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Billing code 35152: Popliteal artery repairMedicare rate & RVUs

Open repair of a ruptured popliteal artery is reported for operative treatment of acute arterial disruption behind the knee.

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

Medicare pays $1,270.90 for 35152 nationally in a facility.

Medicare rate · 35152

Popliteal artery repair

Swap in your local Medicare rate.

Work RVUs
26.97
Total RVUs
38.05
Global days
090

National rate · 2026

$1,270.90

Facility setting, before claim adjustments.

See every locality for 35152 → · 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 35152 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 35152 covers

This service involves open operative repair of a ruptured popliteal artery, the major artery behind the knee. A vascular surgeon typically performs it in a hospital operating room for an acute injury or rupture, including rupture associated with a popliteal artery aneurysm. The operative work addresses the rupture and restores arterial continuity; the report should identify the affected artery and describe the repair performed.

Select this code when the operative documentation establishes rupture at the popliteal artery, rather than a defect without rupture or rupture at another arterial site. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; 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 35152 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

35152 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,153.74
Alaska*Unavailable$1,627.43
ArizonaUnavailable$1,233.50
ArkansasUnavailable$1,139.79
AtlantaUnavailable$1,321.98
AustinUnavailable$1,254.70
BakersfieldUnavailable$1,211.80
Baltimore/Surr. CntysUnavailable$1,349.97
BeaumontUnavailable$1,241.96
BrazoriaUnavailable$1,226.36

35152 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
35152 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 35152 rate is calculated

Each of 35152’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 · 35152

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 26.97Practice expense 4.21Malpractice 6.87

38.0500 adjusted RVUs×$33.4009 conversion factor=$1,270.90

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

Payment rules and modifiers for 35152

35152 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35152

Popliteal 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 · 35152

Popliteal 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

35152 without 50 · national facility

$1,270.90

Popliteal artery repair

35152-50 · Bilateral: 150%

$1,906.35

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

35152 compared with similar codes

Compare codes

35152 vs 35151 vs 35142 vs 35132: national Medicare rates

Swap in your local Medicare rate.

  • 35152
    Popliteal artery repair · 26.97 wRVU
    —
  • 35151
    Arterial repair · 23.13 wRVU
    —
  • 35142
    Arterial repair · 24.53 wRVU
    —
  • 35132
    Artery repair · 31.76 wRVU
    —

How to choose

35151Arterial repair
Choose 35152 when rupture of the popliteal artery is documented. The related 35151 code addresses a popliteal artery defect without documented rupture.
35142Arterial repair
Both codes concern rupture repair, but 35142 is for an artery in the thigh; 35152 is for the popliteal artery behind the knee.
35132Artery repair
35132 applies to rupture repair at an artery in the groin. Use 35152 when the documented rupture site is the popliteal artery.

Codes related to 35152

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

Codes related to 35152
CodeHow it relatesNational office range
Same family
35151Arterial repairRelated popliteal artery repair code for a defect without documented rupture.No office rate
35142Arterial repairRupture repair code for an artery in the thigh rather than the popliteal artery.No office rate
35132Artery repairRupture repair code for an artery in the groin.No office rate
35103Aortic repairRupture repair code for the aorta, a different arterial site.No office rate

35152 billing questions

How does this differ from 35151?

Use 35152 when the popliteal artery is documented as ruptured. Code 35151 is the related code for repair of a popliteal artery defect without documented rupture.

What documentation supports reporting 35152?

The operative report should identify the popliteal artery as the ruptured vessel and describe the operative repair. A general reference to lower-extremity arterial injury is not as specific as documentation of the vessel and rupture.

Are related postoperative visits reported separately?

Related postoperative care within the 90-day global period is included in this major surgery payment. The day-before preoperative visit is also included.

How is bilateral repair handled?

For bilateral reporting with modifier 50, CMS pays this code at 150%. The documentation should support repair of the popliteal artery on both sides.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; 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 35152PPRRVU2026_Oct_nonQPP.csv, line 4,283 (RVU26D)

Open CMS sourceHow we calculate rates

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