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Billing code 35241: Vascular repairMedicare rate & RVUs

Reports surgical repair of an intrathoracic blood vessel using a vein graft when the operation also involves bypass.

CMS RVU26DEffective Oct 1, 2026109 payment localities12 Medicare services in 2024

Medicare pays $1,370.10 for 35241 nationally in a facility.

Medicare rate · 35241

Vascular repair

Swap in your local Medicare rate.

Work RVUs
24.94
Total RVUs
41.02
Global days
090

National rate · 2026

$1,370.10

Facility setting, before claim adjustments.

See every locality for 35241 → · 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 35241 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 35241 covers

A surgeon uses a vein graft to reconstruct a blood vessel within the thorax as part of an operation involving bypass. The service is typically performed by a cardiothoracic or vascular surgeon in an operating room, for a planned reconstruction or repair of an intrathoracic vessel defect. The operative report should identify the vessel and location, the vein graft used, and the bypass performed.

Select this code when the repair uses a vein graft and is performed with bypass; direct repair and repair using another graft material belong to different code choices. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 applies to a bilateral procedure, 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 35241 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

35241 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,241.25
Alaska*Unavailable$1,718.86
ArizonaUnavailable$1,330.88
ArkansasUnavailable$1,225.67
AtlantaUnavailable$1,418.15
AustinUnavailable$1,368.57
BakersfieldUnavailable$1,340.22
Baltimore/Surr. CntysUnavailable$1,455.40
BeaumontUnavailable$1,325.56
BrazoriaUnavailable$1,329.79

35241 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
35241 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 35241 rate is calculated

Each of 35241’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 · 35241

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 24.94Practice expense 10.10Malpractice 5.98

41.0200 adjusted RVUs×$33.4009 conversion factor=$1,370.10

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

Payment rules and modifiers for 35241

35241 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35241

Vascular 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 · 35241

Vascular 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

35241 without 50 · national facility

$1,370.10

Vascular repair

35241-50 · Bilateral: 150%

$2,055.15

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

35241 compared with similar codes

Compare codes

35241 vs 35246 vs 35211 vs 35261: national Medicare rates

Swap in your local Medicare rate.

  • 35241
    Vascular repair · 24.94 wRVU
    —
  • 35246
    Vessel repair · 27.52 wRVU
    —
  • 35211
    Vessel repair · 23.97 wRVU
    —
  • 35261
    Vessel repair · 18.49 wRVU
    —

How to choose

35246Vessel repair
Both use a vein graft for intrathoracic vessel repair. The distinguishing factor is bypass: 35241 is for repair with bypass, while 35246 is without bypass.
35211Vessel repair
This code describes intrathoracic direct repair with bypass. Choose 35241 when the repair uses a vein graft.
35261Vessel repair
Both describe intrathoracic vessel repair with bypass, but 35261 uses a graft other than vein; 35241 specifies a vein graft.

Codes related to 35241

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

Codes related to 35241
CodeHow it relatesNational office range
Same family
35246Vessel repairIntrathoracic vessel repair with a vein graft, but without bypass.No office rate
35211Vessel repairIntrathoracic direct vessel repair with bypass, without a vein graft.No office rate
35216Vessel repairIntrathoracic direct vessel repair without bypass or a vein graft.No office rate
35261Vessel repairIntrathoracic vessel repair with a graft other than vein, performed with bypass.No office rate
35231Vascular repairNeck vessel repair using a vein graft, rather than an intrathoracic vessel.No office rate
35251Vessel repairIntra-abdominal vessel repair using a vein graft.No office rate

35241 billing questions

How does this differ from 35246?

Both describe intrathoracic vessel repair using a vein graft. Choose 35241 when bypass is performed; 35246 is the corresponding choice without bypass.

When would a direct-repair code be used instead?

Use a direct-repair code when the vessel is repaired without a vein graft. For an intrathoracic repair with bypass, the direct-repair code is 35211.

What should the operative report document?

Document the intrathoracic vessel repaired, use of a vein graft, and performance of bypass. These details distinguish this service from direct repair, repair without bypass, and repair with another graft type.

How is this code affected by the 90-day global period?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

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.

How does Medicare handle bilateral reporting and other procedures in the same session?

A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 35241PPRRVU2026_Oct_nonQPP.csv, line 4,302 (RVU26D)

Open CMS sourceHow we calculate rates

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