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Billing code 35132: Artery repairMedicare rate & RVUs

Reports open repair of a ruptured artery in the groin, such as a femoral artery rupture, when the surgeon directly treats the vessel.

CMS RVU26DEffective Oct 1, 2026109 payment localities24 Medicare services in 2024

Medicare pays $1,485.67 for 35132 nationally in a facility.

Medicare rate · 35132

Artery repair

Swap in your local Medicare rate.

Work RVUs
31.76
Total RVUs
44.48
Global days
090

National rate · 2026

$1,485.67

Facility setting, before claim adjustments.

See every locality for 35132 → · 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 35132 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 35132 covers

This code describes operative repair of a ruptured artery in the groin, commonly involving a femoral artery segment. A vascular surgeon typically performs the procedure in a hospital operating room to control bleeding and repair the injured vessel. The clinical situation may involve a ruptured aneurysm or pseudoaneurysm, but code selection follows the documented rupture site and procedure rather than the suspected cause alone.

Report the code when the operative note supports direct repair of a ruptured groin artery; distinguish it from repair of a nonruptured arterial defect and from rupture repairs at other sites. The note should identify the vessel and location, rupture, and repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 identifies bilateral procedures, 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 35132 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

35132 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,348.76
Alaska*Unavailable$1,904.29
ArizonaUnavailable$1,441.85
ArkansasUnavailable$1,332.47
AtlantaUnavailable$1,545.83
AustinUnavailable$1,465.79
BakersfieldUnavailable$1,414.53
Baltimore/Surr. CntysUnavailable$1,578.14
BeaumontUnavailable$1,452.59
BrazoriaUnavailable$1,433.11

35132 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
35132 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 35132 rate is calculated

Each of 35132’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 · 35132

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 31.76Practice expense 4.60Malpractice 8.12

44.4800 adjusted RVUs×$33.4009 conversion factor=$1,485.67

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

Payment rules and modifiers for 35132

35132 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35132

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 · 35132

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

35132 without 50 · national facility

$1,485.67

Artery repair

35132-50 · Bilateral: 150%

$2,228.51

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

35132 compared with similar codes

Compare codes

35132 vs 35131 vs 35142 vs 35152 vs 35122: national Medicare rates

Swap in your local Medicare rate.

  • 35132
    Artery repair · 31.76 wRVU
    —
  • 35131
    Arterial repair · 25.74 wRVU
    —
  • 35142
    Arterial repair · 24.53 wRVU
    —
  • 35152
    Popliteal artery repair · 26.97 wRVU
    —
  • 35122
    Arterial repair · 36.94 wRVU
    —

How to choose

35131Arterial repair
Both concern direct arterial repair in the groin. Choose 35132 when rupture is documented; 35131 describes repair of an arterial defect without the rupture distinction.
35142Arterial repair
Both describe rupture repair, but 35142 is for the thigh site. Use the documented operative location to distinguish it from a groin repair.
35152Popliteal artery repair
35152 identifies rupture repair of the popliteal artery. This code is for a ruptured artery in the groin.
35122Arterial repair
35122 describes rupture repair at an abdominal site; 35132 is for the groin.

Codes related to 35132

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

Codes related to 35132
CodeHow it relatesNational office range
Same family
35131Arterial repairDirect repair of an arterial defect in the groin when rupture is not documented.No office rate
35142Arterial repairRupture repair at the thigh site rather than the groin.No office rate
35152Popliteal artery repairRupture repair involving the popliteal artery.No office rate
35122Arterial repairRupture repair at an abdominal site rather than the groin.No office rate

35132 billing questions

How is this different from 35131?

35132 is for a ruptured groin artery. Use 35131 for a direct repair of an arterial defect in the groin when rupture is not documented.

Which documentation supports reporting 35132?

The operative report should identify the ruptured artery and groin location and describe the repair performed. A diagnosis of aneurysm alone does not establish that the artery ruptured.

Is related postoperative care separately reported?

The 90-day global period includes related postoperative care and the day-before preoperative visit. Services outside that included care require their own coding basis.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.

Can modifier 50 be used for bilateral repair?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. 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 35132PPRRVU2026_Oct_nonQPP.csv, line 4,277 (RVU26D)

Open CMS sourceHow we calculate rates

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