No office rate
Both describe direct vessel repair, but 35207 is for a hand or finger vessel. Use 35206 for the applicable other upper-extremity site.
On this page
CMS RVU26D · Effective 2026-10-01
35207 Vessel repair Medicare reimbursement rates in California
Reports direct repair of a damaged blood vessel in the hand or finger, such as primary suture repair after a traumatic laceration. Compare 35207 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 35207 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
$682.30–$804.78
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $122.48 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 35207 pays more and less in California
Vascular surgery
About 35207: Direct hand or finger vessel repair
Reports direct repair of a damaged blood vessel in the hand or finger, such as primary suture repair after a traumatic laceration.
This service repairs a blood vessel in the hand or finger directly, typically by suturing the injured vessel without placing an interposed graft. It may be performed by a vascular, hand, or trauma surgeon in the operating room for injuries such as a vessel laceration from trauma or an operative injury. The operative report should establish that the repair involved a hand or finger vessel and describe the direct repair performed.
Select this code for direct repair at the hand or finger site; distinguish it from codes for other anatomic sites and from repairs that use a graft. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in this major-surgery service. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35207
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.67 · 52%
- Practice expense (office) RVU7.73 · 38%
- Malpractice RVU2.06 · 10%
201
Medicare services in 2024 · #4323 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.
35207 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
This code describes direct repair without an interposed graft. Code 35236 is for an upper-extremity repair that uses a vein graft.
No office rate
Use 35207 for direct repair at the hand or finger. Code 35266 describes an upper-extremity vessel repair using a graft other than a vein.
No office rate
Both are direct vessel repairs, but 35207 is for the hand or finger and 35226 is for a lower-extremity site.
Compare 35207 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 $688.04 |
| Chico | Office Unavailable | Facility $682.30 |
| El Centro | Office Unavailable | Facility $682.65 |
| Fresno | Office Unavailable | Facility $682.30 |
| Hanford-Corcoran | Office Unavailable | Facility $682.30 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $722.12 |
| Madera | Office Unavailable | Facility $682.30 |
| Merced | Office Unavailable | Facility $682.30 |
| Modesto | Office Unavailable | Facility $682.30 |
| Napa | Office Unavailable | Facility $754.09 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $714.41 |
| Redding | Office Unavailable | Facility $682.30 |
| Rest Of California | Office Unavailable | Facility $682.30 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $704.47 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $706.37 |
| Salinas | Office Unavailable | Facility $703.56 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $713.17 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $785.87 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $783.53 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $804.78 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $795.21 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $693.40 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $714.45 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $704.29 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $721.02 |
| Stockton | Office Unavailable | Facility $682.30 |
| Vallejo | Office Unavailable | Facility $750.71 |
| Visalia | Office Unavailable | Facility $682.30 |
| Yuba City | Office Unavailable | Facility $682.30 |
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35207 billing questions
How is this distinguished from 35206?
Use 35207 when the directly repaired vessel is in the hand or finger. Code 35206 describes direct vessel repair at another upper-extremity site; the operative location should support the selection.
Does this code include repair with a graft?
No. It describes direct repair without an interposed graft. A repair using a vein graft or another graft type belongs to the applicable graft-repair code.
What documentation supports reporting 35207?
Document the hand or finger vessel involved, the injury or defect, and how the vessel was repaired. The operative note should make clear that the repair was direct rather than graft-based.
Can modifier 50 be used for bilateral repairs?
For a bilateral procedure, CMS pays this code with modifier 50 at 150%. The record should support repair on both sides.
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. Medicare applies the standard multiple-procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
4,29135190,,Repair acq av fistula xtr,A,,13.08,4.12,NA,4.12,,3.34,20.54,20.54,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29235201,,Repair blood vessel dir neck,A,,16.51,4.79,NA,4.79,,4.02,25.32,25.32,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29335206,,Repair blood vessel dir uxtr,A,,13.49,5.06,NA,5.06,,3.13,21.68,21.68,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29435207,,Rpr bld vsl dir hand finger,A,,10.67,7.73,NA,7.73,,2.06,20.46,20.46,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2953520F,,Cdifficile testing performed,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
4,29635211,,Rpr blvsl dir ntrathrc w/byp,A,,23.97,9.63,NA,9.63,,5.93,39.53,39.53,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29735216,,Rpr blvsl dir ntrthrc wo byp,A,,35.69,12.82,NA,12.82,,8.60,57.11,57.11,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00