Billing code 35082: Aortic rupture repairMedicare rate & RVUs in Alaska
Reports open surgical repair of a ruptured abdominal aorta, typically performed urgently for a ruptured abdominal aortic aneurysm.
CMS doesn’t publish an office rate for 35082 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 35082 covers
This code describes open operative repair of a rupture involving the abdominal aorta, commonly a ruptured abdominal aortic aneurysm. A vascular surgeon typically performs the emergency procedure in a hospital operating room, gaining abdominal access to control the bleeding and repair the aorta. It distinguishes open repair from endovascular treatment and from repair of a nonruptured abdominal aortic aneurysm.
Report the code when the operative record supports rupture and open repair of the abdominal aorta; document the rupture, anatomy, approach, and repair performed. The 90-day global period includes 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% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
35082 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $2,499.95 |
How the 35082 rate is calculated
Each of 35082’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 35082
RVUs × geographic indexes × conversion factor
Work41.04
41.04 RVUs× 1.000 GPCI
Practice expense7.09
7.09 RVUs× 1.000 GPCI
Malpractice10.41
10.41 RVUs× 1.000 GPCI
Adjusted RVUs
58.5400
Conversion factor
$33.4009
Medicare rate
$1,955.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35082
35082 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35082
Aortic rupture repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35082
Aortic rupture repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
35082 without 51 · national facility
$1,955.29
Aortic rupture repair
35082-51 · Second procedure: 50%
$977.65
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
35082 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 35081Aortic aneurysm repair
- Both describe open abdominal aortic repair, but 35082 is for rupture; 35081 is for a nonruptured lesion.
- 35092Aortic rupture repair
- Both address open repair of a ruptured aorta. Choose 35092 for thoracic aortic rupture, not abdominal aortic rupture.
- 35022Arterial repair
- This code concerns a rupture in the chest. 35082 applies when the ruptured aorta is abdominal.
35082 billing questions
How does this differ from 35081?
35082 is for open repair when the abdominal aorta has ruptured. Use 35081 for the corresponding open repair when the aneurysm or arterial lesion is not ruptured.
Does this code describe endovascular repair?
No. It describes open abdominal aortic repair. An endovascular procedure uses a different code based on the endograft procedure performed.
What documentation supports reporting 35082?
The operative report should establish that the abdominal aorta ruptured and describe the open approach and repair. Document the affected anatomy and the procedure performed.
Can modifier 50 be reported?
No. The bilateral adjustment does not apply because bilateral reporting is inappropriate for this anatomy and procedure.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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