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Billing code 35013: Arterial repairMedicare rate & RVUs

Operative repair of a ruptured arm artery, such as the brachial artery, reported when the surgeon treats the rupture.

CMS RVU26DEffective Oct 1, 2026109 payment localities84 Medicare services in 2024

Medicare pays $1,079.18 for 35013 nationally in a facility.

Medicare rate · 35013

Arterial repair

Swap in your local Medicare rate.

Work RVUs
22.65
Total RVUs
32.31
Global days
090

National rate · 2026

$1,079.18

Facility setting, before claim adjustments.

See every locality for 35013 → · 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 35013 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 35013 covers

This code represents operative repair of a ruptured artery in the arm. The surgeon controls bleeding and repairs the affected vessel; the approach and repair method depend on the anatomy and injury. A typical case is repair of an injured brachial artery in an operating room by a vascular or trauma surgeon. Use this code for a rupture, not for repair of an arterial defect when rupture is not the documented indication.

The operative report should identify the ruptured upper-extremity artery, document the rupture, and describe the work performed. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are reduced to 50%. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 35013 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

35013 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$979.20
Alaska*Unavailable$1,379.19
ArizonaUnavailable$1,047.37
ArkansasUnavailable$967.28
AtlantaUnavailable$1,122.33
AustinUnavailable$1,066.20
BakersfieldUnavailable$1,030.51
Baltimore/Surr. CntysUnavailable$1,146.50
BeaumontUnavailable$1,053.81
BrazoriaUnavailable$1,041.60

35013 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
35013 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 35013 rate is calculated

Each of 35013’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 · 35013

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.65Practice expense 3.88Malpractice 5.78

32.3100 adjusted RVUs×$33.4009 conversion factor=$1,079.18

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

Payment rules and modifiers for 35013

35013 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35013

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 · 35013

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

35013 without 50 · national facility

$1,079.18

Arterial repair

35013-50 · Bilateral: 150%

$1,618.77

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

35013 compared with similar codes

Compare codes

35013 vs 35045 vs 35002 vs 35022: national Medicare rates

Swap in your local Medicare rate.

  • 35013
    Arterial repair · 22.65 wRVU
    —
  • 35045
    Arm artery repair · 17.56 wRVU
    —
  • 35002
    Arterial repair · 21.67 wRVU
    —
  • 35022
    Arterial repair · 25.06 wRVU
    —

How to choose

35045Arm artery repair
Choose 35013 for a ruptured arm artery. Code 35045 is for repair of an arm-artery defect when rupture is not the indication.
35002Arterial repair
Both address arterial rupture repair, but 35002 is for the neck; 35013 is for the arm.
35022Arterial repair
Both address arterial rupture repair, but 35022 is for the chest; 35013 is for the arm.

Codes related to 35013

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

Codes related to 35013
CodeHow it relatesNational office range
Same family
35002Arterial repairRupture repair code for an artery in the neck rather than the arm.No office rate
35022Arterial repairRupture repair code for an artery in the chest rather than the arm.No office rate
35045Arm artery repairArm-artery repair code for a defect rather than a documented rupture.No office rate
35082Aortic rupture repairAortic rupture repair code, for a different anatomical site.No office rate
35092Aortic rupture repairAortic rupture repair code, for a different anatomical site.No office rate

35013 billing questions

How is this code distinguished from 35045?

Use this code when the operative indication is a ruptured arm artery. Code 35045 describes repair of an arm-artery defect rather than a rupture.

What documentation supports reporting this code?

Document the ruptured artery and its upper-extremity location, the rupture being treated, and the operative repair performed.

Does the global period include postoperative visits?

Yes. The 90-day global includes the day-before preoperative visit and related postoperative care through day 90.

How is a bilateral procedure paid?

When the procedure is bilateral and reported with modifier 50, CMS pays it at 150%.

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.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the session are reduced to 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
RVUs for 35013PPRRVU2026_Oct_nonQPP.csv, line 4,257 (RVU26D)

Open CMS sourceHow we calculate rates

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