
| UtahUtah | — | $1,352.82 |
| VirginiaVirginia | — | $1,329.29 |
| VermontVermont | — | $1,291.47 |
| Rest of WashingtonWashington | — | $1,375.94 |
| King County, WAWashington | — | $1,479.60 |
| WisconsinWisconsin | — | $1,240.33 |
| West VirginiaWest Virginia | — | $1,435.18 |
| WyomingWyoming | — | $1,342.12 |
35276 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 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.
The exact Virgin Islands, VI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,309
- Code
- 35276
- Physician work
- 25.18
- Practice expense
- 10.54
- Malpractice
- 6.03
GPCI2026.csv
107
- Locality
- Virgin Islands, VI
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.18 | × 1.000 | 25.1800 |
| Practice expense | 10.54 | × 1.011 | 10.6559 |
| Malpractice | 6.03 | × 0.985 | 5.9396 |
| Total RVUs | 41.7755 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virgin Islands, VI$1395.34
Facility: (25.18 × 1 + 10.54 × 1.011 + 6.03 × 0.985) × $33.4009 = $1395.34
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).
How 35276 has changed in Virgin Islands, VI
35276 · 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 | $1,395.34 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,395.34 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,395.34 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,395.34 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,392.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,392.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,392.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,392.61 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,426.02 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,426.02 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,426.02 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,426.02 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,402.75 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,449.21 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,449.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,449.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,449.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,484.03 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,484.03 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,484.03 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,484.03 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,486.99 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,486.99 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,486.99 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,486.99 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,521.70 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,521.70 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,521.70 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,521.70 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,529.60 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,529.60 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,525.31 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,525.31 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,526.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,526.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,526.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,526.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,529.33 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,529.33 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,529.33 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,529.33 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,508.09 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,508.09 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,508.09 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,508.09 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,525.25 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,525.25 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,517.66 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,517.66 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,519.98 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,519.98 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,519.98 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,519.98 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,498.19 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,498.19 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,498.19 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,498.19 | RVU13AR |
Where the Virgin Islands, VI rate applies
Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.
- Charlotte Amalie
- Charlotte Amalie East
- Charlotte Amalie West
- Christiansted
- Coral Bay
- Cruz Bay
- Frederiksted
- Frederiksted Southeast
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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