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CMS RVU26D · Effective 2026-10-01

35271 Vascular graft repair Medicare reimbursement rates in Mississippi

Reports reconstruction of an intrathoracic blood vessel using a graft other than vein when the operative repair includes a bypass. Compare 35271 office and facility rates across CMS payment localities in Mississippi.

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 35271 in Mississippi?

Mississippi 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

$1226.47

1 of 1 localities have a supported rate.

Payment area: Mississippi

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.

Find 35271 in your payment locality →

Vascular surgery

About 35271: Intrathoracic non-vein graft vascular repair with bypass

Reports reconstruction of an intrathoracic blood vessel using a graft other than vein when the operative repair includes a bypass.

This code represents open reconstruction of a blood vessel within the chest using a graft made from material other than vein, with a bypass as part of the repair. Vascular and cardiothoracic surgeons may perform the service during operations for vessel injury or disease requiring restoration of blood flow. The operative report should establish the intrathoracic site and describe the graft reconstruction and bypass performed.

Select this code when the documented repair uses a non-vein graft and includes bypass; a direct repair or vein graft reconstruction falls into a different code. Documentation should identify the vessel, graft material, and bypass configuration. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For a bilateral procedure reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 35271

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 RVU23.97 · 61%
  • Practice expense (office) RVU9.89 · 25%
  • Malpractice RVU5.73 · 14%

83

Medicare services in 2024 · #5018 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.

35271 compared with similar codes

Office rates for Mississippi, from the same CMS release.

35276

Vessel repair

Intrathoracic, without bypass

No office rate

Both involve an intrathoracic vessel and a graft other than vein. The distinguishing feature is bypass: 35271 includes it, while 35276 is for repair without bypass.

35241

Vascular repair

Intrathoracic, vein graft with bypass

No office rate

Both describe intrathoracic bypass repair, but 35241 uses a vein graft; this code uses a graft other than vein.

35211

Vessel repair

Intrathoracic, with bypass

No office rate

Both are intrathoracic repairs with bypass. Use 35211 for direct vessel repair without graft reconstruction; use this code when a non-vein graft is used.

Compare 35271 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

Office and facility base rates · shared scale starting at $0

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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 35271 in Mississippi.

PPRRVU2026_Oct_nonQPP.csv

4,308

Code
35271
Physician work
23.97
Practice expense
9.89
Malpractice
5.73

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 35271 in Mississippi
ComponentRVULocality factorAdjusted
Physician work23.97× 1.00023.9700
Practice expense9.89× 0.8618.5153
Malpractice5.73× 0.7394.2345
Total RVUs36.7198
Conversion factor× 33.4009

Facility rate, Mississippi$1226.47

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work23.971
Practice expense9.890.861
Malpractice5.730.739

(23.97 × 1 + 9.89 × 0.861 + 5.73 × 0.739) × $33.4009 = $1226.47

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.

35271 billing questions

How does this code differ from 35276?

Both describe intrathoracic vessel reconstruction with a graft other than vein. Use 35271 when the repair includes bypass; 35276 describes the repair without bypass.

When should a vein-graft code be used instead?

Use 35241 for an intrathoracic bypass repair using a vein graft. This code is for a graft other than vein.

What should the operative report document?

Document the intrathoracic vessel repaired, the graft material, and the bypass reconstruction. Those details distinguish this service from direct repair, vein-graft repair, and repair without bypass.

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

The day-before preoperative visit and 90 days of related postoperative care are included in the global period for this major surgery.

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.

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.

RVUs for 35271PPRRVU2026_Oct_nonQPP.csv, line 4,308 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet