No office rate
35005 is for an intrathoracic arterial defect; 35001 is a related repair code for a different anatomical region.
On this page
CMS RVU26D · Effective 2026-10-01
35005 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$886.63
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 35005: Intrathoracic arterial defect repair
Reports surgical repair of an arterial defect within the chest, with code selection based on the vessel location and the operative service performed.
CPT 35005 describes surgical repair of an arterial defect in the chest. A vascular or cardiothoracic surgeon may perform the repair in an operating room when an intrathoracic artery has a defect requiring operative correction. The operative report should identify the affected vessel and location, describe the defect, and document the repair performed. This code is distinct from arterial repairs assigned to other body regions and from codes describing rupture repairs.
Report the code when the documented service and arterial location meet its scope; the operative note should support the anatomical site and work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35005
- 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 RVU18.81 · 69%
- Practice expense (office) RVU3.60 · 13%
- Malpractice RVU4.80 · 18%
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.
35005 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
Choose 35005 for an intrathoracic defect rather than the arterial repair represented by 35011 for another body region.
No office rate
35005 describes repair of an arterial defect in the chest. 35022 is the related chest code when the documented circumstance is arterial rupture.
The same code, a different location
How does Beaumont compare?
35005 across payment areas
Same release and payment basis · bars start at $0
Beaumont · 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 · 35005
Office
Unavailable
Facility
$887.15
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 35005
Office
Unavailable
Facility
$902.73
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35005
Office
Unavailable
Facility
$982.29
No comparable office rate is available.
Miami
Florida · 35005
Office
Unavailable
Facility
$1158.90
No comparable office rate is available.
Chicago
Illinois · 35005
Office
Unavailable
Facility
$1121.46
No comparable office rate is available.
Manhattan
New York · 35005
Office
Unavailable
Facility
$1062.48
No comparable office rate is available.
Alaska*
Alaska · 35005
Office
Unavailable
Facility
$1158.80
No comparable office rate is available.
Alabama
Alabama · 35005
Office
Unavailable
Facility
$824.23
No comparable office rate is available.
Arkansas
Arkansas · 35005
Office
Unavailable
Facility
$814.13
No comparable office rate is available.
Arizona
Arizona · 35005
Office
Unavailable
Facility
$882.02
No comparable office rate is available.
Bakersfield
California · 35005
Office
Unavailable
Facility
$869.63
No comparable office rate is available.
Chico
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
El Centro
California · 35005
Office
Unavailable
Facility
$857.47
No comparable office rate is available.
Fresno
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Hanford-Corcoran
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Madera
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Merced
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Modesto
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Napa
California · 35005
Office
Unavailable
Facility
$907.78
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35005
Office
Unavailable
Facility
$887.87
No comparable office rate is available.
Redding
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Rest Of California
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35005
Office
Unavailable
Facility
$908.12
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35005
Office
Unavailable
Facility
$876.67
No comparable office rate is available.
Salinas
California · 35005
Office
Unavailable
Facility
$873.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35005
Office
Unavailable
Facility
$877.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35005
Office
Unavailable
Facility
$931.09
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35005
Office
Unavailable
Facility
$925.64
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35005
Office
Unavailable
Facility
$956.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35005
Office
Unavailable
Facility
$934.42
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35005
Office
Unavailable
Facility
$861.84
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35005
Office
Unavailable
Facility
$873.49
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35005
Office
Unavailable
Facility
$872.00
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35005
Office
Unavailable
Facility
$880.71
No comparable office rate is available.
Stockton
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Vallejo
California · 35005
Office
Unavailable
Facility
$899.92
No comparable office rate is available.
Visalia
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Yuba City
California · 35005
Office
Unavailable
Facility
$856.67
No comparable office rate is available.
Colorado
Colorado · 35005
Office
Unavailable
Facility
$888.96
No comparable office rate is available.
Connecticut
Connecticut · 35005
Office
Unavailable
Facility
$964.33
No comparable office rate is available.
Delaware
Delaware · 35005
Office
Unavailable
Facility
$894.34
No comparable office rate is available.
Fort Lauderdale
Florida · 35005
Office
Unavailable
Facility
$1039.94
No comparable office rate is available.
Rest Of Florida
Florida · 35005
Office
Unavailable
Facility
$984.19
No comparable office rate is available.
Atlanta
Georgia · 35005
Office
Unavailable
Facility
$944.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 35005
Office
Unavailable
Facility
$926.63
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35005
Office
Unavailable
Facility
$857.82
No comparable office rate is available.
Iowa
Iowa · 35005
Office
Unavailable
Facility
$801.94
No comparable office rate is available.
Idaho
Idaho · 35005
Office
Unavailable
Facility
$814.73
No comparable office rate is available.
East St. Louis
Illinois · 35005
Office
Unavailable
Facility
$1061.79
No comparable office rate is available.
Rest Of Illinois
Illinois · 35005
Office
Unavailable
Facility
$988.64
No comparable office rate is available.
Suburban Chicago
Illinois · 35005
Office
Unavailable
Facility
$1040.25
No comparable office rate is available.
Indiana
Indiana · 35005
Office
Unavailable
Facility
$817.65
No comparable office rate is available.
Kansas
Kansas · 35005
Office
Unavailable
Facility
$817.77
No comparable office rate is available.
Kentucky
Kentucky · 35005
Office
Unavailable
Facility
$881.86
No comparable office rate is available.
New Orleans
Louisiana · 35005
Office
Unavailable
Facility
$923.55
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35005
Office
Unavailable
Facility
$888.28
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35005
Office
Unavailable
Facility
$940.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35005
Office
Unavailable
Facility
$892.72
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35005
Office
Unavailable
Facility
$965.67
No comparable office rate is available.
Rest Of Maryland
Maryland · 35005
Office
Unavailable
Facility
$903.42
No comparable office rate is available.
Rest Of Maine
Maine · 35005
Office
Unavailable
Facility
$838.62
No comparable office rate is available.
Southern Maine
Maine · 35005
Office
Unavailable
Facility
$848.60
No comparable office rate is available.
Detroit
Michigan · 35005
Office
Unavailable
Facility
$1014.61
No comparable office rate is available.
Rest Of Michigan
Michigan · 35005
Office
Unavailable
Facility
$919.06
No comparable office rate is available.
Minnesota
Minnesota · 35005
Office
Unavailable
Facility
$799.46
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35005
Office
Unavailable
Facility
$897.82
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35005
Office
Unavailable
Facility
$903.39
No comparable office rate is available.
Rest Of Missouri
Missouri · 35005
Office
Unavailable
Facility
$888.08
No comparable office rate is available.
Mississippi
Mississippi · 35005
Office
Unavailable
Facility
$850.28
No comparable office rate is available.
Montana**
Montana · 35005
Office
Unavailable
Facility
$908.52
No comparable office rate is available.
North Carolina
North Carolina · 35005
Office
Unavailable
Facility
$842.91
No comparable office rate is available.
North Dakota**
North Dakota · 35005
Office
Unavailable
Facility
$813.61
No comparable office rate is available.
Nebraska
Nebraska · 35005
Office
Unavailable
Facility
$799.86
No comparable office rate is available.
New Hampshire
New Hampshire · 35005
Office
Unavailable
Facility
$893.73
No comparable office rate is available.
Northern Nj
New Jersey · 35005
Office
Unavailable
Facility
$978.56
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35005
Office
Unavailable
Facility
$960.58
No comparable office rate is available.
New Mexico
New Mexico · 35005
Office
Unavailable
Facility
$931.08
No comparable office rate is available.
Nevada**
Nevada · 35005
Office
Unavailable
Facility
$882.18
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35005
Office
Unavailable
Facility
$1109.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35005
Office
Unavailable
Facility
$982.20
No comparable office rate is available.
Queens
New York · 35005
Office
Unavailable
Facility
$1041.80
No comparable office rate is available.
Rest Of New York
New York · 35005
Office
Unavailable
Facility
$855.21
No comparable office rate is available.
Ohio
Ohio · 35005
Office
Unavailable
Facility
$899.66
No comparable office rate is available.
Oklahoma
Oklahoma · 35005
Office
Unavailable
Facility
$860.22
No comparable office rate is available.
Portland
Oregon · 35005
Office
Unavailable
Facility
$891.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 35005
Office
Unavailable
Facility
$860.74
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35005
Office
Unavailable
Facility
$956.02
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35005
Office
Unavailable
Facility
$890.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35005
Office
Unavailable
Facility
$907.76
No comparable office rate is available.
Rhode Island
Rhode Island · 35005
Office
Unavailable
Facility
$907.43
No comparable office rate is available.
South Carolina
South Carolina · 35005
Office
Unavailable
Facility
$875.65
No comparable office rate is available.
South Dakota**
South Dakota · 35005
Office
Unavailable
Facility
$802.38
No comparable office rate is available.
Tennessee
Tennessee · 35005
Office
Unavailable
Facility
$823.67
No comparable office rate is available.
Utah
Utah · 35005
Office
Unavailable
Facility
$885.27
No comparable office rate is available.
Virginia
Virginia · 35005
Office
Unavailable
Facility
$859.66
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35005
Office
Unavailable
Facility
$907.76
No comparable office rate is available.
Vermont
Vermont · 35005
Office
Unavailable
Facility
$828.44
No comparable office rate is available.
Rest Of Washington
Washington · 35005
Office
Unavailable
Facility
$885.06
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35005
Office
Unavailable
Facility
$938.21
No comparable office rate is available.
Wisconsin
Wisconsin · 35005
Office
Unavailable
Facility
$792.84
No comparable office rate is available.
West Virginia
West Virginia · 35005
Office
Unavailable
Facility
$962.19
No comparable office rate is available.
Wyoming**
Wyoming · 35005
Office
Unavailable
Facility
$867.15
No comparable office rate is available.
See how rates vary across the country
35005 · 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?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 35005 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$975.29
$886.63 × 110% = $975.29
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 35005 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
4,254
- Code
- 35005
- Physician work
- 18.81
- Practice expense
- 3.60
- Malpractice
- 4.80
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.81 | × 1.000 | 18.8100 |
| Practice expense | 3.60 | × 0.910 | 3.2760 |
| Malpractice | 4.80 | × 0.929 | 4.4592 |
| Total RVUs | 26.5452 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$886.63
Open 35005 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.81 | 1 |
| Practice expense | 3.6 | 0.91 |
| Malpractice | 4.8 | 0.929 |
(18.81 × 1 + 3.6 × 0.91 + 4.8 × 0.929) × $33.4009 = $886.63
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
35005 · 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 | $886.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $886.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $886.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $886.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $923.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $923.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $923.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $923.98 | RVU25A |
35005 billing questions
How is 35005 distinguished from nearby arterial repair codes?
Use 35005 for an arterial defect in the chest. The operative documentation must support the intrathoracic location; neighboring codes may describe repairs in other regions or a rupture circumstance.
What documentation supports reporting 35005?
The operative report should identify the artery and its intrathoracic location, describe the defect, and document the surgical repair performed.
Does the 90-day global period include related postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How is bilateral reporting handled?
For a bilateral procedure reported with modifier 50, CMS applies the bilateral payment rule at 150%.
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.
4,2513498F,,Cd4+ cell >=15% (hiv),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
4,25235001,,Repair defect of artery,A,,20.29,4.72,NA,4.72,,5.13,30.14,30.14,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25335002,,Repair artery rupture neck,A,,21.67,3.83,NA,3.83,,5.54,31.04,31.04,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25435005,,Repair defect of artery,A,,18.81,3.60,NA,3.60,,4.80,27.21,27.21,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2553500F,,Cd4+cell cnt/% docd as done,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
4,25635011,,Repair defect of artery,A,,18.12,4.56,NA,4.56,,4.69,27.37,27.37,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25735013,,Repair artery rupture arm,A,,22.65,3.88,NA,3.88,,5.78,32.31,32.31,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10004412,TX,28,FORT WORTH,1.009,0.986,0.871