Both concern the femoral artery, but 35142 is for a documented rupture; 35141 is for a femoral artery defect repair.
On this page
CMS RVU26D · Effective 2026-10-01
35141 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$935.27
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 35141: Direct femoral artery defect repair
Reports open direct repair of a femoral artery wall defect, with code selection guided by the artery involved and whether the defect represents rupture.
This code describes open direct repair of a defect in the femoral artery. A vascular surgeon may perform the repair for a focal arterial injury, such as damage during trauma or an operative procedure. The operative report should identify the femoral artery and describe the defect and the repair performed. A femoral artery rupture is represented by a separate code in this family, so the documented condition matters when selecting the code.
Report the service for the femoral artery defect repair, and retain documentation of the site, laterality, and operative findings. CMS classifies it as major surgery with 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35141
- 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 RVU20.39 · 69%
- Practice expense (office) RVU4.10 · 14%
- Malpractice RVU5.17 · 17%
1.6K
Medicare services in 2024 · #2614 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.
35141 compared with similar codes
Office rates for Madera, from the same CMS release.
This code is specific to a femoral artery defect. 35131 applies to a lower-extremity arterial site outside the femoral and popliteal sites.
Choose 35151 when the repaired artery is the popliteal artery; 35141 identifies the femoral artery.
35152 identifies repair of a ruptured popliteal artery. This code is for a femoral artery defect.
The same code, a different location
How does Madera compare?
35141 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
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 · 35141
Office
Unavailable
Facility
$935.27
No comparable office rate is available.
Modesto
California · 35141
Office
Unavailable
Facility
$935.27
No comparable office rate is available.
Napa
California · 35141
Office
Unavailable
Facility
$992.16
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35141
Office
Unavailable
Facility
$969.56
No comparable office rate is available.
Redding
California · 35141
Office
Unavailable
Facility
$935.27
No comparable office rate is available.
Rest Of California
California · 35141
Office
Unavailable
Facility
$935.27
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35141
Office
Unavailable
Facility
$990.69
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35141
Office
Unavailable
Facility
$957.39
No comparable office rate is available.
Salinas
California · 35141
Office
Unavailable
Facility
$953.43
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35141
Office
Unavailable
Facility
$958.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35141
Office
Unavailable
Facility
$1018.10
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35141
Office
Unavailable
Facility
$1012.22
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35141
Office
Unavailable
Facility
$1045.99
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35141
Office
Unavailable
Facility
$1021.99
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35141
Office
Unavailable
Facility
$941.16
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35141
Office
Unavailable
Facility
$954.29
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35141
Office
Unavailable
Facility
$952.35
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35141
Office
Unavailable
Facility
$962.20
No comparable office rate is available.
Stockton
California · 35141
Office
Unavailable
Facility
$935.27
No comparable office rate is available.
Vallejo
California · 35141
Office
Unavailable
Facility
$983.70
No comparable office rate is available.
Visalia
California · 35141
Office
Unavailable
Facility
$935.27
No comparable office rate is available.
Yuba City
California · 35141
Office
Unavailable
Facility
$935.27
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35141
Office
Unavailable
Facility
$1071.34
No comparable office rate is available.
Miami
Florida · 35141
Office
Unavailable
Facility
$1260.32
No comparable office rate is available.
Chicago
Illinois · 35141
Office
Unavailable
Facility
$1219.75
No comparable office rate is available.
Manhattan
New York · 35141
Office
Unavailable
Facility
$1157.63
No comparable office rate is available.
Alaska*
Alaska · 35141
Office
Unavailable
Facility
$1262.56
No comparable office rate is available.
Alabama
Alabama · 35141
Office
Unavailable
Facility
$898.61
No comparable office rate is available.
Arkansas
Arkansas · 35141
Office
Unavailable
Facility
$887.61
No comparable office rate is available.
Arizona
Arizona · 35141
Office
Unavailable
Facility
$961.56
No comparable office rate is available.
Colorado
Colorado · 35141
Office
Unavailable
Facility
$969.79
No comparable office rate is available.
Connecticut
Connecticut · 35141
Office
Unavailable
Facility
$1051.10
No comparable office rate is available.
Delaware
Delaware · 35141
Office
Unavailable
Facility
$974.99
No comparable office rate is available.
Fort Lauderdale
Florida · 35141
Office
Unavailable
Facility
$1131.98
No comparable office rate is available.
Rest Of Florida
Florida · 35141
Office
Unavailable
Facility
$1071.50
No comparable office rate is available.
Atlanta
Georgia · 35141
Office
Unavailable
Facility
$1029.61
No comparable office rate is available.
Rest Of Georgia
Georgia · 35141
Office
Unavailable
Facility
$1009.04
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35141
Office
Unavailable
Facility
$936.73
No comparable office rate is available.
Iowa
Iowa · 35141
Office
Unavailable
Facility
$874.90
No comparable office rate is available.
Idaho
Idaho · 35141
Office
Unavailable
Facility
$888.71
No comparable office rate is available.
East St. Louis
Illinois · 35141
Office
Unavailable
Facility
$1154.82
No comparable office rate is available.
Rest Of Illinois
Illinois · 35141
Office
Unavailable
Facility
$1075.98
No comparable office rate is available.
Suburban Chicago
Illinois · 35141
Office
Unavailable
Facility
$1132.45
No comparable office rate is available.
Indiana
Indiana · 35141
Office
Unavailable
Facility
$891.91
No comparable office rate is available.
Kansas
Kansas · 35141
Office
Unavailable
Facility
$891.87
No comparable office rate is available.
Kentucky
Kentucky · 35141
Office
Unavailable
Facility
$960.79
No comparable office rate is available.
New Orleans
Louisiana · 35141
Office
Unavailable
Facility
$1006.08
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35141
Office
Unavailable
Facility
$967.67
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35141
Office
Unavailable
Facility
$1026.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35141
Office
Unavailable
Facility
$973.77
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35141
Office
Unavailable
Facility
$1052.49
No comparable office rate is available.
Rest Of Maryland
Maryland · 35141
Office
Unavailable
Facility
$984.96
No comparable office rate is available.
Rest Of Maine
Maine · 35141
Office
Unavailable
Facility
$914.44
No comparable office rate is available.
Southern Maine
Maine · 35141
Office
Unavailable
Facility
$925.72
No comparable office rate is available.
Detroit
Michigan · 35141
Office
Unavailable
Facility
$1104.34
No comparable office rate is available.
Rest Of Michigan
Michigan · 35141
Office
Unavailable
Facility
$1001.03
No comparable office rate is available.
Minnesota
Minnesota · 35141
Office
Unavailable
Facility
$873.07
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35141
Office
Unavailable
Facility
$978.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35141
Office
Unavailable
Facility
$984.44
No comparable office rate is available.
Rest Of Missouri
Missouri · 35141
Office
Unavailable
Facility
$967.28
No comparable office rate is available.
Mississippi
Mississippi · 35141
Office
Unavailable
Facility
$926.57
No comparable office rate is available.
Montana**
Montana · 35141
Office
Unavailable
Facility
$990.33
No comparable office rate is available.
North Carolina
North Carolina · 35141
Office
Unavailable
Facility
$919.16
No comparable office rate is available.
North Dakota**
North Dakota · 35141
Office
Unavailable
Facility
$888.10
No comparable office rate is available.
Nebraska
Nebraska · 35141
Office
Unavailable
Facility
$872.72
No comparable office rate is available.
New Hampshire
New Hampshire · 35141
Office
Unavailable
Facility
$974.70
No comparable office rate is available.
Northern Nj
New Jersey · 35141
Office
Unavailable
Facility
$1067.23
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35141
Office
Unavailable
Facility
$1047.26
No comparable office rate is available.
New Mexico
New Mexico · 35141
Office
Unavailable
Facility
$1014.01
No comparable office rate is available.
Nevada**
Nevada · 35141
Office
Unavailable
Facility
$961.97
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35141
Office
Unavailable
Facility
$1208.13
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35141
Office
Unavailable
Facility
$1070.59
No comparable office rate is available.
Queens
New York · 35141
Office
Unavailable
Facility
$1135.51
No comparable office rate is available.
Rest Of New York
New York · 35141
Office
Unavailable
Facility
$932.54
No comparable office rate is available.
Ohio
Ohio · 35141
Office
Unavailable
Facility
$980.14
No comparable office rate is available.
Oklahoma
Oklahoma · 35141
Office
Unavailable
Facility
$937.51
No comparable office rate is available.
Portland
Oregon · 35141
Office
Unavailable
Facility
$972.56
No comparable office rate is available.
Rest Of Oregon
Oregon · 35141
Office
Unavailable
Facility
$938.84
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35141
Office
Unavailable
Facility
$1041.87
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35141
Office
Unavailable
Facility
$969.94
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35141
Office
Unavailable
Facility
$989.59
No comparable office rate is available.
Rhode Island
Rhode Island · 35141
Office
Unavailable
Facility
$989.48
No comparable office rate is available.
South Carolina
South Carolina · 35141
Office
Unavailable
Facility
$954.36
No comparable office rate is available.
South Dakota**
South Dakota · 35141
Office
Unavailable
Facility
$876.01
No comparable office rate is available.
Tennessee
Tennessee · 35141
Office
Unavailable
Facility
$898.26
No comparable office rate is available.
Austin
Texas · 35141
Office
Unavailable
Facility
$980.29
No comparable office rate is available.
Beaumont
Texas · 35141
Office
Unavailable
Facility
$966.09
No comparable office rate is available.
Brazoria
Texas · 35141
Office
Unavailable
Facility
$956.90
No comparable office rate is available.
Dallas
Texas · 35141
Office
Unavailable
Facility
$971.73
No comparable office rate is available.
Fort Worth
Texas · 35141
Office
Unavailable
Facility
$972.61
No comparable office rate is available.
Galveston
Texas · 35141
Office
Unavailable
Facility
$965.46
No comparable office rate is available.
Houston
Texas · 35141
Office
Unavailable
Facility
$1060.09
No comparable office rate is available.
Rest Of Texas
Texas · 35141
Office
Unavailable
Facility
$966.94
No comparable office rate is available.
Utah
Utah · 35141
Office
Unavailable
Facility
$964.84
No comparable office rate is available.
Virginia
Virginia · 35141
Office
Unavailable
Facility
$937.57
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35141
Office
Unavailable
Facility
$989.59
No comparable office rate is available.
Vermont
Vermont · 35141
Office
Unavailable
Facility
$904.00
No comparable office rate is available.
Rest Of Washington
Washington · 35141
Office
Unavailable
Facility
$965.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35141
Office
Unavailable
Facility
$1024.21
No comparable office rate is available.
Wisconsin
Wisconsin · 35141
Office
Unavailable
Facility
$865.42
No comparable office rate is available.
West Virginia
West Virginia · 35141
Office
Unavailable
Facility
$1047.16
No comparable office rate is available.
Wyoming**
Wyoming · 35141
Office
Unavailable
Facility
$945.77
No comparable office rate is available.
See how rates vary across the country
35141 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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 35141 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1028.80
$935.27 × 110% = $1028.80
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 35141 in Madera.
PPRRVU2026_Oct_nonQPP.csv
4,279
- Code
- 35141
- Physician work
- 20.39
- Practice expense
- 4.10
- Malpractice
- 5.17
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.39 | × 1.017 | 20.7366 |
| Practice expense | 4.10 | × 1.096 | 4.4936 |
| Malpractice | 5.17 | × 0.536 | 2.7711 |
| Total RVUs | 28.0013 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$935.27
Open 35141 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.39 | 1.017 |
| Practice expense | 4.1 | 1.096 |
| Malpractice | 5.17 | 0.536 |
(20.39 × 1.017 + 4.1 × 1.096 + 5.17 × 0.536) × $33.4009 = $935.27
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
35141 · 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 | $935.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $935.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $935.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $935.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $990.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $990.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $990.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $990.89 | RVU25A |
35141 billing questions
How is this code distinguished from 35142?
Use 35141 for a femoral artery defect repair. The related 35142 code is for repair when the documented condition is rupture of the femoral artery.
What details should the operative report support?
Document the femoral artery involved, laterality, the nature of the defect, and the repair performed. Those details distinguish this service from repairs for other arterial sites or a documented rupture.
How is bilateral repair reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. The record should support repair of both femoral arteries.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Related care during that period is included in the surgical service.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the CMS multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
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.
