CPT code 35286: Vessel repair, lower extremity, non-vein graft2026 Medicare rate & RVUs in Rhode Island

In Rhode Island, Medicare pays $841.58 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.

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 Rhode Island 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. Rhode Island pays $841.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35286 rates by state

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

See 35286 in every payment locality

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.

Payment rules and modifiers for 35286

35286 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 35286

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 35286 has changed in Rhode Island

Price 35286 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

• Ashaway
• Bradford
• Carolina
• Central Falls
• Charlestown
• Chepachet
• Clayville
• Cranston

Browse all communities in Rhode Island

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

Open CMS sourceHow we calculate rates