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CMS RVU26D · Effective 2026-10-01

35211 Vessel repair Medicare reimbursement rates in Ohio

Reports direct repair of an intrathoracic blood vessel when the operation includes a bypass rather than a graft-based vessel reconstruction. Compare 35211 office and facility rates across CMS payment localities in Ohio.

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 35211 in Ohio?

Ohio 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

$1293.94

1 of 1 localities have a supported rate.

Payment area: Ohio

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 35211 in your payment locality →

Vascular surgery

About 35211: Intrathoracic direct vessel repair with bypass

Reports direct repair of an intrathoracic blood vessel when the operation includes a bypass rather than a graft-based vessel reconstruction.

This operation repairs a blood vessel within the chest by direct means and includes a bypass. It is generally performed by a vascular or cardiothoracic surgeon in an operating room, often during open chest surgery for a vessel injury or planned reconstruction. The operative report should identify the vessel and its intrathoracic location, describe the direct repair, and document the bypass performed.

Select this code when the repair is direct and includes a bypass; use a different vessel-repair code when the repair method or anatomic site differs. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 35211

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) RVU9.63 · 24%
  • Malpractice RVU5.93 · 15%

167

Medicare services in 2024 · #4486 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.

35211 compared with similar codes

Office rates for Ohio, from the same CMS release.

35216

Vessel repair

Intrathoracic, direct, no bypass

No office rate

Choose 35211 when direct intrathoracic vessel repair includes bypass; 35216 describes the direct repair without bypass.

35221

Vessel repair

Direct repair, intra-abdominal

No office rate

35221 is for direct repair of an intra-abdominal vessel. This code is for an intrathoracic vessel.

35241

Vascular repair

Intrathoracic, vein graft with bypass

No office rate

35241 describes an intrathoracic repair using a vein graft with bypass; 35211 is the direct-repair option.

35261

Vessel repair

Neck, non-vein graft

No office rate

35261 describes an intrathoracic repair using a graft other than a vein graft with bypass; 35211 is for direct repair.

Compare 35211 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

  • Ohio →

    Office / nonfacility

    Unavailable

    Facility

    $1293.94

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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 35211 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

4,296

Code
35211
Physician work
23.97
Practice expense
9.63
Malpractice
5.93

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 35211 in Ohio
ComponentRVULocality factorAdjusted
Physician work23.97× 1.00023.9700
Practice expense9.63× 0.9138.7922
Malpractice5.93× 1.0085.9774
Total RVUs38.7396
Conversion factor× 33.4009

Facility rate, Ohio$1293.94

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work23.971
Practice expense9.630.913
Malpractice5.931.008

(23.97 × 1 + 9.63 × 0.913 + 5.93 × 1.008) × $33.4009 = $1293.94

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.

35211 billing questions

How does this code differ from 35216?

Both describe direct repair of an intrathoracic vessel. Use 35211 when a bypass is included; 35216 is the corresponding repair without bypass.

When should a graft-based repair code be considered?

Use a graft-based code when the operative method uses a vein graft or another graft rather than direct repair. The operative report should support the reconstruction method.

Does the 90-day global include related postoperative visits?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is this handled with other procedures in the same session?

CMS pays the highest-valued procedure in full and other procedures at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. 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 35211PPRRVU2026_Oct_nonQPP.csv, line 4,296 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet