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CMS RVU26D · Effective 2026-10-01

35251 Vessel repair Medicare reimbursement rates in Delaware

Reports operative repair of an intra-abdominal blood vessel using a vein graft, such as during reconstruction after vessel injury or resection. Compare 35251 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 35251 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

$1541.04

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 35251 in your payment locality →

Vascular surgery

About 35251: Intra-abdominal vessel repair with vein graft

Reports operative repair of an intra-abdominal blood vessel using a vein graft, such as during reconstruction after vessel injury or resection.

This code describes surgical reconstruction of a blood vessel within the abdomen when the repair uses a vein graft. Vascular surgeons commonly perform it during open abdominal operations for vessel injury or when a segment must be reconstructed after disease or tumor resection. The operative report should identify the vessel and its abdominal location, the defect or reason for reconstruction, and the vein graft used.

Select this code when the documented repair uses a vein graft; a direct repair or repair using another graft material belongs to a different code. The procedure has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 35251

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 RVU31.11 · 66%
  • Practice expense (office) RVU7.91 · 17%
  • Malpractice RVU7.85 · 17%

189

Medicare services in 2024 · #4368 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.

35251 compared with similar codes

Office rates for Delaware, from the same CMS release.

35221

Vessel repair

Direct repair, intra-abdominal

No office rate

Both address intra-abdominal vessel repair, but 35221 is for direct repair. Choose 35251 when the operative report documents a vein graft.

35281

Vessel repair

Nonvenous graft, intra-abdominal

No office rate

Both are intra-abdominal vessel repairs using a graft; 35251 specifies a vein graft, while 35281 is for another graft material.

35231

Vascular repair

Neck, vein graft

No office rate

This is the corresponding vein-graft repair code for a vessel in the neck. The abdominal location distinguishes 35251.

Compare 35251 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 35251 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

4,304

Code
35251
Physician work
31.11
Practice expense
7.91
Malpractice
7.85

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 35251 in Delaware
ComponentRVULocality factorAdjusted
Physician work31.11× 1.00531.2655
Practice expense7.91× 0.9887.8151
Malpractice7.85× 0.8997.0572
Total RVUs46.1378
Conversion factor× 33.4009

Facility rate, Delaware$1541.04

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work31.111.005
Practice expense7.910.988
Malpractice7.850.899

(31.11 × 1.005 + 7.91 × 0.988 + 7.85 × 0.899) × $33.4009 = $1541.04

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.

35251 billing questions

How does this differ from 35221?

This code is for an intra-abdominal vessel repair using a vein graft. Code 35221 describes direct repair without a graft.

When would 35281 be considered instead?

Use 35281 when the intra-abdominal vessel repair uses a graft other than a vein graft. The operative report should support the graft material used.

What documentation supports reporting this code?

Document the abdominal vessel repaired, the reason for reconstruction, and that a vein graft was used. The operative details should distinguish graft reconstruction from direct closure.

How is the 90-day global period applied?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How are multiple procedures and bilateral reporting handled?

For procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. 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.

RVUs for 35251PPRRVU2026_Oct_nonQPP.csv, line 4,304 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet