No office rate
Choose 35142 when the artery is ruptured; 35141 is for repair of an arterial defect in the thigh.
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CMS RVU26D · Effective 2026-10-01
35142 Arterial repair Medicare reimbursement rates in Guam
Open operative repair of a ruptured artery in the thigh, reported when the surgeon repairs the rupture at that anatomic level. Compare 35142 office and facility rates across CMS payment localities in Guam.
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 35142 in Guam?
Guam 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
$1130.07
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 35142: Open repair of ruptured thigh artery
Open operative repair of a ruptured artery in the thigh, reported when the surgeon repairs the rupture at that anatomic level.
This code represents operative repair of a ruptured artery located in the thigh. A vascular or other surgeon exposes the affected vessel, controls hemorrhage, and repairs the arterial disruption. The operative report should identify the artery and establish that the rupture is in the thigh rather than the groin or popliteal region. This is generally a hospital operating-room service, often performed urgently for active bleeding or a ruptured arterial lesion.
Report the code for the qualifying thigh-artery rupture repair, using the documented anatomy and operative work to distinguish it from repair of a nonruptured arterial defect or a rupture at another site. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral repair, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 35142
- 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 RVU24.53 · 69%
- Practice expense (office) RVU5.01 · 14%
- Malpractice RVU6.23 · 17%
218
Medicare services in 2024 · #4252 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.
35142 compared with similar codes
Office rates for Guam, from the same CMS release.
Compare 35142 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$1130.07
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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 35142 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,280
- Code
- 35142
- Physician work
- 24.53
- Practice expense
- 5.01
- Malpractice
- 6.23
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.53 | × 1.000 | 24.5300 |
| Practice expense | 5.01 | × 1.137 | 5.6964 |
| Malpractice | 6.23 | × 0.579 | 3.6072 |
| Total RVUs | 33.8335 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1130.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.53 | 1 |
| Practice expense | 5.01 | 1.137 |
| Malpractice | 6.23 | 0.579 |
(24.53 × 1 + 5.01 × 1.137 + 6.23 × 0.579) × $33.4009 = $1130.07
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.
35142 billing questions
How is this code distinguished from 35141?
35142 is for repair of a ruptured thigh artery. 35141 describes repair of an arterial defect at that site, rather than a rupture.
Which anatomy determines whether this code applies?
The operative documentation should place the ruptured artery in the thigh. Use the site-specific code for a rupture in the groin or popliteal region instead.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair paid?
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-surgeons are paid only with supporting documentation; team surgery is not permitted.
What records support reporting this code?
The operative report should identify the ruptured artery, locate it in the thigh, and describe the repair performed.
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.
4,27735132,,Repair artery rupture groin,A,,31.76,4.60,NA,4.60,,8.12,44.48,44.48,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2783513F,,Hep b scrng docd as done,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
4,27935141,,Repair defect of artery,A,,20.39,4.10,NA,4.10,,5.17,29.66,29.66,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,28035142,,Repair artery rupture thigh,A,,24.53,5.01,NA,5.01,,6.23,35.77,35.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2813514F,,Hep c scrng docd as done,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
4,28235151,,Repair defect of artery,A,,23.13,4.59,NA,4.59,,5.90,33.62,33.62,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,28335152,,Repair ruptd popliteal art,A,,26.97,4.21,NA,4.21,,6.87,38.05,38.05,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014