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CMS RVU26D · Effective 2026-10-01

35276 Vessel repair Medicare reimbursement rates in Tennessee

Reports intrathoracic blood vessel repair using a graft other than vein, when the repair is performed without bypass. Compare 35276 office and facility rates across CMS payment localities in Tennessee.

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 35276 in Tennessee?

Tennessee 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

$1269.20

1 of 1 localities have a supported rate.

Payment area: Tennessee

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 35276 in your payment locality →

Vascular surgery

About 35276: Intrathoracic vessel repair with nonvenous graft

Reports intrathoracic blood vessel repair using a graft other than vein, when the repair is performed without bypass.

This code describes surgical repair of a blood vessel within the chest using a graft made from material other than vein, without bypass. It may be reported by a vascular or cardiothoracic surgeon repairing an injured or diseased intrathoracic vessel when a graft is required rather than direct closure or a vein graft. The operative report should establish the vessel’s intrathoracic location and the repair method.

Report one service for the qualifying repair and document the graft material and whether bypass was used, since these details distinguish this code from nearby choices. 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 others at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 35276

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 RVU25.18 · 60%
  • Practice expense (office) RVU10.54 · 25%
  • Malpractice RVU6.03 · 14%

21

Medicare services in 2024 · #5892 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.

35276 compared with similar codes

Office rates for Tennessee, from the same CMS release.

35271

Vascular graft repair

Intrathoracic, with bypass

No office rate

Both involve intrathoracic repair with a graft other than vein. 35271 is the bypass counterpart; 35276 is reported when repair is without bypass.

35246

Vessel repair

Intrathoracic, without bypass

No office rate

This code uses a graft other than vein for intrathoracic repair without bypass. 35246 is the corresponding repair using a vein graft.

35216

Vessel repair

Intrathoracic, direct, no bypass

No office rate

35216 describes direct intrathoracic vessel repair without a graft. Use 35276 when the repair requires a graft other than vein.

35281

Vessel repair

Nonvenous graft, intra-abdominal

No office rate

Both use a graft other than vein, but 35281 is for an intra-abdominal vessel; 35276 is for an intrathoracic vessel.

Compare 35276 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 35276 in Tennessee.

PPRRVU2026_Oct_nonQPP.csv

4,309

Code
35276
Physician work
25.18
Practice expense
10.54
Malpractice
6.03

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Facility calculation for 35276 in Tennessee
ComponentRVULocality factorAdjusted
Physician work25.18× 1.00025.1800
Practice expense10.54× 0.9099.5809
Malpractice6.03× 0.5373.2381
Total RVUs37.9990
Conversion factor× 33.4009

Facility rate, Tennessee$1269.20

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work25.181
Practice expense10.540.909
Malpractice6.030.537

(25.18 × 1 + 10.54 × 0.909 + 6.03 × 0.537) × $33.4009 = $1269.20

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.

35276 billing questions

How does this differ from 35271?

Both describe intrathoracic vessel repair with a graft other than vein. The distinction is whether bypass is used: 35276 is for repair without bypass.

When would 35246 be reported instead?

35246 describes intrathoracic vessel repair using a vein graft without bypass. Use 35276 when the graft is made from material other than vein.

Can direct vessel repair be reported with this code?

This code represents repair using a graft, not direct closure. A direct repair without a graft is represented by a different code, such as 35216 for the corresponding intrathoracic circumstance.

What documentation supports reporting 35276?

The operative report should identify the vessel’s intrathoracic location, the graft used and its material, and that the repair was performed without bypass.

How does the 90-day global period affect postoperative billing?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires 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 35276PPRRVU2026_Oct_nonQPP.csv, line 4,309 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet