Billing code 35207: Vessel repairMedicare rate & RVUs in Illinois
Reports direct repair of a damaged blood vessel in the hand or finger, such as primary suture repair after a traumatic laceration.
CMS doesn’t publish an office rate for 35207 in Illinois.
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 35207 covers
This service repairs a blood vessel in the hand or finger directly, typically by suturing the injured vessel without placing an interposed graft. It may be performed by a vascular, hand, or trauma surgeon in the operating room for injuries such as a vessel laceration from trauma or an operative injury. The operative report should establish that the repair involved a hand or finger vessel and describe the direct repair performed.
Select this code for direct repair at the hand or finger site; distinguish it from codes for other anatomic sites and from repairs that use a graft. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in this major-surgery service. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons require 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 35207 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $776.27 |
| East St. Louis | Unavailable | $732.50 |
| Rest Of Illinois | Unavailable | $699.66 |
| Suburban Chicago | Unavailable | $745.97 |
How the 35207 rate is calculated
Each of 35207’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 · 35207
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.67Practice expense 7.73Malpractice 2.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 35207
35207 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35207
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) | 1 | Not paid (statutory restriction). |
| 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 · 35207
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
35207 without 50 · national facility
$683.38
Vessel repair
35207-50 · Bilateral: 150%
$1,025.07
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).
35207 compared with similar codes
Compare codes
35207 vs 35206 vs 35236 vs 35266 vs 35226: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 35206Vessel repair
- Both describe direct vessel repair, but 35207 is for a hand or finger vessel. Use 35206 for the applicable other upper-extremity site.
- 35236Vessel repair
- This code describes direct repair without an interposed graft. Code 35236 is for an upper-extremity repair that uses a vein graft.
- 35266Vessel repair
- Use 35207 for direct repair at the hand or finger. Code 35266 describes an upper-extremity vessel repair using a graft other than a vein.
- 35226Vessel repair
- Both are direct vessel repairs, but 35207 is for the hand or finger and 35226 is for a lower-extremity site.
35207 billing questions
How is this distinguished from 35206?
Use 35207 when the directly repaired vessel is in the hand or finger. Code 35206 describes direct vessel repair at another upper-extremity site; the operative location should support the selection.
Does this code include repair with a graft?
No. It describes direct repair without an interposed graft. A repair using a vein graft or another graft type belongs to the applicable graft-repair code.
What documentation supports reporting 35207?
Document the hand or finger vessel involved, the injury or defect, and how the vessel was repaired. The operative note should make clear that the repair was direct rather than graft-based.
Can modifier 50 be used for bilateral repairs?
For a bilateral procedure, CMS pays this code with modifier 50 at 150%. The record should support repair on both sides.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Medicare applies the standard multiple-procedure reduction when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeon payment requires supporting documentation, and 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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