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Billing code 35201: Vessel repairMedicare rate & RVUs

Reports operative direct repair of an injured blood vessel in the neck when the vessel is repaired without replacement by a graft.

CMS RVU26DEffective Oct 1, 2026109 payment localities456 Medicare services in 2024

Medicare pays $845.71 for 35201 nationally in a facility.

Medicare rate · 35201

Vessel repair

Work RVUs
16.51
Total RVUs
25.32
Global days
090

National rate · 2026

$845.71

Facility setting, before claim adjustments.

See every locality for 35201 →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 35201 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 35201 covers

This service covers operative repair of a neck blood vessel by directly restoring the vessel rather than replacing a segment with a graft. It may be needed for traumatic injuries or vessel damage during another operation, involving structures such as the carotid artery or jugular vein. Vascular, trauma, or head-and-neck surgeons typically perform the repair in an operating room, often as part of a larger procedure.

Select this code when the documented repair method and neck location support direct repair; use a graft-repair code when a graft is used. The operative report should identify the injured vessel, its location, the repair performed, and any graft material. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 triggers bilateral payment 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 35201 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

35201 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$767.44
Alaska*Unavailable$1,071.55
ArizonaUnavailable$821.42
ArkansasUnavailable$758.03
AtlantaUnavailable$876.91
AustinUnavailable$840.79
BakersfieldUnavailable$819.05
Baltimore/Surr. CntysUnavailable$898.04
BeaumontUnavailable$821.78
BrazoriaUnavailable$819.14

35201 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
35201 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 35201 rate is calculated

Each of 35201’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 · 35201

RVUs × geographic indexes × conversion factor

Work16.51

16.51 RVUs× 1.000 GPCI

Practice expense4.79

4.79 RVUs× 1.000 GPCI

Malpractice4.02

4.02 RVUs× 1.000 GPCI

Adjusted RVUs

25.3200

Conversion factor

$33.4009

Medicare rate

$845.71

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

Payment rules and modifiers for 35201

35201 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35201

Vessel 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 · 35201

Vessel 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

35201 without 50 · national facility

$845.71

Vessel repair

35201-50 · Bilateral: 150%

$1,268.57

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

35201 compared with similar codes

Compare codes · National

5 codes, side by side

  • 35201

    Vessel repair16.51 wRVU

    Not priced

  • 35231

    Vascular repair20.63 wRVU

    Not priced

  • 35261

    Vessel repair18.49 wRVU

    Not priced

  • 35206

    Vessel repair13.49 wRVU

    Not priced

  • 35221

    Vessel repair25.95 wRVU

    Not priced

How to choose

35231Vascular repair
Both concern neck vessels, but 35231 is for repair using a vein graft. Choose 35201 when the documented method is direct repair without graft replacement.
35261Vessel repair
This is the neck graft-repair option when a graft other than a vein graft is used; 35201 describes direct repair.
35206Vessel repair
Both describe direct vessel repair, but 35206 is for an upper-extremity site. Use 35201 for a neck vessel.
35221Vessel repair
Both describe direct vessel repair, but 35221 applies to an intra-abdominal site rather than a neck vessel.

Codes related to 35201

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

Codes related to 35201
CodeHow it relatesNational office range
Used instead
35231Vascular repairNeck vessel repair using a vein graft rather than direct repair.No office rate
35261Vessel repairNeck vessel repair using a graft other than a vein graft.No office rate
Same family
35206Vessel repairDirect blood vessel repair for an upper-extremity site.No office rate
35221Vessel repairDirect blood vessel repair for an intra-abdominal site.No office rate
35226Vessel repairDirect blood vessel repair for a lower-extremity site.No office rate

35201 billing questions

How is this distinguished from a neck vessel graft repair?

Use 35201 when the vessel is repaired directly. If the surgeon uses a vein graft or another type of graft, consider the corresponding neck graft-repair code instead.

What should the operative report document?

Document the neck vessel involved, the injury or defect, and how the surgeon repaired it. State whether a graft was used so the direct-repair code can be distinguished from graft repair.

How does CMS handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.

How is bilateral reporting handled?

For a bilateral procedure reported with modifier 50, CMS pays at 150%.

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 35201PPRRVU2026_Oct_nonQPP.csv, line 4,292 (RVU26D)

Open CMS sourceHow we calculate rates

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