CPT code 35286: Vessel repair, lower extremity, non-vein graft2026 Medicare rate & RVUs in Nevada
Open lower-extremity vessel reconstruction using a graft other than vein is reported when the surgeon repairs a vessel defect with non-vein graft material.
In Nevada, Medicare pays $818.08 for 35286 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35286 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 35286 covers
A vascular surgeon uses this service for open reconstruction of a lower-extremity blood vessel when the repair requires graft material other than vein. A typical setting is the operating room during treatment of a vessel damaged by trauma or an operative injury. The graft bridges or replaces the affected portion as part of the vessel repair; this is distinct from closing a defect with direct sutures or reconstructing it with a vein graft.
Report the code when the operative record identifies the vessel and lower-extremity site, describes the defect and reconstruction, and documents the graft material. 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 at 50%. For bilateral procedures reported with modifier 50, payment is at 150%. Assistant-at-surgery services 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 Nevada compares for 35286
Across 109 of 109 payment localities, the facility rate for 35286 runs from $737.38 in Wisconsin to $1,066.79 in Alaska. Nevada pays $818.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$818.08
- Los Angeles, CA · California$842.40+$24.32
- Washington, DC area · District of Columbia$912.86+$94.78
- Miami, FL · Florida$1,064.99+$246.91
- Chicago, IL · Illinois$1,030.58+$212.50
- Manhattan, NY · New York$983.53+$165.45
- Alaska · Alaska$1,066.79+$248.71
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $762.50 |
| ArkansasArkansas | — | $753.01 |
| ArizonaArizona | — | $816.89 |
| Bakersfield, CACalifornia | — | $810.11 |
| Chico, CACalifornia | — | $798.60 |
| El Centro, CACalifornia | — | $799.31 |
| Fresno, CACalifornia | — | $798.60 |
| Hanford, CACalifornia | — | $798.60 |
| Madera, CACalifornia | — | $798.60 |
| Merced, CACalifornia | — | $798.60 |
| Modesto, CACalifornia | — | $798.60 |
| Napa, CACalifornia | — | $851.36 |
| Oxnard, CACalifornia | — | $829.14 |
| Redding, CACalifornia | — | $798.60 |
| Rest of CaliforniaCalifornia | — | $798.60 |
| Riverside, CACalifornia | — | $844.27 |
| Sacramento, CACalifornia | — | $818.59 |
| Salinas, CACalifornia | — | $815.23 |
| San Diego, CACalifornia | — | $820.69 |
| Marin County, CACalifornia | — | $875.15 |
| San Francisco, CACalifornia | — | $870.31 |
| San Benito County, CACalifornia | — | $898.97 |
| Santa Clara County, CACalifornia | — | $879.19 |
| San Luis Obispo, CACalifornia | — | $804.60 |
| Santa Cruz, CACalifornia | — | $817.45 |
| Santa Maria, CACalifornia | — | $814.53 |
| Santa Rosa, CACalifornia | — | $824.31 |
| Stockton, CACalifornia | — | $798.60 |
| Vallejo, CACalifornia | — | $844.39 |
| Visalia, CACalifornia | — | $798.60 |
| Yuba City, CACalifornia | — | $798.60 |
| ColoradoColorado | — | $826.19 |
| ConnecticutConnecticut | — | $893.53 |
| DelawareDelaware | — | $828.46 |
| Fort Lauderdale, FLFlorida | — | $958.49 |
| Rest of FloridaFlorida | — | $907.13 |
| Atlanta, GAGeorgia | — | $874.22 |
| Rest of GeorgiaGeorgia | — | $853.94 |
| Hawaii, Guam, HIHawaii | — | $800.93 |
| IowaIowa | — | $744.04 |
| IdahoIdaho | — | $755.55 |
| East St. Louis, ILIllinois | — | $974.81 |
| Rest of IllinoisIllinois | — | $909.66 |
| Suburban Chicago, ILIllinois | — | $959.24 |
| IndianaIndiana | — | $758.37 |
| KansasKansas | — | $757.72 |
| KentuckyKentucky | — | $814.11 |
| New Orleans, LALouisiana | — | $852.82 |
| Rest of LouisianaLouisiana | — | $819.67 |
| Metropolitan Boston, MAMassachusetts | — | $876.09 |
| Rest of MassachusettsMassachusetts | — | $829.17 |
| Baltimore area, MDMaryland | — | $894.57 |
| Rest of MarylandMaryland | — | $837.31 |
| Rest of MaineMaine | — | $776.75 |
| Southern Maine, MEMaine | — | $787.94 |
| Detroit, MIMichigan | — | $934.43 |
| Rest of MichiganMichigan | — | $847.91 |
| MinnesotaMinnesota | — | $745.58 |
| Metropolitan Kansas City, MOMissouri | — | $829.91 |
| Metropolitan St. Louis, MOMissouri | — | $835.29 |
| Rest of MissouriMissouri | — | $818.74 |
| MississippiMississippi | — | $785.16 |
| MontanaMontana | — | $841.42 |
| North CarolinaNorth Carolina | — | $780.98 |
| North DakotaNorth Dakota | — | $757.18 |
| NebraskaNebraska | — | $742.45 |
| New HampshireNew Hampshire | — | $829.64 |
| Northern New JerseyNew Jersey | — | $908.98 |
| Rest of New JerseyNew Jersey | — | $890.74 |
| New MexicoNew Mexico | — | $858.71 |
| NYC suburbs and Long Island, NYNew York | — | $1,025.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $910.04 |
| Queens, NYNew York | — | $965.83 |
| Rest of New YorkNew York | — | $792.46 |
| OhioOhio | — | $830.69 |
| OklahomaOklahoma | — | $795.03 |
| Portland, OROregon | — | $829.73 |
| Rest of OregonOregon | — | $798.88 |
| Metropolitan Philadelphia, PAPennsylvania | — | $884.96 |
| Rest of PennsylvaniaPennsylvania | — | $822.43 |
| Puerto RicoPuerto Rico | — | $841.10 |
| Rhode IslandRhode Island | — | $841.58 |
| South CarolinaSouth Carolina | — | $809.75 |
| South DakotaSouth Dakota | — | $747.22 |
| TennesseeTennessee | — | $763.12 |
| Austin, TXTexas | — | $834.70 |
| Beaumont, TXTexas | — | $819.03 |
| Brazoria, TXTexas | — | $813.62 |
| Dallas, TXTexas | — | $825.98 |
| Fort Worth, TXTexas | — | $826.43 |
| Galveston, TXTexas | — | $820.73 |
| Houston, TXTexas | — | $898.70 |
| Rest of TexasTexas | — | $820.78 |
| UtahUtah | — | $818.81 |
| VirginiaVirginia | — | $797.50 |
| Virgin Islands, VIUnited States Virgin Islands | — | $841.10 |
| VermontVermont | — | $770.02 |
| Rest of WashingtonWashington | — | $822.37 |
| King County, WAWashington | — | $875.35 |
| WisconsinWisconsin | — | $737.38 |
| West VirginiaWest Virginia | — | $884.74 |
| WyomingWyoming | — | $804.71 |
35286 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 35286 rate is calculated
Each of 35286’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 · 35286
RVUs × geographic indexes × conversion factor
Work16.76
16.76 RVUs× 1.000 GPCI
Practice expense4.18
4.18 RVUs× 1.000 GPCI
Malpractice4.26
4.26 RVUs× 1.000 GPCI
Adjusted RVUs
25.2000
Conversion factor
$33.4009
Medicare rate
$841.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,311
- Code
- 35286
- Physician work
- 16.76
- Practice expense
- 4.18
- Malpractice
- 4.26
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.76 | × 1.000 | 16.7600 |
| Practice expense | 4.18 | × 1.001 | 4.1842 |
| Malpractice | 4.26 | × 0.833 | 3.5486 |
| Total RVUs | 24.4928 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$818.08
Facility: (16.76 × 1 + 4.18 × 1.001 + 4.26 × 0.833) × $33.4009 = $818.08
Payment rules and modifiers for 35286
35286 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35286
Vessel repair, lower extremity, non-vein graft
| 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 · 35286
Vessel repair, lower extremity, non-vein graft
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
35286 without 50 · national facility
$841.70
Vessel repair, lower extremity, non-vein graft
35286-50 · Bilateral: 150%
$1,262.55
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 35286 has changed in Nevada
35286 · 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 | $818.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $818.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $818.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $818.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $860.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $860.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $860.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $860.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $883.35 | RVU24D |
| 2024-07-01 | Not available in this setting | $883.35 | RVU24C |
| 2024-04-01 | Not available in this setting | $883.35 | RVU24B |
| 2024-03-09 | Not available in this setting | $883.35 | RVU24AR |
| 2024-01-01 | Not available in this setting | $868.93 | RVU24A |
| 2023-10-01 | Not available in this setting | $935.45 | RVU23D |
| 2023-07-01 | Not available in this setting | $935.45 | RVU23C |
| 2023-04-01 | Not available in this setting | $935.45 | RVU23B |
| 2023-01-01 | Not available in this setting | $935.45 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,002.44 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,002.44 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,002.44 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,002.44 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,003.35 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,003.35 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,003.35 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,003.35 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,001.63 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,001.63 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,001.63 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,001.63 | RVU20A |
| 2019-10-01 | Not available in this setting | $964.20 | RVU19D |
| 2019-07-01 | Not available in this setting | $964.20 | RVU19C |
| 2019-04-01 | Not available in this setting | $964.20 | RVU19B |
| 2019-01-01 | Not available in this setting | $964.20 | RVU19A |
| 2018-10-01 | Not available in this setting | $967.65 | RVU18D |
| 2018-07-01 | Not available in this setting | $967.65 | RVU18C |
| 2018-04-01 | Not available in this setting | $967.65 | RVU18B |
| 2018-01-01 | Not available in this setting | $967.65 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $983.27 | RVU17D |
| 2017-07-01 | Not available in this setting | $983.27 | RVU17C |
| 2017-04-01 | Not available in this setting | $983.27 | RVU17B |
| 2017-01-01 | Not available in this setting | $983.27 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,002.71 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,002.71 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,002.71 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,002.71 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,003.28 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,003.28 | RVU15C |
| 2015-04-01 | Not available in this setting | $998.29 | RVU15B |
| 2015-01-01 | Not available in this setting | $998.29 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,021.81 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,021.81 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,021.81 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,021.81 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,019.02 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
35286 billing questions
How is this different from 35256?
Both codes describe lower-extremity vessel repair using a graft, but 35286 is for graft material other than vein. Use 35256 when a vein graft is used.
When would 35226 be more appropriate?
35226 describes direct repair of a lower-extremity vessel. This code fits when the surgeon reconstructs the vessel with non-vein graft material rather than direct closure.
What documentation supports choosing this code?
The operative report should identify the lower-extremity vessel, the defect, the repair performed, and the graft material. The material should be documented as something other than vein.
How should bilateral repairs be reported?
For a bilateral procedure, report modifier 50; CMS payment is at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How does the multiple-procedure rule affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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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