No office rate
Both concern intra-abdominal vessels, but 35251 is for repair using a vein graft. Choose 35221 for direct repair without an interposed graft.
On this page
CMS RVU26D · Effective 2026-10-01
35221 Vessel repair Medicare reimbursement rates in Michigan
Reports direct repair of an injured intra-abdominal blood vessel, such as primary suture closure, when the operative approach does not use a graft. Compare 35221 office and facility rates across CMS payment localities in Michigan.
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 35221 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1344.53–$1479.36
2 of 2 localities have a supported rate.
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 35221: Direct intra-abdominal vessel repair
Reports direct repair of an injured intra-abdominal blood vessel, such as primary suture closure, when the operative approach does not use a graft.
This code describes direct repair of a blood vessel within the abdomen, typically by closing a defect in the vessel without inserting a graft. It may be performed by a vascular, trauma, or general surgeon when an abdominal vessel is injured, including during trauma care or another operation. The operative report should identify the vessel and its location and describe the direct repair performed.
Report this code when the documented work is a direct intra-abdominal vessel repair; a repair using a vein graft or another type of graft belongs to a different code. CMS 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% reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 35221
- 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 RVU25.95 · 65%
- Practice expense (office) RVU7.58 · 19%
- Malpractice RVU6.54 · 16%
1.5K
Medicare services in 2024 · #2670 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.
35221 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
35281 covers intra-abdominal vessel repair using a graft other than a vein graft. This code is for direct repair.
No office rate
35211 concerns direct repair of an intrathoracic vessel with bypass. This code is for an intra-abdominal vessel.
No office rate
35216 concerns direct repair of an intrathoracic vessel without bypass. Select this code when the repaired vessel is intra-abdominal.
Compare 35221 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$1479.36
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1344.53
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35221 billing questions
How do I distinguish direct repair from a graft repair?
Use this code when the vessel is repaired directly, such as by closing the defect without an interposed graft. A vein graft or another graft material points to a different intra-abdominal repair code.
What documentation supports reporting this code?
The operative report should identify the intra-abdominal vessel and describe the direct repair technique. It should make clear whether a graft was used.
How does the multiple-procedure reduction affect this code?
When other procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Can modifier 50 be used for bilateral repair?
CMS lists this as a bilateral procedure; when reported bilaterally with modifier 50, payment is at 150%.
How are assistant and co-surgeon services handled?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, while 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.
4,2953520F,,Cdifficile testing performed,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
4,29635211,,Rpr blvsl dir ntrathrc w/byp,A,,23.97,9.63,NA,9.63,,5.93,39.53,39.53,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29735216,,Rpr blvsl dir ntrthrc wo byp,A,,35.69,12.82,NA,12.82,,8.60,57.11,57.11,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29835221,,Rpr bld vsl dir intra-abdl,A,,25.95,7.58,NA,7.58,,6.54,40.07,40.07,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,29935226,,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