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Billing code 35011: Artery repairMedicare rate & RVUs

Direct repair of an upper-extremity artery defect is reported when the surgeon closes a localized arterial wall injury without replacing the vessel segment.

CMS RVU26DEffective Oct 1, 2026109 payment localities879 Medicare services in 2024

Medicare pays $914.18 for 35011 nationally in a facility.

Medicare rate · 35011

Artery repair

Swap in your local Medicare rate.

Work RVUs
18.12
Total RVUs
27.37
Global days
090

National rate · 2026

$914.18

Facility setting, before claim adjustments.

See every locality for 35011 → · 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 35011 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 35011 covers

Code 35011 represents direct operative closure of a defect in an artery of the upper extremity. Vascular surgeons typically perform this repair in an operating room for a localized arterial wall injury or defect, including an injury encountered during another operation. The operative report should identify the artery and describe the defect and repair. A repair for rupture is a different circumstance represented by 35013.

Select the code based on the artery’s location and the repair performed. Documentation should support the upper-extremity site and direct repair of the defect. This major surgery code includes 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 other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be made; 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.

Where 35011 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

35011 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$827.16
Alaska*Unavailable$1,156.36
ArizonaUnavailable$886.90
ArkansasUnavailable$816.73
AtlantaUnavailable$949.92
AustinUnavailable$906.37
BakersfieldUnavailable$879.05
Baltimore/Surr. CntysUnavailable$972.11
BeaumontUnavailable$889.35
BrazoriaUnavailable$883.19

35011 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
35011 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 35011 rate is calculated

Each of 35011’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 · 35011

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 18.12Practice expense 4.56Malpractice 4.69

27.3700 adjusted RVUs×$33.4009 conversion factor=$914.18

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

Payment rules and modifiers for 35011

35011 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35011

Artery 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 · 35011

Artery 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

35011 without 50 · national facility

$914.18

Artery repair

35011-50 · Bilateral: 150%

$1,371.27

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

35011 compared with similar codes

Compare codes

35011 vs 35013 vs 35002 vs 35022: national Medicare rates

Swap in your local Medicare rate.

  • 35011
    Artery repair · 18.12 wRVU
    —
  • 35013
    Arterial repair · 22.65 wRVU
    —
  • 35002
    Arterial repair · 21.67 wRVU
    —
  • 35022
    Arterial repair · 25.06 wRVU
    —

How to choose

35013Arterial repair
35013 is the related upper-extremity repair code for a rupture; 35011 is selected for direct repair of an arterial defect.
35002Arterial repair
35002 describes an arterial rupture repair in the neck, rather than an upper-extremity arterial defect.
35022Arterial repair
35022 describes an arterial rupture repair in the chest; 35011 is for an upper-extremity arterial defect.

Codes related to 35011

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

Codes related to 35011
CodeHow it relatesNational office range
Same family
35013Arterial repairRelated upper-extremity arterial repair code for a rupture circumstance.No office rate
35002Arterial repairRelated arterial rupture repair code identified for the neck.No office rate
35022Arterial repairRelated arterial rupture repair code identified for the chest.No office rate

35011 billing questions

When should 35013 be considered instead?

Use 35013 when the upper-extremity arterial repair is for rupture. Code 35011 describes direct repair of an arterial defect in that region.

What documentation supports 35011?

Document the artery and upper-extremity location, the defect being repaired, and the direct repair performed. The operative report should make the reason for choosing this repair clear.

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 bilateral repair reported?

When the qualifying procedure is performed bilaterally, report modifier 50. CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons require 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
RVUs for 35011PPRRVU2026_Oct_nonQPP.csv, line 4,256 (RVU26D)

Open CMS sourceHow we calculate rates

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