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CMS RVU26D · Effective 2026-10-01

35092 Aortic rupture repair Medicare reimbursement rates in Oklahoma

Open operative repair of a ruptured thoracoabdominal aortic aneurysm, reported when the rupture involves the aorta across the chest and abdomen. Compare 35092 office and facility rates across CMS payment localities in Oklahoma.

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 35092 in Oklahoma?

Oklahoma 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

$2174.51

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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 35092 in your payment locality →

Vascular surgery

About 35092: Ruptured thoracoabdominal aortic aneurysm repair

Open operative repair of a ruptured thoracoabdominal aortic aneurysm, reported when the rupture involves the aorta across the chest and abdomen.

This code represents open repair of a ruptured aneurysm involving the thoracoabdominal aorta, typically with reconstruction of the affected aortic segment using a graft. Vascular or cardiothoracic surgeons perform this major operation in a hospital operating room, generally as an emergency for a patient with acute aortic rupture. The operative report should establish the rupture and describe the aortic extent and reconstruction performed.

Select this code when the ruptured aneurysm involves the thoracoabdominal aorta; an abdominal-only rupture is represented by a different code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 bilateral reporting is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 35092

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 RVU49.70 · 72%
  • Practice expense (office) RVU6.19 · 9%
  • Malpractice RVU12.71 · 19%

82

Medicare services in 2024 · #5027 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.

35092 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

35082

Aortic rupture repair

Abdominal aorta, open repair

No office rate

Choose 35092 when the rupture involves the thoracoabdominal aorta; choose 35082 when the repair concerns a ruptured aneurysm of the abdominal aorta.

35091

Artery repair

Intrathoracic, non-aortic artery

No office rate

Both codes concern the thoracoabdominal aorta. The distinguishing factor is rupture: 35092 is for a ruptured aneurysm, while 35091 is for a nonruptured aneurysm.

35081

Aortic aneurysm repair

Visceral vessels, direct repair

No office rate

35081 describes nonruptured aneurysm repair involving the abdominal aorta; 35092 describes rupture repair involving the thoracoabdominal aorta.

Compare 35092 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 35092 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

4,266

Code
35092
Physician work
49.70
Practice expense
6.19
Malpractice
12.71

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Facility calculation for 35092 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work49.70× 1.00049.7000
Practice expense6.19× 0.8935.5277
Malpractice12.71× 0.7779.8757
Total RVUs65.1033
Conversion factor× 33.4009

Facility rate, Oklahoma$2174.51

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work49.71
Practice expense6.190.893
Malpractice12.710.777

(49.7 × 1 + 6.19 × 0.893 + 12.71 × 0.777) × $33.4009 = $2174.51

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.

35092 billing questions

How is this code distinguished from 35082?

Use 35092 for a ruptured aneurysm involving the thoracoabdominal aorta. Code 35082 describes rupture repair involving the abdominal aorta.

How does 35092 differ from 35091?

Both concern the thoracoabdominal aorta, but 35092 is for rupture repair. Code 35091 is for repair of an aneurysm that is not ruptured.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team surgery for this code.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.

How is bilateral reporting handled?

When reported bilaterally with modifier 50, CMS pays this procedure at 150%.

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 35092PPRRVU2026_Oct_nonQPP.csv, line 4,266 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet