Billing code 35241: Vascular repairMedicare rate & RVUs in Florida
Reports surgical repair of an intrathoracic blood vessel using a vein graft when the operation also involves bypass.
CMS doesn’t publish an office rate for 35241 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 35241 covers
A surgeon uses a vein graft to reconstruct a blood vessel within the thorax as part of an operation involving bypass. The service is typically performed by a cardiothoracic or vascular surgeon in an operating room, for a planned reconstruction or repair of an intrathoracic vessel defect. The operative report should identify the vessel and location, the vein graft used, and the bypass performed.
Select this code when the repair uses a vein graft and is performed with bypass; direct repair and repair using another graft material belong to different code choices. 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% multiple-procedure reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 35241 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,535.88 |
| Miami | Unavailable | $1,689.33 |
| Rest Of Florida | Unavailable | $1,455.73 |
How the 35241 rate is calculated
Each of 35241’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 35241
RVUs × geographic indexes × conversion factor
Work24.94
24.94 RVUs× 1.000 GPCI
Practice expense10.10
10.10 RVUs× 1.000 GPCI
Malpractice5.98
5.98 RVUs× 1.000 GPCI
Adjusted RVUs
41.0200
Conversion factor
$33.4009
Medicare rate
$1,370.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35241
35241 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35241
Vascular repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35241
Vascular repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35241 without 50 · national facility
$1,370.10
Vascular repair
35241-50 · Bilateral: 150%
$2,055.15
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
35241 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 35246Vessel repair
- Both use a vein graft for intrathoracic vessel repair. The distinguishing factor is bypass: 35241 is for repair with bypass, while 35246 is without bypass.
- 35211Vessel repair
- This code describes intrathoracic direct repair with bypass. Choose 35241 when the repair uses a vein graft.
- 35261Vessel repair
- Both describe intrathoracic vessel repair with bypass, but 35261 uses a graft other than vein; 35241 specifies a vein graft.
35241 billing questions
How does this differ from 35246?
Both describe intrathoracic vessel repair using a vein graft. Choose 35241 when bypass is performed; 35246 is the corresponding choice without bypass.
When would a direct-repair code be used instead?
Use a direct-repair code when the vessel is repaired without a vein graft. For an intrathoracic repair with bypass, the direct-repair code is 35211.
What should the operative report document?
Document the intrathoracic vessel repaired, use of a vein graft, and performance of bypass. These details distinguish this service from direct repair, repair without bypass, and repair with another graft type.
How is this code affected by the 90-day global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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.
How does Medicare handle bilateral reporting and other procedures in the same session?
A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 35241 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →