CPT code 35281: Vessel repair, nonvenous graft, intra-abdominal2026 Medicare rate & RVUs in Utah
Open reconstruction of an intra-abdominal blood vessel using a graft other than a vein, reported when the operative repair uses graft material.
In Utah, Medicare pays $1,444.79 for 35281 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35281 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 35281 covers
A surgeon reconstructs an intra-abdominal blood vessel using graft material other than a vein. The repair may involve a major vessel such as the aorta or an abdominal branch vessel. Vascular surgeons commonly perform this work in an operating room during planned reconstruction or urgent treatment of vessel injury. The operative report should identify the vessel and its intra-abdominal location, describe the graft used, and explain the reconstruction performed.
Report this code when the documented repair uses a nonvenous graft; a direct repair or a repair using a vein graft is represented by a different code. CMS 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 others are reduced to 50%. A bilateral procedure reported with modifier 50 is paid 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 Utah compares for 35281
Across 109 of 109 payment localities, the facility rate for 35281 runs from $1,302.21 in Wisconsin to $1,879.85 in Alaska. Utah pays $1,444.79. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$1,444.79
- Los Angeles, CA · California$1,489.04+$44.25
- Washington, DC area · District of Columbia$1,612.51+$167.72
- Miami, FL · Florida$1,877.71+$432.92
- Chicago, IL · Illinois$1,816.92+$372.13
- Manhattan, NY · New York$1,736.20+$291.41
- Alaska · Alaska$1,879.85+$435.06
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,345.24 |
| ArkansasArkansas | — | $1,328.40 |
| ArizonaArizona | — | $1,441.77 |
| Bakersfield, CACalifornia | — | $1,431.41 |
| Chico, CACalifornia | — | $1,411.23 |
| El Centro, CACalifornia | — | $1,412.48 |
| Fresno, CACalifornia | — | $1,411.23 |
| Hanford, CACalifornia | — | $1,411.23 |
| Madera, CACalifornia | — | $1,411.23 |
| Merced, CACalifornia | — | $1,411.23 |
| Modesto, CACalifornia | — | $1,411.23 |
| Napa, CACalifornia | — | $1,506.38 |
| Oxnard, CACalifornia | — | $1,465.83 |
| Redding, CACalifornia | — | $1,411.23 |
| Rest of CaliforniaCalifornia | — | $1,411.23 |
| Riverside, CACalifornia | — | $1,491.31 |
| Sacramento, CACalifornia | — | $1,447.07 |
| Salinas, CACalifornia | — | $1,441.14 |
| San Diego, CACalifornia | — | $1,451.18 |
| Marin County, CACalifornia | — | $1,549.14 |
| San Francisco, CACalifornia | — | $1,540.66 |
| San Benito County, CACalifornia | — | $1,591.27 |
| Santa Clara County, CACalifornia | — | $1,556.59 |
| San Luis Obispo, CACalifornia | — | $1,422.29 |
| Santa Cruz, CACalifornia | — | $1,445.76 |
| Santa Maria, CACalifornia | — | $1,440.01 |
| Santa Rosa, CACalifornia | — | $1,457.91 |
| Stockton, CACalifornia | — | $1,411.23 |
| Vallejo, CACalifornia | — | $1,494.15 |
| Visalia, CACalifornia | — | $1,411.23 |
| Yuba City, CACalifornia | — | $1,411.23 |
| ColoradoColorado | — | $1,459.24 |
| ConnecticutConnecticut | — | $1,577.45 |
| DelawareDelaware | — | $1,462.28 |
| Fort Lauderdale, FLFlorida | — | $1,690.62 |
| Rest of FloridaFlorida | — | $1,599.86 |
| Atlanta, GAGeorgia | — | $1,542.87 |
| Rest of GeorgiaGeorgia | — | $1,505.80 |
| Hawaii, Guam, HIHawaii | — | $1,415.87 |
| IowaIowa | — | $1,313.36 |
| IdahoIdaho | — | $1,333.61 |
| East St. Louis, ILIllinois | — | $1,718.09 |
| Rest of IllinoisIllinois | — | $1,603.77 |
| Suburban Chicago, ILIllinois | — | $1,692.09 |
| IndianaIndiana | — | $1,338.65 |
| KansasKansas | — | $1,337.23 |
| KentuckyKentucky | — | $1,435.92 |
| New Orleans, LALouisiana | — | $1,504.43 |
| Rest of LouisianaLouisiana | — | $1,445.62 |
| Metropolitan Boston, MAMassachusetts | — | $1,548.26 |
| Rest of MassachusettsMassachusetts | — | $1,464.32 |
| Baltimore area, MDMaryland | — | $1,579.24 |
| Rest of MarylandMaryland | — | $1,478.09 |
| Rest of MaineMaine | — | $1,370.78 |
| Southern Maine, MEMaine | — | $1,391.29 |
| Detroit, MIMichigan | — | $1,647.83 |
| Rest of MichiganMichigan | — | $1,495.48 |
| MinnesotaMinnesota | — | $1,317.48 |
| Metropolitan Kansas City, MOMissouri | — | $1,464.25 |
| Metropolitan St. Louis, MOMissouri | — | $1,473.83 |
| Rest of MissouriMissouri | — | $1,443.69 |
| MississippiMississippi | — | $1,384.80 |
| MontanaMontana | — | $1,485.17 |
| North CarolinaNorth Carolina | — | $1,378.37 |
| North DakotaNorth Dakota | — | $1,337.47 |
| NebraskaNebraska | — | $1,310.68 |
| New HampshireNew Hampshire | — | $1,465.03 |
| Northern New JerseyNew Jersey | — | $1,605.46 |
| Rest of New JerseyNew Jersey | — | $1,572.69 |
| New MexicoNew Mexico | — | $1,514.48 |
| NevadaNevada | — | $1,444.26 |
| NYC suburbs and Long Island, NYNew York | — | $1,810.76 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,606.55 |
| Queens, NYNew York | — | $1,705.42 |
| Rest of New YorkNew York | — | $1,398.71 |
| OhioOhio | — | $1,465.29 |
| OklahomaOklahoma | — | $1,402.51 |
| Portland, OROregon | — | $1,466.01 |
| Rest of OregonOregon | — | $1,410.54 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,561.99 |
| Rest of PennsylvaniaPennsylvania | — | $1,450.86 |
| Puerto RicoPuerto Rico | — | $1,484.76 |
| Rhode IslandRhode Island | — | $1,485.81 |
| South CarolinaSouth Carolina | — | $1,428.70 |
| South DakotaSouth Dakota | — | $1,320.00 |
| TennesseeTennessee | — | $1,346.75 |
| Austin, TXTexas | — | $1,474.10 |
| Beaumont, TXTexas | — | $1,444.81 |
| Brazoria, TXTexas | — | $1,436.30 |
| Dallas, TXTexas | — | $1,458.02 |
| Fort Worth, TXTexas | — | $1,458.70 |
| Galveston, TXTexas | — | $1,448.79 |
| Houston, TXTexas | — | $1,585.52 |
| Rest of TexasTexas | — | $1,448.35 |
| VirginiaVirginia | — | $1,407.95 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,484.76 |
| VermontVermont | — | $1,359.84 |
| Rest of WashingtonWashington | — | $1,452.40 |
| King County, WAWashington | — | $1,547.34 |
| WisconsinWisconsin | — | $1,302.21 |
| West VirginiaWest Virginia | — | $1,559.52 |
| WyomingWyoming | — | $1,420.80 |
35281 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 35281 rate is calculated
Each of 35281’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 · 35281
RVUs × geographic indexes × conversion factor
Work29.31
29.31 RVUs× 1.000 GPCI
Practice expense7.70
7.70 RVUs× 1.000 GPCI
Malpractice7.47
7.47 RVUs× 1.000 GPCI
Adjusted RVUs
44.4800
Conversion factor
$33.4009
Medicare rate
$1,485.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,310
- Code
- 35281
- Physician work
- 29.31
- Practice expense
- 7.70
- Malpractice
- 7.47
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.31 | × 1.000 | 29.3100 |
| Practice expense | 7.70 | × 0.940 | 7.2380 |
| Malpractice | 7.47 | × 0.898 | 6.7081 |
| Total RVUs | 43.2561 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1444.79
Facility: (29.31 × 1 + 7.7 × 0.94 + 7.47 × 0.898) × $33.4009 = $1444.79
Payment rules and modifiers for 35281
35281 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35281
Vessel repair, nonvenous graft, intra-abdominal
| 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 · 35281
Vessel repair, nonvenous graft, intra-abdominal
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
35281 without 50 · national facility
$1,485.67
Vessel repair, nonvenous graft, intra-abdominal
35281-50 · Bilateral: 150%
$2,228.51
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 35281 has changed in Utah
35281 · 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 | $1,444.79 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,444.79 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,444.79 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,444.79 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,518.16 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,518.16 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,518.16 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,518.16 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,544.92 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,544.92 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,544.92 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,544.92 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,519.71 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,550.59 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,550.59 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,550.59 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,550.59 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,568.13 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,568.13 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,568.13 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,568.13 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,565.63 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,565.63 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,565.63 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,565.63 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,674.54 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,674.54 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,674.54 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,674.54 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,703.03 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,703.03 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,703.03 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,703.03 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,701.13 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,701.13 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,701.13 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,701.13 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,708.88 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,708.88 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,708.88 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,708.88 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,721.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,721.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,721.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,721.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,733.15 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,733.15 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,724.52 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,724.52 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,712.95 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,712.95 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,712.95 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,712.95 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,673.73 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,673.73 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,673.73 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,673.73 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
35281 billing questions
How is 35281 different from 35251?
Both describe intra-abdominal vessel reconstruction using a graft, but 35281 is for graft material other than a vein. Use 35251 when the repair uses a vein graft.
When would 35221 be more appropriate?
Use 35221 for direct intra-abdominal vessel repair without a graft. The operative report must support use of graft material for 35281.
What operative details support 35281?
Document the vessel and its intra-abdominal location, the graft material, and the reconstructive work performed. These details distinguish this service from direct repair and vein-graft repair.
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.
How are multiple procedures and bilateral reporting handled?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. A bilateral procedure reported with modifier 50 is paid at 150%.
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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