No office rate
Use 35103 when the ruptured artery is the aorta; this code covers a different abdominal arterial site.
On this page
CMS RVU26D · Effective 2026-10-01
35122 Arterial repair Medicare reimbursement rates in Indiana
Reports open direct repair of a ruptured abdominal artery, with the aorta and splenic artery distinguished by their separate site-specific codes. Compare 35122 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 35122 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
$1542.19
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 35122: Ruptured abdominal artery direct repair
Reports open direct repair of a ruptured abdominal artery, with the aorta and splenic artery distinguished by their separate site-specific codes.
This code represents operative direct repair of a ruptured artery in the abdomen. A vascular or general surgeon may perform the procedure in a hospital operating room, controlling hemorrhage and repairing the arterial defect. The abdominal site and rupture must match this code; aortic and splenic artery ruptures have separate codes in the same family.
Report it for the rupture repair, not for an unruptured arterial defect. The operative report should identify the vessel and site, document rupture, and describe the repair performed. CMS 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 others at 50%. Modifier 50 indicates a bilateral procedure and is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 35122
- 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 RVU36.94 · 72%
- Practice expense (office) RVU5.01 · 10%
- Malpractice RVU9.44 · 18%
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.
35122 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Use 35112 for splenic artery rupture. This code is for a ruptured abdominal artery at another site.
No office rate
35121 describes direct repair of an arterial defect without rupture; this code requires a ruptured abdominal artery.
Compare 35122 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
$1542.19
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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 35122 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,274
- Code
- 35122
- Physician work
- 36.94
- Practice expense
- 5.01
- Malpractice
- 9.44
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.94 | × 1.000 | 36.9400 |
| Practice expense | 5.01 | × 0.927 | 4.6443 |
| Malpractice | 9.44 | × 0.486 | 4.5878 |
| Total RVUs | 46.1721 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1542.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.94 | 1 |
| Practice expense | 5.01 | 0.927 |
| Malpractice | 9.44 | 0.486 |
(36.94 × 1 + 5.01 × 0.927 + 9.44 × 0.486) × $33.4009 = $1542.19
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.
35122 billing questions
How is this code distinguished from 35121?
This code is for a ruptured abdominal artery. Code 35121 describes direct repair of an arterial defect without the rupture distinction.
When should 35103 or 35112 be reported instead?
Use 35103 for a ruptured aorta and 35112 for a ruptured splenic artery. This code is for a ruptured abdominal artery at another site.
Does the 90-day global include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can assistant or co-surgeon services be reported?
Assistant-at-surgery services may be paid. 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 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.
4,27135112,,Repair artery rupture spleen,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
4,2723511F,,Chlmyd/gonrh tsts docd 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
4,27335121,,Repair defect of artery,A,,30.73,4.42,NA,4.42,,7.87,43.02,43.02,0,090,0.09,0.84,0.07,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,27435122,,Repair artery rupture belly,A,,36.94,5.01,NA,5.01,,9.44,51.39,51.39,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2753512F,,Syph 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
4,27635131,,Repair defect of artery,A,,25.74,5.40,NA,5.40,,6.56,37.70,37.70,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,27735132,,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
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