No office rate
Both concern chest artery repair, but 35022 is for rupture; 35021 addresses an arterial defect.
On this page
CMS RVU26D · Effective 2026-10-01
35022 Arterial repair Medicare reimbursement rates in Delaware
Open surgical repair of a ruptured artery in the chest, selected for a non-aortic vessel rather than a rupture assigned to an aortic repair code. Compare 35022 office and facility rates across CMS payment localities in Delaware.
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 35022 in Delaware?
Delaware 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
$1355.64
1 of 1 localities have a supported rate.
Payment area: Delaware
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 35022: Ruptured chest artery repair
Open surgical repair of a ruptured artery in the chest, selected for a non-aortic vessel rather than a rupture assigned to an aortic repair code.
This code represents operative repair of a ruptured artery in the chest. A vascular or cardiothoracic surgeon typically performs the procedure in an operating room, often during urgent treatment of major bleeding. The operative report should identify the ruptured vessel and its location; the code is for a chest artery, not an aortic rupture covered by a separate aortic repair code.
Select the code from the documented vessel, rupture, and operative work, rather than from the incision or the general diagnosis of chest bleeding. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. 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 35022
- 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 RVU25.06 · 61%
- Practice expense (office) RVU10.12 · 25%
- Malpractice RVU6.01 · 15%
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.
35022 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
35082 is for aortic rupture in the chest. Choose 35022 when the ruptured chest artery is not the aorta.
No office rate
Both describe rupture repair, but 35002 is for an artery in the neck rather than the chest.
No office rate
35013 applies to rupture repair of an arm artery; 35022 is for a chest artery.
Compare 35022 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
Delaware →
Office / nonfacility
Unavailable
Facility
$1355.64
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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 35022 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,259
- Code
- 35022
- Physician work
- 25.06
- Practice expense
- 10.12
- Malpractice
- 6.01
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.06 | × 1.005 | 25.1853 |
| Practice expense | 10.12 | × 0.988 | 9.9986 |
| Malpractice | 6.01 | × 0.899 | 5.4030 |
| Total RVUs | 40.5868 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1355.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.06 | 1.005 |
| Practice expense | 10.12 | 0.988 |
| Malpractice | 6.01 | 0.899 |
(25.06 × 1.005 + 10.12 × 0.988 + 6.01 × 0.899) × $33.4009 = $1355.64
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.
35022 billing questions
How is this code distinguished from 35082?
Use 35022 for a ruptured chest artery other than the aorta. Aortic rupture is reported with the applicable aortic repair code, such as 35082 for aortic rupture in the chest.
What documentation supports reporting 35022?
The operative report should establish that an artery ruptured, identify the vessel and chest location, and describe the repair performed. A general diagnosis of bleeding alone does not establish the vessel or site.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is modifier 50 handled for a bilateral procedure?
When the service is performed bilaterally and reported with modifier 50, CMS pays at 150%.
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.
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.
4,25635011,,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
4,25735013,,Repair artery rupture arm,A,,22.65,3.88,NA,3.88,,5.78,32.31,32.31,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25835021,,Repair defect of artery,A,,21.62,9.42,NA,9.42,,5.16,36.20,36.20,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25935022,,Repair artery rupture chest,A,,25.06,10.12,NA,10.12,,6.01,41.19,41.19,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2603502F,,Hiv rna vrl ld <lmts quantif,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
4,2613503F,,Hiv rna vrl ldnot<lmts quntf,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
4,26235045,,Repair defect of arm artery,A,,17.56,4.12,NA,4.12,,4.40,26.08,26.08,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503