No office rate
35121 describes direct repair of a visceral artery defect; 35122 is the corresponding code to consider when the documented condition is a visceral artery rupture.
On this page
CMS RVU26D · Effective 2026-10-01
35121 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1347.87
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 35121: Direct visceral artery defect repair
Open direct repair of a visceral artery defect is reported when the surgeon repairs the affected abdominal artery rather than treating a rupture.
This code represents open, direct repair of a defect in a visceral artery. A vascular or other qualified surgeon may perform the operation in a hospital operating room, for example to correct a localized arterial defect identified during treatment of an abdominal vascular condition. The operative report should identify the artery and defect, describe the repair performed, and distinguish a defect repair from treatment of a rupture or repair of a different named vessel.
Select the code based on the involved artery and the documented procedure; the rupture-specific visceral artery code is a nearby alternative when rupture is being repaired. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to standard multiple-procedure reduction. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeons and team surgery are not permitted.
CMS billing rules for 35121
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU30.73 · 71%
- Practice expense (office) RVU4.42 · 10%
- Malpractice RVU7.87 · 18%
68
Medicare services in 2024 · #5163 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.
35121 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
35102 applies to direct repair involving the abdominal aorta. Use 35121 when the repaired vessel is a visceral artery rather than the aorta.
No office rate
35111 is a site-specific arterial repair code for a different vessel. Base selection on the artery identified in the operative report, not simply the abdominal location.
The same code, a different location
How does El Centro compare?
35121 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 35121
Office
Unavailable
Facility
$1346.56
No comparable office rate is available.
Modesto
California · 35121
Office
Unavailable
Facility
$1346.56
No comparable office rate is available.
Napa
California · 35121
Office
Unavailable
Facility
$1419.19
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35121
Office
Unavailable
Facility
$1393.42
No comparable office rate is available.
Redding
California · 35121
Office
Unavailable
Facility
$1346.56
No comparable office rate is available.
Rest Of California
California · 35121
Office
Unavailable
Facility
$1346.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35121
Office
Unavailable
Facility
$1430.91
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35121
Office
Unavailable
Facility
$1375.95
No comparable office rate is available.
Salinas
California · 35121
Office
Unavailable
Facility
$1370.23
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35121
Office
Unavailable
Facility
$1376.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35121
Office
Unavailable
Facility
$1452.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35121
Office
Unavailable
Facility
$1443.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35121
Office
Unavailable
Facility
$1493.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35121
Office
Unavailable
Facility
$1456.56
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35121
Office
Unavailable
Facility
$1352.91
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35121
Office
Unavailable
Facility
$1368.23
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35121
Office
Unavailable
Facility
$1368.18
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35121
Office
Unavailable
Facility
$1379.39
No comparable office rate is available.
Stockton
California · 35121
Office
Unavailable
Facility
$1346.56
No comparable office rate is available.
Vallejo
California · 35121
Office
Unavailable
Facility
$1406.31
No comparable office rate is available.
Visalia
California · 35121
Office
Unavailable
Facility
$1346.56
No comparable office rate is available.
Yuba City
California · 35121
Office
Unavailable
Facility
$1346.56
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35121
Office
Unavailable
Facility
$1548.32
No comparable office rate is available.
Miami
Florida · 35121
Office
Unavailable
Facility
$1844.88
No comparable office rate is available.
Chicago
Illinois · 35121
Office
Unavailable
Facility
$1785.24
No comparable office rate is available.
Manhattan
New York · 35121
Office
Unavailable
Facility
$1680.55
No comparable office rate is available.
Alaska*
Alaska · 35121
Office
Unavailable
Facility
$1841.68
No comparable office rate is available.
Alabama
Alabama · 35121
Office
Unavailable
Facility
$1304.37
No comparable office rate is available.
Arkansas
Arkansas · 35121
Office
Unavailable
Facility
$1288.60
No comparable office rate is available.
Arizona
Arizona · 35121
Office
Unavailable
Facility
$1394.48
No comparable office rate is available.
Colorado
Colorado · 35121
Office
Unavailable
Facility
$1401.10
No comparable office rate is available.
Connecticut
Connecticut · 35121
Office
Unavailable
Facility
$1524.00
No comparable office rate is available.
Delaware
Delaware · 35121
Office
Unavailable
Facility
$1413.72
No comparable office rate is available.
Fort Lauderdale
Florida · 35121
Office
Unavailable
Facility
$1651.22
No comparable office rate is available.
Rest Of Florida
Florida · 35121
Office
Unavailable
Facility
$1562.63
No comparable office rate is available.
Atlanta
Georgia · 35121
Office
Unavailable
Facility
$1495.18
No comparable office rate is available.
Rest Of Georgia
Georgia · 35121
Office
Unavailable
Facility
$1471.43
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35121
Office
Unavailable
Facility
$1346.47
No comparable office rate is available.
Iowa
Iowa · 35121
Office
Unavailable
Facility
$1265.85
No comparable office rate is available.
Idaho
Idaho · 35121
Office
Unavailable
Facility
$1286.57
No comparable office rate is available.
East St. Louis
Illinois · 35121
Office
Unavailable
Facility
$1691.64
No comparable office rate is available.
Rest Of Illinois
Illinois · 35121
Office
Unavailable
Facility
$1572.06
No comparable office rate is available.
Suburban Chicago
Illinois · 35121
Office
Unavailable
Facility
$1651.01
No comparable office rate is available.
Indiana
Indiana · 35121
Office
Unavailable
Facility
$1291.02
No comparable office rate is available.
Kansas
Kansas · 35121
Office
Unavailable
Facility
$1292.35
No comparable office rate is available.
Kentucky
Kentucky · 35121
Office
Unavailable
Facility
$1398.18
No comparable office rate is available.
New Orleans
Louisiana · 35121
Office
Unavailable
Facility
$1463.95
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35121
Office
Unavailable
Facility
$1408.89
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35121
Office
Unavailable
Facility
$1478.71
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35121
Office
Unavailable
Facility
$1407.79
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35121
Office
Unavailable
Facility
$1526.41
No comparable office rate is available.
Rest Of Maryland
Maryland · 35121
Office
Unavailable
Facility
$1427.39
No comparable office rate is available.
Rest Of Maine
Maine · 35121
Office
Unavailable
Facility
$1325.73
No comparable office rate is available.
Southern Maine
Maine · 35121
Office
Unavailable
Facility
$1338.58
No comparable office rate is available.
Detroit
Michigan · 35121
Office
Unavailable
Facility
$1612.07
No comparable office rate is available.
Rest Of Michigan
Michigan · 35121
Office
Unavailable
Facility
$1457.97
No comparable office rate is available.
Minnesota
Minnesota · 35121
Office
Unavailable
Facility
$1256.13
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35121
Office
Unavailable
Facility
$1421.86
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35121
Office
Unavailable
Facility
$1430.35
No comparable office rate is available.
Rest Of Missouri
Missouri · 35121
Office
Unavailable
Facility
$1409.70
No comparable office rate is available.
Mississippi
Mississippi · 35121
Office
Unavailable
Facility
$1347.78
No comparable office rate is available.
Montana**
Montana · 35121
Office
Unavailable
Facility
$1436.38
No comparable office rate is available.
North Carolina
North Carolina · 35121
Office
Unavailable
Facility
$1332.12
No comparable office rate is available.
North Dakota**
North Dakota · 35121
Office
Unavailable
Facility
$1280.76
No comparable office rate is available.
Nebraska
Nebraska · 35121
Office
Unavailable
Facility
$1262.04
No comparable office rate is available.
New Hampshire
New Hampshire · 35121
Office
Unavailable
Facility
$1410.10
No comparable office rate is available.
Northern Nj
New Jersey · 35121
Office
Unavailable
Facility
$1543.07
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35121
Office
Unavailable
Facility
$1517.04
No comparable office rate is available.
New Mexico
New Mexico · 35121
Office
Unavailable
Facility
$1477.49
No comparable office rate is available.
Nevada**
Nevada · 35121
Office
Unavailable
Facility
$1393.16
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35121
Office
Unavailable
Facility
$1755.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35121
Office
Unavailable
Facility
$1552.32
No comparable office rate is available.
Queens
New York · 35121
Office
Unavailable
Facility
$1645.65
No comparable office rate is available.
Rest Of New York
New York · 35121
Office
Unavailable
Facility
$1351.45
No comparable office rate is available.
Ohio
Ohio · 35121
Office
Unavailable
Facility
$1426.17
No comparable office rate is available.
Oklahoma
Oklahoma · 35121
Office
Unavailable
Facility
$1362.49
No comparable office rate is available.
Portland
Oregon · 35121
Office
Unavailable
Facility
$1402.42
No comparable office rate is available.
Rest Of Oregon
Oregon · 35121
Office
Unavailable
Facility
$1358.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35121
Office
Unavailable
Facility
$1512.17
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35121
Office
Unavailable
Facility
$1410.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35121
Office
Unavailable
Facility
$1434.59
No comparable office rate is available.
Rhode Island
Rhode Island · 35121
Office
Unavailable
Facility
$1432.89
No comparable office rate is available.
South Carolina
South Carolina · 35121
Office
Unavailable
Facility
$1386.26
No comparable office rate is available.
South Dakota**
South Dakota · 35121
Office
Unavailable
Facility
$1262.36
No comparable office rate is available.
Tennessee
Tennessee · 35121
Office
Unavailable
Facility
$1301.77
No comparable office rate is available.
Austin
Texas · 35121
Office
Unavailable
Facility
$1417.56
No comparable office rate is available.
Beaumont
Texas · 35121
Office
Unavailable
Facility
$1404.96
No comparable office rate is available.
Brazoria
Texas · 35121
Office
Unavailable
Facility
$1385.96
No comparable office rate is available.
Dallas
Texas · 35121
Office
Unavailable
Facility
$1408.23
No comparable office rate is available.
Fort Worth
Texas · 35121
Office
Unavailable
Facility
$1410.17
No comparable office rate is available.
Galveston
Texas · 35121
Office
Unavailable
Facility
$1398.87
No comparable office rate is available.
Houston
Texas · 35121
Office
Unavailable
Facility
$1542.92
No comparable office rate is available.
Rest Of Texas
Texas · 35121
Office
Unavailable
Facility
$1403.88
No comparable office rate is available.
Utah
Utah · 35121
Office
Unavailable
Facility
$1401.24
No comparable office rate is available.
Virginia
Virginia · 35121
Office
Unavailable
Facility
$1357.11
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35121
Office
Unavailable
Facility
$1434.59
No comparable office rate is available.
Vermont
Vermont · 35121
Office
Unavailable
Facility
$1305.58
No comparable office rate is available.
Rest Of Washington
Washington · 35121
Office
Unavailable
Facility
$1395.25
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35121
Office
Unavailable
Facility
$1473.64
No comparable office rate is available.
Wisconsin
Wisconsin · 35121
Office
Unavailable
Facility
$1248.80
No comparable office rate is available.
West Virginia
West Virginia · 35121
Office
Unavailable
Facility
$1530.86
No comparable office rate is available.
Wyoming**
Wyoming · 35121
Office
Unavailable
Facility
$1368.56
No comparable office rate is available.
See how rates vary across the country
35121 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 35121 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1482.66
$1347.87 × 110% = $1482.66
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 35121 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
4,273
- Code
- 35121
- Physician work
- 30.73
- Practice expense
- 4.42
- Malpractice
- 7.87
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.73 | × 1.017 | 31.2524 |
| Practice expense | 4.42 | × 1.096 | 4.8443 |
| Malpractice | 7.87 | × 0.541 | 4.2577 |
| Total RVUs | 40.3544 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1347.87
Open 35121 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.73 | 1.017 |
| Practice expense | 4.42 | 1.096 |
| Malpractice | 7.87 | 0.541 |
(30.73 × 1.017 + 4.42 × 1.096 + 7.87 × 0.541) × $33.4009 = $1347.87
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
35121 · 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 | $1347.87 | RVU26D |
| 2026-07-01 | Not available in this setting | $1347.87 | RVU26C |
| 2026-04-01 | Not available in this setting | $1347.87 | RVU26B |
| 2026-01-01 | Not available in this setting | $1347.87 | RVU26A |
| 2025-10-01 | Not available in this setting | $1428.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $1428.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $1428.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $1428.47 | RVU25A |
35121 billing questions
How is this code distinguished from 35122?
Use 35121 for direct repair of a visceral artery defect. The nearby 35122 code is for repair of a visceral artery rupture; the operative documentation should support the clinical circumstance.
What documentation supports reporting 35121?
Document the specific visceral artery, the defect being repaired, and the direct repair performed. The record should make clear whether the operation addressed a defect or a rupture.
Can an assistant-at-surgery be reported?
CMS identifies assistant-at-surgery payment as potentially payable for this procedure. Co-surgeons and team surgery are not permitted.
What is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to reduction when performed in the same session.
How is a bilateral procedure handled?
CMS identifies this as a bilateral procedure; modifier 50 is paid 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.
4,27035111,,Repair defect of artery,A,,25.62,4.01,NA,4.01,,6.55,36.18,36.18,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,27135112,,Repair artery rupture spleen,A,,31.76,4.60,NA,4.60,,8.12,44.48,44.48,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2723511F,,Chlmyd/gonrh tsts docd 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
4,27335121,,Repair defect of artery,A,,30.73,4.42,NA,4.42,,7.87,43.02,43.02,0,090,0.09,0.84,0.07,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,27435122,,Repair artery rupture belly,A,,36.94,5.01,NA,5.01,,9.44,51.39,51.39,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2753512F,,Syph scrng 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
4,27635131,,Repair defect of artery,A,,25.74,5.40,NA,5.40,,6.56,37.70,37.70,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664