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Billing code 35236: Vessel repairMedicare rate & RVUs

Reconstructs an upper-extremity blood vessel with a vein graft when a damaged segment or defect requires graft repair.

CMS RVU26DEffective Oct 1, 2026109 payment localities275 Medicare services in 2024

Medicare pays $917.19 for 35236 nationally in a facility.

Medicare rate · 35236

Vessel repair

Swap in your local Medicare rate.

Work RVUs
17.57
Total RVUs
27.46
Global days
090

National rate · 2026

$917.19

Facility setting, before claim adjustments.

See every locality for 35236 → · 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 35236 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 35236 covers

This service reconstructs a blood vessel in the arm or hand using a vein graft to restore blood flow across a damaged segment or defect. Vascular and other surgeons may perform it during operative treatment of an upper-extremity vessel injury or another condition requiring graft reconstruction, typically in a hospital or other surgical facility. The operative record should identify the vessel and site, the defect being repaired, and use of a vein graft.

Report this code when the repair is in the upper extremity and uses a vein graft; direct vessel repair and repair with a graft other than vein are distinct choices. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for a bilateral procedure 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 35236 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

35236 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$832.24
Alaska*Unavailable$1,159.47
ArizonaUnavailable$890.98
ArkansasUnavailable$822.01
AtlantaUnavailable$950.37
AustinUnavailable$913.22
BakersfieldUnavailable$891.24
Baltimore/Surr. CntysUnavailable$973.86
BeaumontUnavailable$890.14
BrazoriaUnavailable$889.10

35236 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
35236 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 35236 rate is calculated

Each of 35236’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 · 35236

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 17.57Practice expense 5.66Malpractice 4.23

27.4600 adjusted RVUs×$33.4009 conversion factor=$917.19

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

Payment rules and modifiers for 35236

35236 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35236

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 · 35236

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.

  • 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

35236 without 50 · national facility

$917.19

Vessel repair

35236-50 · Bilateral: 150%

$1,375.79

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

35236 compared with similar codes

Compare codes

35236 vs 35206 vs 35266 vs 35256 vs 35231: national Medicare rates

Swap in your local Medicare rate.

  • 35236
    Vessel repair · 17.57 wRVU
    —
  • 35206
    Vessel repair · 13.49 wRVU
    —
  • 35266
    Vessel repair · 15.43 wRVU
    —
  • 35256
    Vessel repair · 18.58 wRVU
    —
  • 35231
    Vascular repair · 20.63 wRVU
    —

How to choose

35206Vessel repair
35206 is for direct repair of an upper-extremity vessel. Choose 35236 when reconstruction uses a vein graft.
35266Vessel repair
Both involve graft repair of an upper-extremity vessel. The distinction is graft material: 35236 uses vein; 35266 uses another graft material.
35256Vessel repair
35256 describes vein-graft vessel repair in the lower extremity; 35236 is for the upper extremity.
35231Vascular repair
35231 describes vein-graft vessel repair in the neck. The operative site determines whether it or 35236 applies.

Codes related to 35236

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

Codes related to 35236
CodeHow it relatesNational office range
Used instead
35206Vessel repairDirect repair of an upper-extremity vessel without a graft.No office rate
35266Vessel repairUpper-extremity vessel repair using a graft other than vein.No office rate
Same family
35231Vascular repairVein-graft vessel repair in the neck.No office rate
35241Vascular repairVein-graft vessel repair in the intrathoracic area with bypass.No office rate
35256Vessel repairVein-graft vessel repair in the lower extremity.No office rate
35251Vessel repairVein-graft vessel repair in the intra-abdominal area.No office rate

35236 billing questions

When is 35236 reported instead of 35206?

Use 35236 when the upper-extremity vessel repair uses a vein graft. Code 35206 describes direct repair without a graft.

How does 35236 differ from 35266?

Both describe graft repair in the upper extremity, but 35236 is for a vein graft and 35266 is for a graft other than vein.

What documentation supports reporting 35236?

Document the upper-extremity vessel and site, the defect or injury, and that a vein graft was used to reconstruct the vessel.

How is bilateral reporting handled?

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

What should the billing team know about surgical assistance and the global period?

Assistant-at-surgery payment may be available, while co-surgeon payment requires supporting documentation. The 90-day global includes the day-before preoperative visit and related postoperative care.

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 35236PPRRVU2026_Oct_nonQPP.csv, line 4,301 (RVU26D)

Open CMS sourceHow we calculate rates

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