Billing code 35141: Artery repairMedicare rate & RVUs in Minnesota

Reports open direct repair of a femoral artery wall defect, with code selection guided by the artery involved and whether the defect represents rupture.

CMS RVU26DEffective Oct 1, 20261 payment locality1.6K Medicare services in 2024

CMS doesn’t publish an office rate for 35141 in Minnesota.

—Office (non-facility)
$873.07Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 35141 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Minnesota
  2. What 35141 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 35141 covers

This code describes open direct repair of a defect in the femoral artery. A vascular surgeon may perform the repair for a focal arterial injury, such as damage during trauma or an operative procedure. The operative report should identify the femoral artery and describe the defect and the repair performed. A femoral artery rupture is represented by a separate code in this family, so the documented condition matters when selecting the code.

Report the service for the femoral artery defect repair, and retain documentation of the site, laterality, and operative findings. CMS classifies it as major surgery with 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.

35141 in Minnesota

35141 office and facility rates by payment locality
Payment localityOfficeFacility
MinnesotaUnavailable$873.07

How the 35141 rate is calculated

Each of 35141’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 · 35141

RVUs × geographic indexes × conversion factor

Work20.39

20.39 RVUs× 1.000 GPCI

Practice expense4.10

4.10 RVUs× 1.000 GPCI

Malpractice5.17

5.17 RVUs× 1.000 GPCI

Adjusted RVUs

29.6600

Conversion factor

$33.4009

Medicare rate

$990.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 35141

35141 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35141

Artery repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35141

Artery 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35141 without 50 · national facility

$990.67

Artery repair

35141-50 · Bilateral: 150%

$1,486.01

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).

When to use modifier 50

35141 compared with similar codes

Compare codes · National

5 codes, side by side

  • 35141

    Artery repair20.39 wRVU

    Not priced

  • 35142

    Arterial repair24.53 wRVU

    Not priced

  • 35131

    Arterial repair25.74 wRVU

    Not priced

  • 35151

    Arterial repair23.13 wRVU

    Not priced

  • 35152

    Popliteal artery repair26.97 wRVU

    Not priced

How to choose

35142Arterial repair
Both concern the femoral artery, but 35142 is for a documented rupture; 35141 is for a femoral artery defect repair.
35131Arterial repair
This code is specific to a femoral artery defect. 35131 applies to a lower-extremity arterial site outside the femoral and popliteal sites.
35151Arterial repair
Choose 35151 when the repaired artery is the popliteal artery; 35141 identifies the femoral artery.
35152Popliteal artery repair
35152 identifies repair of a ruptured popliteal artery. This code is for a femoral artery defect.

35141 billing questions

How is this code distinguished from 35142?

Use 35141 for a femoral artery defect repair. The related 35142 code is for repair when the documented condition is rupture of the femoral artery.

What details should the operative report support?

Document the femoral artery involved, laterality, the nature of the defect, and the repair performed. Those details distinguish this service from repairs for other arterial sites or a documented rupture.

How is bilateral repair reported?

CMS lists bilateral reporting with modifier 50, paid at 150%. The record should support repair of both femoral arteries.

How does the 90-day global period affect postoperative billing?

The global period includes the day-before preoperative visit and 90 days of related postoperative care. Related care during that period is included in the surgical service.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

Under the CMS multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.

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
RVUs for 35141PPRRVU2026_Oct_nonQPP.csv, line 4,279 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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