No office rate
Both use a vein graft for intrathoracic vessel repair. The distinguishing factor is bypass: 35241 is for repair with bypass, while 35246 is without bypass.
On this page
CMS RVU26D · Effective 2026-10-01
35241 Vascular repair Medicare reimbursement rates in Iowa
Reports surgical repair of an intrathoracic blood vessel using a vein graft when the operation also involves bypass. Compare 35241 office and facility rates across CMS payment localities in Iowa.
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 35241 in Iowa?
Iowa 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
$1220.99
1 of 1 localities have a supported rate.
Payment area: Iowa
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 35241: Intrathoracic vessel repair with vein graft and bypass
Reports surgical repair of an intrathoracic blood vessel using a vein graft when the operation also involves bypass.
A surgeon uses a vein graft to reconstruct a blood vessel within the thorax as part of an operation involving bypass. The service is typically performed by a cardiothoracic or vascular surgeon in an operating room, for a planned reconstruction or repair of an intrathoracic vessel defect. The operative report should identify the vessel and location, the vein graft used, and the bypass performed.
Select this code when the repair uses a vein graft and is performed with bypass; direct repair and repair using another graft material belong to different code choices. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35241
- 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 RVU24.94 · 61%
- Practice expense (office) RVU10.10 · 25%
- Malpractice RVU5.98 · 15%
12
Medicare services in 2024 · #6145 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.
35241 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
This code describes intrathoracic direct repair with bypass. Choose 35241 when the repair uses a vein graft.
No office rate
Both describe intrathoracic vessel repair with bypass, but 35261 uses a graft other than vein; 35241 specifies a vein graft.
Compare 35241 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
Iowa →
Office / nonfacility
Unavailable
Facility
$1220.99
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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 35241 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
4,302
- Code
- 35241
- Physician work
- 24.94
- Practice expense
- 10.10
- Malpractice
- 5.98
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.94 | × 1.000 | 24.9400 |
| Practice expense | 10.10 | × 0.915 | 9.2415 |
| Malpractice | 5.98 | × 0.397 | 2.3741 |
| Total RVUs | 36.5556 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1220.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.94 | 1 |
| Practice expense | 10.1 | 0.915 |
| Malpractice | 5.98 | 0.397 |
(24.94 × 1 + 10.1 × 0.915 + 5.98 × 0.397) × $33.4009 = $1220.99
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.
35241 billing questions
How does this differ from 35246?
Both describe intrathoracic vessel repair using a vein graft. Choose 35241 when bypass is performed; 35246 is the corresponding choice without bypass.
When would a direct-repair code be used instead?
Use a direct-repair code when the vessel is repaired without a vein graft. For an intrathoracic repair with bypass, the direct-repair code is 35211.
What should the operative report document?
Document the intrathoracic vessel repaired, use of a vein graft, and performance of bypass. These details distinguish this service from direct repair, repair without bypass, and repair with another graft type.
How is this code affected by the 90-day global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does Medicare handle bilateral reporting and other procedures in the same session?
A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
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.
4,29935226,,Repair blood vessel dir lxtr,A,,14.92,3.98,NA,3.98,,3.75,22.65,22.65,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,30035231,,Repair blvsl vn grf neck,A,,20.63,8.07,NA,8.07,,3.79,32.49,32.49,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,30135236,,Repair blvsl vn grf uxtr,A,,17.57,5.66,NA,5.66,,4.23,27.46,27.46,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,30235241,,Rpr blvsl vn grf ntrthrc w/b,A,,24.94,10.10,NA,10.10,,5.98,41.02,41.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,30335246,,Rpr blvsl vn grf ntrthrc w/o,A,,27.52,10.32,NA,10.32,,6.59,44.43,44.43,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,30435251,,Rpr blvsl vn grf intra-abdl,A,,31.11,7.91,NA,7.91,,7.85,46.87,46.87,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,30535256,,Repair blvsl vn grf lxtr,A,,18.58,4.67,NA,4.67,,4.52,27.77,27.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136