Billing code 35151: Arterial repairMedicare rate & RVUs in Oklahoma
Report 35151 for direct repair of an arterial defect in an upper extremity, such as a localized brachial artery defect repaired without a graft.
CMS doesn’t publish an office rate for 35151 in Oklahoma.
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 35151 covers
This service covers direct surgical repair of an arterial defect in an upper extremity. A vascular surgeon typically exposes the affected artery, such as the brachial artery, and repairs the defect directly rather than replacing the involved segment with a graft. The work is generally performed in an operating room for a focal arterial defect, including an aneurysmal defect when direct repair is appropriate.
Select 35151 when the operative report identifies an upper-extremity artery and documents direct repair; the vessel, defect, and repair method should be clear. A graft reconstruction or repair at another anatomic site calls for a different code. Medicare assigns 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 other procedures are subject to the standard 50% reduction. Modifier 50 is used for bilateral reporting and is paid at 150%. Assistant-at-surgery payment may be available; 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.
35151 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $1,062.59 |
How the 35151 rate is calculated
Each of 35151’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 · 35151
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 23.13Practice expense 4.59Malpractice 5.90
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 35151
35151 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35151
Arterial 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 · 35151
Arterial 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
35151 without 50 · national facility
$1,122.94
Arterial repair
35151-50 · Bilateral: 150%
$1,684.41
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).
35151 compared with similar codes
Compare codes
35151 vs 35206 vs 35141 vs 35152: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 35206Vessel repair
- Both concern direct repair of an upper-extremity vessel. 35151 belongs to the arterial defect-repair group; 35206 is used for a different circumstance, commonly direct repair of an injured vessel.
- 35141Artery repair
- Both are direct arterial defect repairs, but 35141 is for a lower-extremity site rather than the upper extremity.
- 35152Popliteal artery repair
- 35152 is specifically for rupture of the popliteal artery. 35151 describes direct repair of an upper-extremity arterial defect.
35151 billing questions
How is 35151 distinguished from 35206?
35151 is for direct repair of an upper-extremity arterial defect in the defect-repair code group. 35206 is the related direct vessel-repair code commonly used for an upper-extremity vessel injury, such as a laceration; follow the documented condition and procedure.
What documentation supports 35151?
Document the specific upper-extremity artery, the defect being repaired, and that the artery was repaired directly. The operative report should make clear whether a graft or another reconstruction method was used.
Does 35151 include postoperative care?
Yes. Medicare assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted under the CMS facts for this code.
What happens when 35151 is performed with another procedure?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session are paid at 50%.
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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