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CMS RVU26D · Effective 2026-10-01

35082 Aortic rupture repair Medicare reimbursement rates in Delaware

Reports open surgical repair of a ruptured abdominal aorta, typically performed urgently for a ruptured abdominal aortic aneurysm. Compare 35082 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 35082 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

$1924.18

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.

Find 35082 in your payment locality →

Vascular surgery

About 35082: Open repair of ruptured abdominal aorta

Reports open surgical repair of a ruptured abdominal aorta, typically performed urgently for a ruptured abdominal aortic aneurysm.

This code describes open operative repair of a rupture involving the abdominal aorta, commonly a ruptured abdominal aortic aneurysm. A vascular surgeon typically performs the emergency procedure in a hospital operating room, gaining abdominal access to control the bleeding and repair the aorta. It distinguishes open repair from endovascular treatment and from repair of a nonruptured abdominal aortic aneurysm.

Report the code when the operative record supports rupture and open repair of the abdominal aorta; document the rupture, anatomy, approach, and repair performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 is inappropriate for this code. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 35082

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU41.04 · 70%
  • Practice expense (office) RVU7.09 · 12%
  • Malpractice RVU10.41 · 18%

146

Medicare services in 2024 · #4581 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.

35082 compared with similar codes

Office rates for Delaware, from the same CMS release.

35081

Aortic aneurysm repair

Visceral vessels, direct repair

No office rate

Both describe open abdominal aortic repair, but 35082 is for rupture; 35081 is for a nonruptured lesion.

35092

Aortic rupture repair

Thoracoabdominal aorta

No office rate

Both address open repair of a ruptured aorta. Choose 35092 for thoracic aortic rupture, not abdominal aortic rupture.

35022

Arterial repair

Chest artery rupture

No office rate

This code concerns a rupture in the chest. 35082 applies when the ruptured aorta is abdominal.

Compare 35082 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

Office and facility base rates · shared scale starting at $0

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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 35082 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

4,264

Code
35082
Physician work
41.04
Practice expense
7.09
Malpractice
10.41

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 35082 in Delaware
ComponentRVULocality factorAdjusted
Physician work41.04× 1.00541.2452
Practice expense7.09× 0.9887.0049
Malpractice10.41× 0.8999.3586
Total RVUs57.6087
Conversion factor× 33.4009

Facility rate, Delaware$1924.18

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work41.041.005
Practice expense7.090.988
Malpractice10.410.899

(41.04 × 1.005 + 7.09 × 0.988 + 10.41 × 0.899) × $33.4009 = $1924.18

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.

35082 billing questions

How does this differ from 35081?

35082 is for open repair when the abdominal aorta has ruptured. Use 35081 for the corresponding open repair when the aneurysm or arterial lesion is not ruptured.

Does this code describe endovascular repair?

No. It describes open abdominal aortic repair. An endovascular procedure uses a different code based on the endograft procedure performed.

What documentation supports reporting 35082?

The operative report should establish that the abdominal aorta ruptured and describe the open approach and repair. Document the affected anatomy and the procedure performed.

Can modifier 50 be reported?

No. The bilateral adjustment does not apply because bilateral reporting is inappropriate for this anatomy and procedure.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How does the multiple-procedure reduction affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

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.

RVUs for 35082PPRRVU2026_Oct_nonQPP.csv, line 4,264 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet