No office rate
Both concern neck vessels, but 35231 is for repair using a vein graft. Choose 35201 when the documented method is direct repair without graft replacement.
On this page
CMS RVU26D · Effective 2026-10-01
35201 Vessel repair Medicare reimbursement rates in Connecticut
Reports operative direct repair of an injured blood vessel in the neck when the vessel is repaired without replacement by a graft. Compare 35201 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 35201 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
$897.26
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 35201: Direct neck blood vessel repair
Reports operative direct repair of an injured blood vessel in the neck when the vessel is repaired without replacement by a graft.
This service covers operative repair of a neck blood vessel by directly restoring the vessel rather than replacing a segment with a graft. It may be needed for traumatic injuries or vessel damage during another operation, involving structures such as the carotid artery or jugular vein. Vascular, trauma, or head-and-neck surgeons typically perform the repair in an operating room, often as part of a larger procedure.
Select this code when the documented repair method and neck location support direct repair; use a graft-repair code when a graft is used. The operative report should identify the injured vessel, its location, the repair performed, and any graft material. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 triggers bilateral payment 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 35201
- 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 RVU16.51 · 65%
- Practice expense (office) RVU4.79 · 19%
- Malpractice RVU4.02 · 16%
456
Medicare services in 2024 · #3646 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.
35201 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This is the neck graft-repair option when a graft other than a vein graft is used; 35201 describes direct repair.
No office rate
Both describe direct vessel repair, but 35206 is for an upper-extremity site. Use 35201 for a neck vessel.
No office rate
Both describe direct vessel repair, but 35221 applies to an intra-abdominal site rather than a neck vessel.
Compare 35201 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
$897.26
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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 35201 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
4,292
- Code
- 35201
- Physician work
- 16.51
- Practice expense
- 4.79
- Malpractice
- 4.02
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.51 | × 1.020 | 16.8402 |
| Practice expense | 4.79 | × 1.077 | 5.1588 |
| Malpractice | 4.02 | × 1.210 | 4.8642 |
| Total RVUs | 26.8632 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$897.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.51 | 1.02 |
| Practice expense | 4.79 | 1.077 |
| Malpractice | 4.02 | 1.21 |
(16.51 × 1.02 + 4.79 × 1.077 + 4.02 × 1.21) × $33.4009 = $897.26
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.
35201 billing questions
How is this distinguished from a neck vessel graft repair?
Use 35201 when the vessel is repaired directly. If the surgeon uses a vein graft or another type of graft, consider the corresponding neck graft-repair code instead.
What should the operative report document?
Document the neck vessel involved, the injury or defect, and how the surgeon repaired it. State whether a graft was used so the direct-repair code can be distinguished from graft repair.
How does CMS handle multiple procedures 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.
How is bilateral reporting handled?
For a bilateral procedure reported with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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.
4,28935188,,Rpr acq av fistula head&neck,A,,17.55,12.86,NA,12.86,,7.41,37.82,37.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29035189,,Rpr acq av fistula thrx&abd,A,,29.23,4.40,NA,4.40,,7.46,41.09,41.09,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29135190,,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
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