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Billing code 35002: Arterial repairMedicare rate & RVUs

Reports operative repair of a ruptured artery in the neck, such as a carotid artery, with payment subject to major-surgery and session rules.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,036.76 for 35002 nationally in a facility.

Medicare rate · 35002

Arterial repair

Swap in your local Medicare rate.

Work RVUs
21.67
Total RVUs
31.04
Global days
090

National rate · 2026

$1,036.76

Facility setting, before claim adjustments.

See every locality for 35002 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 35002 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 35002 covers

This code covers operative repair of a ruptured artery in the neck. A carotid artery is a typical site example. The service is generally performed by a vascular or other qualified surgeon in an operating room for an acute arterial injury or rupture requiring surgical repair. The operative report should identify the artery and neck location and describe the rupture and repair performed.

Select the code based on the documented rupture and neck site, rather than using an artery-defect code solely because the surgeon repaired an artery. 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%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 35002 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

35002 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$940.47
Alaska*Unavailable$1,323.89
ArizonaUnavailable$1,006.15
ArkansasUnavailable$928.98
AtlantaUnavailable$1,078.18
AustinUnavailable$1,024.54
BakersfieldUnavailable$990.45
Baltimore/Surr. CntysUnavailable$1,101.54
BeaumontUnavailable$1,012.11
BrazoriaUnavailable$1,000.69

35002 rates by state

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

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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
35002 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 35002 rate is calculated

Each of 35002’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 · 35002

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 21.67Practice expense 3.83Malpractice 5.54

31.0400 adjusted RVUs×$33.4009 conversion factor=$1,036.76

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 35002

35002 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35002

Arterial repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35002

Arterial repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35002 without 50 · national facility

$1,036.76

Arterial repair

35002-50 · Bilateral: 150%

$1,555.14

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).

When to use modifier 50

35002 compared with similar codes

Compare codes

35002 vs 35001 vs 35013 vs 35022 vs 35082: national Medicare rates

Swap in your local Medicare rate.

  • 35002
    Arterial repair · 21.67 wRVU
    —
  • 35001
    Arterial repair · 20.29 wRVU
    —
  • 35013
    Arterial repair · 22.65 wRVU
    —
  • 35022
    Arterial repair · 25.06 wRVU
    —
  • 35082
    Aortic rupture repair · 41.04 wRVU
    —

How to choose

35001Arterial repair
35002 is for a documented neck artery rupture. 35001 is an artery-defect repair code, so the rupture indication and operative details distinguish the choice.
35013Arterial repair
Both concern artery rupture repair, but 35013 identifies an arm site; 35002 identifies a neck site.
35022Arterial repair
Both concern artery rupture repair, but 35022 identifies a chest site; 35002 identifies a neck site.
35082Aortic rupture repair
35082 is for artery rupture at an aortic site, not a neck artery rupture reported with 35002.

Codes related to 35002

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

Codes related to 35002
CodeHow it relatesNational office range
Same family
35013Arterial repairArtery-rupture repair code for the arm rather than the neck.No office rate
35022Arterial repairArtery-rupture repair code for the chest rather than the neck.No office rate
35082Aortic rupture repairArtery-rupture repair code for an aortic site rather than the neck.No office rate
35092Aortic rupture repairAnother aortic artery-rupture repair code; the documented site determines code selection.No office rate

35002 billing questions

When should 35002 be selected instead of an artery-defect repair code?

Use 35002 when the operative documentation identifies a ruptured artery in the neck. A repair in that location without a documented rupture may point to a different artery-repair code.

What documentation supports reporting 35002?

The operative report should identify the neck artery, document the rupture, and describe the surgical repair. Include whether the procedure was unilateral or bilateral when relevant.

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 is 35002 handled when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How is bilateral neck artery repair reported?

For a bilateral procedure, modifier 50 is paid at 150% under the CMS rule for this code.

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
RVUs for 35002PPRRVU2026_Oct_nonQPP.csv, line 4,253 (RVU26D)

Open CMS sourceHow we calculate rates

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