Billing code 35201: Vessel repairMedicare rate & RVUs in Guam
Reports operative direct repair of an injured blood vessel in the neck when the vessel is repaired without replacement by a graft.
CMS doesn’t publish an office rate for 35201 in Guam.
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 35201 covers
This service covers operative repair of a neck blood vessel by directly restoring the vessel rather than replacing a segment with a graft. It may be needed for traumatic injuries or vessel damage during another operation, involving structures such as the carotid artery or jugular vein. Vascular, trauma, or head-and-neck surgeons typically perform the repair in an operating room, often as part of a larger procedure.
Select this code when the documented repair method and neck location support direct repair; use a graft-repair code when a graft is used. The operative report should identify the injured vessel, its location, the repair performed, and any graft material. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 triggers bilateral payment 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.
35201 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $811.10 |
How the 35201 rate is calculated
Each of 35201’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 · 35201
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.51Practice expense 4.79Malpractice 4.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 35201
35201 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35201
Vessel 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 · 35201
Vessel 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
35201 without 50 · national facility
$845.71
Vessel repair
35201-50 · Bilateral: 150%
$1,268.57
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).
35201 compared with similar codes
Compare codes
35201 vs 35231 vs 35261 vs 35206 vs 35221: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 35231Vascular repair
- Both concern neck vessels, but 35231 is for repair using a vein graft. Choose 35201 when the documented method is direct repair without graft replacement.
- 35261Vessel repair
- This is the neck graft-repair option when a graft other than a vein graft is used; 35201 describes direct repair.
- 35206Vessel repair
- Both describe direct vessel repair, but 35206 is for an upper-extremity site. Use 35201 for a neck vessel.
- 35221Vessel repair
- Both describe direct vessel repair, but 35221 applies to an intra-abdominal site rather than a neck vessel.
35201 billing questions
How is this distinguished from a neck vessel graft repair?
Use 35201 when the vessel is repaired directly. If the surgeon uses a vein graft or another type of graft, consider the corresponding neck graft-repair code instead.
What should the operative report document?
Document the neck vessel involved, the injury or defect, and how the surgeon repaired it. State whether a graft was used so the direct-repair code can be distinguished from graft repair.
How does CMS handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
How is bilateral reporting handled?
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-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 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
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