Billing code 35112: Artery repairMedicare rate & RVUs in Ohio
Repair of a ruptured splenic artery is reported for operative treatment of bleeding from this artery, including rupture requiring direct surgical repair.
CMS doesn’t publish an office rate for 35112 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 35112 covers
This code represents operative repair of a ruptured splenic artery, an emergency procedure to control arterial bleeding. A vascular or general surgeon typically performs the repair in an operating room, often during treatment of acute intra-abdominal hemorrhage. The operative record should identify the splenic artery as the rupture site and describe the repair performed; documentation of an aneurysm alone does not establish that rupture was treated.
Report this code for the ruptured artery rather than the nonrupture splenic-artery repair code. 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 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 identifies a bilateral procedure and is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with supporting documentation. 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.
35112 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,474.47 |
How the 35112 rate is calculated
Each of 35112’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 · 35112
RVUs × geographic indexes × conversion factor
Work31.76
31.76 RVUs× 1.000 GPCI
Practice expense4.60
4.60 RVUs× 1.000 GPCI
Malpractice8.12
8.12 RVUs× 1.000 GPCI
Adjusted RVUs
44.4800
Conversion factor
$33.4009
Medicare rate
$1,485.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35112
35112 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35112
Artery repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35112
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35112 without 50 · national facility
$1,485.67
Artery repair
35112-50 · Bilateral: 150%
$2,228.51
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).
35112 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 35111Arterial repair
- Choose 35112 for repair of a ruptured splenic artery; 35111 is the related repair code for a splenic-artery defect without rupture.
- 35103Aortic repair
- Both describe repair for arterial rupture, but 35103 is for the aortic site; 35112 identifies the splenic artery.
- 35102Aortic repair
- 35102 describes artery-defect repair rather than repair for rupture. Select based on the operative finding and the documented service.
35112 billing questions
How is this distinguished from 35111?
Use 35112 when the splenic artery rupture is repaired. Code 35111 is the related splenic-artery repair code for a defect that is not documented as a rupture.
Does a splenic artery aneurysm diagnosis support this code?
An aneurysm diagnosis by itself does not establish rupture. The operative documentation should identify rupture of the splenic artery and describe its surgical repair.
What postoperative services are included?
The 90-day 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; other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
When is modifier 50 relevant?
For a bilateral procedure, CMS pays this code with modifier 50 at 150%. The record should support the bilateral service.
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
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