No office rate
Both concern direct repair of an upper-extremity vessel. 35151 belongs to the arterial defect-repair group; 35206 is used for a different circumstance, commonly direct repair of an injured vessel.
On this page
CMS RVU26D · Effective 2026-10-01
35151 Arterial repair Medicare reimbursement rates in Connecticut
Report 35151 for direct repair of an arterial defect in an upper extremity, such as a localized brachial artery defect repaired without a graft. Compare 35151 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 35151 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
$1191.58
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 35151: Direct upper-extremity artery repair
Report 35151 for direct repair of an arterial defect in an upper extremity, such as a localized brachial artery defect repaired without a graft.
This service covers direct surgical repair of an arterial defect in an upper extremity. A vascular surgeon typically exposes the affected artery, such as the brachial artery, and repairs the defect directly rather than replacing the involved segment with a graft. The work is generally performed in an operating room for a focal arterial defect, including an aneurysmal defect when direct repair is appropriate.
Select 35151 when the operative report identifies an upper-extremity artery and documents direct repair; the vessel, defect, and repair method should be clear. A graft reconstruction or repair at another anatomic site calls for a different code. 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 other procedures are subject to the standard 50% reduction. Modifier 50 is used for bilateral reporting and is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35151
- 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 RVU23.13 · 69%
- Practice expense (office) RVU4.59 · 14%
- Malpractice RVU5.90 · 18%
531
Medicare services in 2024 · #3501 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.
35151 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Both are direct arterial defect repairs, but 35141 is for a lower-extremity site rather than the upper extremity.
No office rate
35152 is specifically for rupture of the popliteal artery. 35151 describes direct repair of an upper-extremity arterial defect.
Compare 35151 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
$1191.58
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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 35151 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
4,282
- Code
- 35151
- Physician work
- 23.13
- Practice expense
- 4.59
- Malpractice
- 5.90
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.13 | × 1.020 | 23.5926 |
| Practice expense | 4.59 | × 1.077 | 4.9434 |
| Malpractice | 5.90 | × 1.210 | 7.1390 |
| Total RVUs | 35.6750 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1191.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.13 | 1.02 |
| Practice expense | 4.59 | 1.077 |
| Malpractice | 5.9 | 1.21 |
(23.13 × 1.02 + 4.59 × 1.077 + 5.9 × 1.21) × $33.4009 = $1191.58
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.
35151 billing questions
How is 35151 distinguished from 35206?
35151 is for direct repair of an upper-extremity arterial defect in the defect-repair code group. 35206 is the related direct vessel-repair code commonly used for an upper-extremity vessel injury, such as a laceration; follow the documented condition and procedure.
What documentation supports 35151?
Document the specific upper-extremity artery, the defect being repaired, and that the artery was repaired directly. The operative report should make clear whether a graft or another reconstruction method was used.
Does 35151 include postoperative care?
Yes. Medicare assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted under the CMS facts for this code.
What happens when 35151 is performed with another procedure?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session 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.
4,27935141,,Repair defect of artery,A,,20.39,4.10,NA,4.10,,5.17,29.66,29.66,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,28035142,,Repair artery rupture thigh,A,,24.53,5.01,NA,5.01,,6.23,35.77,35.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2813514F,,Hep c scrng 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
4,28235151,,Repair defect of artery,A,,23.13,4.59,NA,4.59,,5.90,33.62,33.62,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,28335152,,Repair ruptd popliteal art,A,,26.97,4.21,NA,4.21,,6.87,38.05,38.05,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2843515F,,Pt has docd immun to hep c,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
4,2853517F,,Hbv assess&results intrp 1yr,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