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CPT code 35022: Arterial repair2026 Medicare rate & RVUs

Open surgical repair of a ruptured artery in the chest, selected for a non-aortic vessel rather than a rupture assigned to an aortic repair code.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,375.78 for 35022 nationally in a facility.

Medicare rate · 35022

Arterial repair

Office or facility?

Work RVUs
25.06
Total RVUs
41.19
Global days
090

National rate · 2026

$1,375.78

Facility setting, before claim adjustments.

See every locality for 35022 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 35022 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 35022 covers

This code represents operative repair of a ruptured artery in the chest. A vascular or cardiothoracic surgeon typically performs the procedure in an operating room, often during urgent treatment of major bleeding. The operative report should identify the ruptured vessel and its location; the code is for a chest artery, not an aortic rupture covered by a separate aortic repair code.

Select the code from the documented vessel, rupture, and operative work, rather than from the incision or the general diagnosis of chest bleeding. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. 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 35022 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

35022 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,246.41
AlaskaUnavailable$1,726.14
ArizonaUnavailable$1,336.40
ArkansasUnavailable$1,230.76
Atlanta, GAUnavailable$1,424.05
Austin, TXUnavailable$1,374.18
Bakersfield, CAUnavailable$1,345.65
Baltimore area, MDUnavailable$1,461.43
Beaumont, TXUnavailable$1,331.11
Brazoria, TXUnavailable$1,335.27

35022 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
35022 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 35022 rate is calculated

Each of 35022’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 · 35022

RVUs × geographic indexes × conversion factor

Office or facility?

Work25.06

25.06 RVUs× 1.000 GPCI

Practice expense10.12

10.12 RVUs× 1.000 GPCI

Malpractice6.01

6.01 RVUs× 1.000 GPCI

Adjusted RVUs

41.1900

Conversion factor

$33.4009

Medicare rate

$1,375.78

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 35022

35022 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35022

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 · 35022

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

35022 without 50 · national facility

$1,375.78

Arterial repair

35022-50 · Bilateral: 150%

$2,063.67

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

35022 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 35022

    Arterial repair25.06 wRVU

    Not priced

  • 35021

    Arterial repair21.62 wRVU

    Not priced

  • 35082

    Aortic rupture repair41.04 wRVU

    Not priced

  • 35002

    Arterial repair21.67 wRVU

    Not priced

  • 35013

    Arterial repair22.65 wRVU

    Not priced

How to choose

35021Arterial repair
Both concern chest artery repair, but 35022 is for rupture; 35021 addresses an arterial defect.
35082Aortic rupture repair
35082 is for aortic rupture in the chest. Choose 35022 when the ruptured chest artery is not the aorta.
35002Arterial repair
Both describe rupture repair, but 35002 is for an artery in the neck rather than the chest.
35013Arterial repair
35013 applies to rupture repair of an arm artery; 35022 is for a chest artery.

Codes related to 35022

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

Codes related to 35022
CodeHow it relatesNational office range
Same family
35021Arterial repairChest artery repair code for a defect rather than a rupture.No office rate
35002Arterial repairRupture repair code for an artery in the neck.No office rate
35013Arterial repairRupture repair code for an artery in the arm.No office rate
35082Aortic rupture repairUse the aortic rupture code when the ruptured vessel is the aorta.No office rate

35022 billing questions

How is this code distinguished from 35082?

Use 35022 for a ruptured chest artery other than the aorta. Aortic rupture is reported with the applicable aortic repair code, such as 35082 for aortic rupture in the chest.

What documentation supports reporting 35022?

The operative report should establish that an artery ruptured, identify the vessel and chest location, and describe the repair performed. A general diagnosis of bleeding alone does not establish the vessel or site.

Does the 90-day global period include postoperative care?

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

How is modifier 50 handled for a bilateral procedure?

When the service is performed bilaterally and reported with modifier 50, CMS pays 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.

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 35022PPRRVU2026_Oct_nonQPP.csv, line 4,259 (RVU26D)

Open CMS sourceHow we calculate rates

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