No office rate
Both concern an arm artery, but 35013 is the rupture-specific repair. Choose based on whether the operative documentation describes a rupture or another arterial defect.
On this page
CMS RVU26D · Effective 2026-10-01
35045 Arm artery repair Medicare reimbursement rates in Alabama
Reports operative repair of an arterial wall defect in the arm, selected for the treated site and defect rather than a rupture-specific repair. Compare 35045 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 35045 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$790.11
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular surgery
About 35045: Open repair of arm artery defect
Reports operative repair of an arterial wall defect in the arm, selected for the treated site and defect rather than a rupture-specific repair.
This code describes operative repair of an arterial defect in the arm. It is typically reported by a vascular, trauma, or other surgeon treating an arterial injury or defect in an operating-room setting. The operative report should identify the affected artery and arm site, describe the defect and repair performed, and support that the service addressed the arterial defect itself.
Select this code based on the arm location and the documented defect; a rupture-specific repair is represented by a different code. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with 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 35045
- 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 RVU17.56 · 67%
- Practice expense (office) RVU4.12 · 16%
- Malpractice RVU4.40 · 17%
595
Medicare services in 2024 · #3401 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.
35045 compared with similar codes
Office rates for Alabama, from the same CMS release.
Compare 35045 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$790.11
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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 35045 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
4,262
- Code
- 35045
- Physician work
- 17.56
- Practice expense
- 4.12
- Malpractice
- 4.40
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.56 | × 1.000 | 17.5600 |
| Practice expense | 4.12 | × 0.875 | 3.6050 |
| Malpractice | 4.40 | × 0.566 | 2.4904 |
| Total RVUs | 23.6554 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$790.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.56 | 1 |
| Practice expense | 4.12 | 0.875 |
| Malpractice | 4.4 | 0.566 |
(17.56 × 1 + 4.12 × 0.875 + 4.4 × 0.566) × $33.4009 = $790.11
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.
35045 billing questions
How does this differ from 35013?
This code is for an arm artery defect repair. Code 35013 is the rupture-specific arm artery repair; use the code that matches the operative diagnosis and work.
Are related postoperative visits separately reported?
The day-before preoperative visit and 90 days of related postoperative care are included in this code’s global period.
How is bilateral repair reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. The documentation should support repair on both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting this code?
Document the arm artery treated, the nature and location of the defect, and the operative repair performed. The record should support a defect repair rather than a rupture-specific service.
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.
4,25935022,,Repair artery rupture chest,A,,25.06,10.12,NA,10.12,,6.01,41.19,41.19,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2603502F,,Hiv rna vrl ld <lmts quantif,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
4,2613503F,,Hiv rna vrl ldnot<lmts quntf,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
4,26235045,,Repair defect of arm artery,A,,17.56,4.12,NA,4.12,,4.40,26.08,26.08,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26335081,,Repair defect of artery,A,,32.69,6.10,NA,6.10,,8.33,47.12,47.12,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26435082,,Repair artery rupture aorta,A,,41.04,7.09,NA,7.09,,10.41,58.54,58.54,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26535091,,Repair defect of artery,A,,34.47,4.80,NA,4.80,,8.75,48.02,48.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515