No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
35201 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$840.79
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular surgery
About 35201: Direct neck blood vessel repair
Reports operative direct repair of an injured blood vessel in the neck when the vessel is repaired without replacement by a graft.
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.
CMS billing rules for 35201
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.51 · 65%
- Practice expense (office) RVU4.79 · 19%
- Malpractice RVU4.02 · 16%
456
Medicare services in 2024 · #3646 by national volume
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.
35201 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
This is the neck graft-repair option when a graft other than a vein graft is used; 35201 describes direct repair.
No office rate
Both describe direct vessel repair, but 35206 is for an upper-extremity site. Use 35201 for a neck vessel.
No office rate
Both describe direct vessel repair, but 35221 applies to an intra-abdominal site rather than a neck vessel.
The same code, a different location
How does Austin compare?
35201 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 35201
Office
Unavailable
Facility
$824.53
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 35201
Office
Unavailable
Facility
$852.48
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35201
Office
Unavailable
Facility
$919.14
No comparable office rate is available.
Miami
Florida · 35201
Office
Unavailable
Facility
$1057.57
No comparable office rate is available.
Chicago
Illinois · 35201
Office
Unavailable
Facility
$1024.25
No comparable office rate is available.
Manhattan
New York · 35201
Office
Unavailable
Facility
$985.61
No comparable office rate is available.
Alaska*
Alaska · 35201
Office
Unavailable
Facility
$1071.55
No comparable office rate is available.
Alabama
Alabama · 35201
Office
Unavailable
Facility
$767.44
No comparable office rate is available.
Arkansas
Arkansas · 35201
Office
Unavailable
Facility
$758.03
No comparable office rate is available.
Arizona
Arizona · 35201
Office
Unavailable
Facility
$821.42
No comparable office rate is available.
Bakersfield
California · 35201
Office
Unavailable
Facility
$819.05
No comparable office rate is available.
Chico
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
El Centro
California · 35201
Office
Unavailable
Facility
$808.81
No comparable office rate is available.
Fresno
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Hanford-Corcoran
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Madera
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Merced
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Modesto
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Napa
California · 35201
Office
Unavailable
Facility
$865.27
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35201
Office
Unavailable
Facility
$839.65
No comparable office rate is available.
Redding
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Rest Of California
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35201
Office
Unavailable
Facility
$851.26
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35201
Office
Unavailable
Facility
$829.34
No comparable office rate is available.
Salinas
California · 35201
Office
Unavailable
Facility
$825.94
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35201
Office
Unavailable
Facility
$832.12
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35201
Office
Unavailable
Facility
$891.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35201
Office
Unavailable
Facility
$886.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35201
Office
Unavailable
Facility
$914.78
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35201
Office
Unavailable
Facility
$896.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35201
Office
Unavailable
Facility
$815.02
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35201
Office
Unavailable
Facility
$829.39
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35201
Office
Unavailable
Facility
$825.41
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35201
Office
Unavailable
Facility
$836.43
No comparable office rate is available.
Stockton
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Vallejo
California · 35201
Office
Unavailable
Facility
$858.69
No comparable office rate is available.
Visalia
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Yuba City
California · 35201
Office
Unavailable
Facility
$808.14
No comparable office rate is available.
Colorado
Colorado · 35201
Office
Unavailable
Facility
$833.16
No comparable office rate is available.
Connecticut
Connecticut · 35201
Office
Unavailable
Facility
$897.26
No comparable office rate is available.
Delaware
Delaware · 35201
Office
Unavailable
Facility
$832.99
No comparable office rate is available.
Fort Lauderdale
Florida · 35201
Office
Unavailable
Facility
$956.28
No comparable office rate is available.
Rest Of Florida
Florida · 35201
Office
Unavailable
Facility
$906.21
No comparable office rate is available.
Atlanta
Georgia · 35201
Office
Unavailable
Facility
$876.91
No comparable office rate is available.
Rest Of Georgia
Georgia · 35201
Office
Unavailable
Facility
$854.21
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35201
Office
Unavailable
Facility
$811.10
No comparable office rate is available.
Iowa
Iowa · 35201
Office
Unavailable
Facility
$751.15
No comparable office rate is available.
Idaho
Idaho · 35201
Office
Unavailable
Facility
$762.15
No comparable office rate is available.
East St. Louis
Illinois · 35201
Office
Unavailable
Facility
$969.06
No comparable office rate is available.
Rest Of Illinois
Illinois · 35201
Office
Unavailable
Facility
$907.39
No comparable office rate is available.
Suburban Chicago
Illinois · 35201
Office
Unavailable
Facility
$957.55
No comparable office rate is available.
Indiana
Indiana · 35201
Office
Unavailable
Facility
$765.02
No comparable office rate is available.
Kansas
Kansas · 35201
Office
Unavailable
Facility
$763.75
No comparable office rate is available.
Kentucky
Kentucky · 35201
Office
Unavailable
Facility
$816.54
No comparable office rate is available.
New Orleans
Louisiana · 35201
Office
Unavailable
Facility
$854.53
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35201
Office
Unavailable
Facility
$821.67
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35201
Office
Unavailable
Facility
$884.59
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35201
Office
Unavailable
Facility
$835.76
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35201
Office
Unavailable
Facility
$898.04
No comparable office rate is available.
Rest Of Maryland
Maryland · 35201
Office
Unavailable
Facility
$842.13
No comparable office rate is available.
Rest Of Maine
Maine · 35201
Office
Unavailable
Facility
$782.16
No comparable office rate is available.
Southern Maine
Maine · 35201
Office
Unavailable
Facility
$794.72
No comparable office rate is available.
Detroit
Michigan · 35201
Office
Unavailable
Facility
$932.22
No comparable office rate is available.
Rest Of Michigan
Michigan · 35201
Office
Unavailable
Facility
$849.11
No comparable office rate is available.
Minnesota
Minnesota · 35201
Office
Unavailable
Facility
$755.82
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35201
Office
Unavailable
Facility
$832.86
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35201
Office
Unavailable
Facility
$838.30
No comparable office rate is available.
Rest Of Missouri
Missouri · 35201
Office
Unavailable
Facility
$820.14
No comparable office rate is available.
Mississippi
Mississippi · 35201
Office
Unavailable
Facility
$788.43
No comparable office rate is available.
Montana**
Montana · 35201
Office
Unavailable
Facility
$845.44
No comparable office rate is available.
North Carolina
North Carolina · 35201
Office
Unavailable
Facility
$786.52
No comparable office rate is available.
North Dakota**
North Dakota · 35201
Office
Unavailable
Facility
$765.95
No comparable office rate is available.
Nebraska
Nebraska · 35201
Office
Unavailable
Facility
$749.87
No comparable office rate is available.
New Hampshire
New Hampshire · 35201
Office
Unavailable
Facility
$835.49
No comparable office rate is available.
Northern Nj
New Jersey · 35201
Office
Unavailable
Facility
$915.18
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35201
Office
Unavailable
Facility
$895.51
No comparable office rate is available.
New Mexico
New Mexico · 35201
Office
Unavailable
Facility
$859.42
No comparable office rate is available.
Nevada**
Nevada · 35201
Office
Unavailable
Facility
$823.45
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35201
Office
Unavailable
Facility
$1026.31
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35201
Office
Unavailable
Facility
$913.92
No comparable office rate is available.
Queens
New York · 35201
Office
Unavailable
Facility
$969.47
No comparable office rate is available.
Rest Of New York
New York · 35201
Office
Unavailable
Facility
$797.83
No comparable office rate is available.
Ohio
Ohio · 35201
Office
Unavailable
Facility
$832.87
No comparable office rate is available.
Oklahoma
Oklahoma · 35201
Office
Unavailable
Facility
$798.65
No comparable office rate is available.
Portland
Oregon · 35201
Office
Unavailable
Facility
$837.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 35201
Office
Unavailable
Facility
$805.19
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35201
Office
Unavailable
Facility
$888.11
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35201
Office
Unavailable
Facility
$825.21
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35201
Office
Unavailable
Facility
$845.46
No comparable office rate is available.
Rhode Island
Rhode Island · 35201
Office
Unavailable
Facility
$846.97
No comparable office rate is available.
South Carolina
South Carolina · 35201
Office
Unavailable
Facility
$813.41
No comparable office rate is available.
South Dakota**
South Dakota · 35201
Office
Unavailable
Facility
$756.55
No comparable office rate is available.
Tennessee
Tennessee · 35201
Office
Unavailable
Facility
$768.98
No comparable office rate is available.
Utah
Utah · 35201
Office
Unavailable
Facility
$822.42
No comparable office rate is available.
Virginia
Virginia · 35201
Office
Unavailable
Facility
$803.52
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35201
Office
Unavailable
Facility
$845.46
No comparable office rate is available.
Vermont
Vermont · 35201
Office
Unavailable
Facility
$777.78
No comparable office rate is available.
Rest Of Washington
Washington · 35201
Office
Unavailable
Facility
$829.27
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35201
Office
Unavailable
Facility
$885.03
No comparable office rate is available.
Wisconsin
Wisconsin · 35201
Office
Unavailable
Facility
$746.08
No comparable office rate is available.
West Virginia
West Virginia · 35201
Office
Unavailable
Facility
$882.62
No comparable office rate is available.
Wyoming**
Wyoming · 35201
Office
Unavailable
Facility
$810.80
No comparable office rate is available.
See how rates vary across the country
35201 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 35201 in Austin
Multiple payment areas
- 35201 in Barton Creek
- 35201 in Bee Cave
- 35201 in Briarcliff
- 35201 in Cedar Park
Multiple payment areas
- 35201 in Creedmoor
Multiple payment areas
- 35201 in Elgin
Multiple payment areas
- 35201 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 35201 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$924.87
$840.79 × 110% = $924.87
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 35201 in Austin.
PPRRVU2026_Oct_nonQPP.csv
4,292
- Code
- 35201
- Physician work
- 16.51
- Practice expense
- 4.79
- Malpractice
- 4.02
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.51 | × 1.002 | 16.5430 |
| Practice expense | 4.79 | × 1.058 | 5.0678 |
| Malpractice | 4.02 | × 0.886 | 3.5617 |
| Total RVUs | 25.1726 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$840.79
Open 35201 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.51 | 1.002 |
| Practice expense | 4.79 | 1.058 |
| Malpractice | 4.02 | 0.886 |
(16.51 × 1.002 + 4.79 × 1.058 + 4.02 × 0.886) × $33.4009 = $840.79
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
35201 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $840.79 | RVU26D |
| 2026-07-01 | Not available in this setting | $840.79 | RVU26C |
| 2026-04-01 | Not available in this setting | $840.79 | RVU26B |
| 2026-01-01 | Not available in this setting | $840.79 | RVU26A |
| 2025-10-01 | Not available in this setting | $885.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $885.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $885.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $885.73 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,28935188,,Rpr acq av fistula head&neck,A,,17.55,12.86,NA,12.86,,7.41,37.82,37.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29035189,,Rpr acq av fistula thrx&abd,A,,29.23,4.40,NA,4.40,,7.46,41.09,41.09,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29135190,,Repair acq av fistula xtr,A,,13.08,4.12,NA,4.12,,3.34,20.54,20.54,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29235201,,Repair blood vessel dir neck,A,,16.51,4.79,NA,4.79,,4.02,25.32,25.32,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29335206,,Repair blood vessel dir uxtr,A,,13.49,5.06,NA,5.06,,3.13,21.68,21.68,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29435207,,Rpr bld vsl dir hand finger,A,,10.67,7.73,NA,7.73,,2.06,20.46,20.46,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2953520F,,Cdifficile testing performed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858