No office rate
Choose 35152 when rupture of the popliteal artery is documented. The related 35151 code addresses a popliteal artery defect without documented rupture.
On this page
CMS RVU26D · Effective 2026-10-01
35152 Popliteal artery repair Medicare reimbursement rates in Pennsylvania
Open repair of a ruptured popliteal artery is reported for operative treatment of acute arterial disruption behind the knee. Compare 35152 office and facility rates across CMS payment localities in Pennsylvania.
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 35152 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1246.75–$1337.17
2 of 2 localities have a supported rate.
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.
Vascular surgery
About 35152: Ruptured popliteal artery repair
Open repair of a ruptured popliteal artery is reported for operative treatment of acute arterial disruption behind the knee.
This service involves open operative repair of a ruptured popliteal artery, the major artery behind the knee. A vascular surgeon typically performs it in a hospital operating room for an acute injury or rupture, including rupture associated with a popliteal artery aneurysm. The operative work addresses the rupture and restores arterial continuity; the report should identify the affected artery and describe the repair performed.
Select this code when the operative documentation establishes rupture at the popliteal artery, rather than a defect without rupture or rupture at another arterial site. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35152
- 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 RVU26.97 · 71%
- Practice expense (office) RVU4.21 · 11%
- Malpractice RVU6.87 · 18%
24
Medicare services in 2024 · #5810 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.
35152 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Both codes concern rupture repair, but 35142 is for an artery in the thigh; 35152 is for the popliteal artery behind the knee.
No office rate
35132 applies to rupture repair at an artery in the groin. Use 35152 when the documented rupture site is the popliteal artery.
Compare 35152 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1337.17
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1246.75
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35152 billing questions
How does this differ from 35151?
Use 35152 when the popliteal artery is documented as ruptured. Code 35151 is the related code for repair of a popliteal artery defect without documented rupture.
What documentation supports reporting 35152?
The operative report should identify the popliteal artery as the ruptured vessel and describe the operative repair. A general reference to lower-extremity arterial injury is not as specific as documentation of the vessel and rupture.
Are related postoperative visits reported separately?
Related postoperative care within the 90-day global period is included in this major surgery payment. The day-before preoperative visit is also included.
How is bilateral repair handled?
For bilateral reporting with modifier 50, CMS pays this code at 150%. The documentation should support repair of the popliteal artery on both sides.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; 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.
4,28035142,,Repair artery rupture thigh,A,,24.53,5.01,NA,5.01,,6.23,35.77,35.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2813514F,,Hep c scrng docd as done,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,28235151,,Repair defect of artery,A,,23.13,4.59,NA,4.59,,5.90,33.62,33.62,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,28335152,,Repair ruptd popliteal art,A,,26.97,4.21,NA,4.21,,6.87,38.05,38.05,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2843515F,,Pt has docd immun to hep c,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2853517F,,Hbv assess&results intrp 1yr,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,28635180,,Rpr cgen av fistula head&nck,A,,14.72,3.00,NA,3.00,,3.75,21.47,21.47,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00