No office rate
Choose 35091 for an intrathoracic artery other than the aorta. Choose 35092 when the repaired vessel is the thoracic aorta.
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CMS RVU26D · Effective 2026-10-01
35091 Artery repair Medicare reimbursement rates in Indiana
Report this code for direct surgical repair of a defect in an intrathoracic artery other than the aorta, with or without a patch graft. Compare 35091 office and facility rates across CMS payment localities in Indiana.
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 35091 in Indiana?
Indiana 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
$1441.99
1 of 1 localities have a supported rate.
Payment area: Indiana
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 35091: Intrathoracic artery defect repair
Report this code for direct surgical repair of a defect in an intrathoracic artery other than the aorta, with or without a patch graft.
This code describes surgical repair of a defect in an artery within the chest, excluding the aorta. The surgeon closes the arterial defect directly, with a patch graft when needed. It may be used for repair of an injured or otherwise defective intrathoracic artery during an open operation. The operative report should identify the vessel and its location, the defect being repaired, and the repair performed.
Report the code for the intrathoracic arterial repair, not for repair of the aorta; aortic repair is represented by a different code. Documentation should distinguish the vessel from nearby structures and support the operative work. The service has a 90-day global period, which includes the day-before preoperative visit and related postoperative care through day 90. 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% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35091
- 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 RVU34.47 · 72%
- Practice expense (office) RVU4.80 · 10%
- Malpractice RVU8.75 · 18%
279
Medicare services in 2024 · #4049 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.
35091 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
35081 concerns an intra-abdominal artery other than the aorta; 35091 concerns an intrathoracic artery other than the aorta.
No office rate
35082 is for abdominal aortic repair. The vessel coded with 35091 is in the chest and is not the aorta.
Compare 35091 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
Indiana →
Office / nonfacility
Unavailable
Facility
$1441.99
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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 35091 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,265
- Code
- 35091
- Physician work
- 34.47
- Practice expense
- 4.80
- Malpractice
- 8.75
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.47 | × 1.000 | 34.4700 |
| Practice expense | 4.80 | × 0.927 | 4.4496 |
| Malpractice | 8.75 | × 0.486 | 4.2525 |
| Total RVUs | 43.1721 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1441.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 34.47 | 1 |
| Practice expense | 4.8 | 0.927 |
| Malpractice | 8.75 | 0.486 |
(34.47 × 1 + 4.8 × 0.927 + 8.75 × 0.486) × $33.4009 = $1441.99
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.
35091 billing questions
How is this code distinguished from 35092?
This code is for a non-aortic artery in the chest. Use 35092 for repair of the thoracic aorta.
Can a patch graft be part of the repair?
Yes. The repair may include a patch graft; the operative report should describe the defect and the technique used.
What documentation supports reporting this code?
Document the specific intrathoracic artery, the defect repaired, and the direct repair performed, including any patch graft.
How does the 90-day global period affect postoperative reporting?
The day-before preoperative visit and related postoperative care through 90 days are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is bilateral performance handled?
When the qualifying procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.
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.
4,26235045,,Repair defect of arm artery,A,,17.56,4.12,NA,4.12,,4.40,26.08,26.08,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26335081,,Repair defect of artery,A,,32.69,6.10,NA,6.10,,8.33,47.12,47.12,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26435082,,Repair artery rupture aorta,A,,41.04,7.09,NA,7.09,,10.41,58.54,58.54,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26535091,,Repair defect of artery,A,,34.47,4.80,NA,4.80,,8.75,48.02,48.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26635092,,Repair artery rupture aorta,A,,49.70,6.19,NA,6.19,,12.71,68.60,68.60,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26735102,,Repair defect of artery,A,,35.62,6.23,NA,6.23,,9.07,50.92,50.92,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,26835103,,Repair artery rupture aorta,A,,42.53,5.45,NA,5.45,,10.89,58.87,58.87,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915