No office rate
35002 is for a documented neck artery rupture. 35001 is an artery-defect repair code, so the rupture indication and operative details distinguish the choice.
On this page
CMS RVU26D · Effective 2026-10-01
35002 Arterial repair Medicare reimbursement rates in California
Reports operative repair of a ruptured artery in the neck, such as a carotid artery, with payment subject to major-surgery and session rules. Compare 35002 office and facility rates across CMS payment localities in California.
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 35002 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$975.49–$1087.07
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $111.58 per service.
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.
Where 35002 pays more and less in California
Vascular surgery
About 35002: Operative repair of ruptured neck artery
Reports operative repair of a ruptured artery in the neck, such as a carotid artery, with payment subject to major-surgery and session rules.
This code covers operative repair of a ruptured artery in the neck. A carotid artery is a typical site example. The service is generally performed by a vascular or other qualified surgeon in an operating room for an acute arterial injury or rupture requiring surgical repair. The operative report should identify the artery and neck location and describe the rupture and repair performed.
Select the code based on the documented rupture and neck site, rather than using an artery-defect code solely because the surgeon repaired an artery. Medicare assigns 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35002
- 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 RVU21.67 · 70%
- Practice expense (office) RVU3.83 · 12%
- Malpractice RVU5.54 · 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.
35002 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Both concern artery rupture repair, but 35013 identifies an arm site; 35002 identifies a neck site.
No office rate
Both concern artery rupture repair, but 35022 identifies a chest site; 35002 identifies a neck site.
No office rate
35082 is for artery rupture at an aortic site, not a neck artery rupture reported with 35002.
Compare 35002 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $990.45 |
| Chico | Office Unavailable | Facility $975.49 |
| El Centro | Office Unavailable | Facility $976.42 |
| Fresno | Office Unavailable | Facility $975.49 |
| Hanford-Corcoran | Office Unavailable | Facility $975.49 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1027.68 |
| Madera | Office Unavailable | Facility $975.49 |
| Merced | Office Unavailable | Facility $975.49 |
| Modesto | Office Unavailable | Facility $975.49 |
| Napa | Office Unavailable | Facility $1032.00 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1010.55 |
| Redding | Office Unavailable | Facility $975.49 |
| Rest Of California | Office Unavailable | Facility $975.49 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1034.87 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $997.81 |
| Salinas | Office Unavailable | Facility $993.68 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $998.80 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1057.87 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1051.58 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1087.07 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1061.34 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $980.99 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $993.61 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $992.41 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1001.79 |
| Stockton | Office Unavailable | Facility $975.49 |
| Vallejo | Office Unavailable | Facility $1022.94 |
| Visalia | Office Unavailable | Facility $975.49 |
| Yuba City | Office Unavailable | Facility $975.49 |
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35002 billing questions
When should 35002 be selected instead of an artery-defect repair code?
Use 35002 when the operative documentation identifies a ruptured artery in the neck. A repair in that location without a documented rupture may point to a different artery-repair code.
What documentation supports reporting 35002?
The operative report should identify the neck artery, document the rupture, and describe the surgical repair. Include whether the procedure was unilateral or bilateral when relevant.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is 35002 handled when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is bilateral neck artery repair reported?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS rule for this code.
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.
4,2503497F,,Cd4+ cell percentage <15%,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
4,2513498F,,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