No office rate
Use 35002 when the operative diagnosis and work are for a neck-artery rupture. This code describes a neck-artery defect repaired as a nonrupture case.
On this page
CMS RVU26D · Effective 2026-10-01
35001 Arterial repair Medicare reimbursement rates in Connecticut
Open direct repair of a neck artery defect is reported for operative correction of an arterial injury or other defect not coded as rupture. Compare 35001 office and facility rates across CMS payment localities in Connecticut.
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 35001 in Connecticut?
Connecticut 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
$1068.38
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 35001: Direct repair of neck artery
Open direct repair of a neck artery defect is reported for operative correction of an arterial injury or other defect not coded as rupture.
This service covers open repair of a defect in an artery in the neck. A vascular surgeon or another surgeon with appropriate expertise performs it in an operating room, commonly to correct an arterial injury encountered after trauma or during another procedure. The operative work focuses on repairing the affected artery rather than treating a rupture under the separately designated rupture code.
Select the code based on the artery’s location and the condition treated; use the neck-artery code for a nonrupture defect. The operative report should identify the affected artery, the defect and its cause, and the repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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 bilateral reporting 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 35001
- 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 RVU20.29 · 67%
- Practice expense (office) RVU4.72 · 16%
- Malpractice RVU5.13 · 17%
99
Medicare services in 2024 · #4889 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.
35001 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
35005 is for direct repair of an arterial defect in the intrathoracic region. Choose this code for a neck artery.
No office rate
35045 is for direct repair of an arterial defect in the arm. The artery’s anatomic location distinguishes it from this neck repair.
Compare 35001 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$1068.38
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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 35001 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
4,252
- Code
- 35001
- Physician work
- 20.29
- Practice expense
- 4.72
- Malpractice
- 5.13
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.29 | × 1.020 | 20.6958 |
| Practice expense | 4.72 | × 1.077 | 5.0834 |
| Malpractice | 5.13 | × 1.210 | 6.2073 |
| Total RVUs | 31.9865 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1068.38
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.29 | 1.02 |
| Practice expense | 4.72 | 1.077 |
| Malpractice | 5.13 | 1.21 |
(20.29 × 1.02 + 4.72 × 1.077 + 5.13 × 1.21) × $33.4009 = $1068.38
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.
35001 billing questions
How does this code differ from 35002?
This code is for a neck-artery defect treated as a nonrupture repair. Code 35002 identifies direct repair of a neck artery rupture.
What should the operative report document?
Document the artery and its neck location, the nature and cause of the defect, and the repair performed. The record should support that the case is not classified as a rupture repair.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is modifier 50 handled for bilateral repair?
CMS lists this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
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.
4,2493496F,,Cd4+ cell count >= 500 cells,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
4,2503497F,,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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808