No office rate
Choose 35013 for a ruptured arm artery. Code 35045 is for repair of an arm-artery defect when rupture is not the indication.
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CMS RVU26D · Effective 2026-10-01
35013 Arterial repair Medicare reimbursement rates in Texas
Operative repair of a ruptured arm artery, such as the brachial artery, reported when the surgeon treats the rupture. Compare 35013 office and facility rates across CMS payment localities in Texas.
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 35013 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 35013 pays more and less in Texas
Vascular surgery
About 35013: Upper-extremity arterial rupture repair
Operative repair of a ruptured arm artery, such as the brachial artery, reported when the surgeon treats the rupture.
This code represents operative repair of a ruptured artery in the arm. The surgeon controls bleeding and repairs the affected vessel; the approach and repair method depend on the anatomy and injury. A typical case is repair of an injured brachial artery in an operating room by a vascular or trauma surgeon. Use this code for a rupture, not for repair of an arterial defect when rupture is not the documented indication.
The operative report should identify the ruptured upper-extremity artery, document the rupture, and describe the work performed. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are reduced to 50%. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35013
- 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 RVU22.65 · 70%
- Practice expense (office) RVU3.88 · 12%
- Malpractice RVU5.78 · 18%
84
Medicare services in 2024 · #5005 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.
35013 compared with similar codes
Office rates for Texas, from the same CMS release.
Compare 35013 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $1066.20 |
| Beaumont | Office Unavailable | Facility $1053.81 |
| Brazoria | Office Unavailable | Facility $1041.60 |
| Dallas | Office Unavailable | Facility $1058.06 |
| Fort Worth | Office Unavailable | Facility $1059.27 |
| Galveston | Office Unavailable | Facility $1051.12 |
| Houston | Office Unavailable | Facility $1156.92 |
| Rest Of Texas | Office Unavailable | Facility $1053.85 |
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35013 billing questions
How is this code distinguished from 35045?
Use this code when the operative indication is a ruptured arm artery. Code 35045 describes repair of an arm-artery defect rather than a rupture.
What documentation supports reporting this code?
Document the ruptured artery and its upper-extremity location, the rupture being treated, and the operative repair performed.
Does the global period include postoperative visits?
Yes. The 90-day global includes the day-before preoperative visit and related postoperative care through day 90.
How is a bilateral procedure paid?
When the procedure is bilateral and reported with modifier 50, CMS pays it at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are reduced to 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 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.
4,25435005,,Repair defect of artery,A,,18.81,3.60,NA,3.60,,4.80,27.21,27.21,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2553500F,,Cd4+cell cnt/% 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
4,25635011,,Repair defect of artery,A,,18.12,4.56,NA,4.56,,4.69,27.37,27.37,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25735013,,Repair artery rupture arm,A,,22.65,3.88,NA,3.88,,5.78,32.31,32.31,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25835021,,Repair defect of artery,A,,21.62,9.42,NA,9.42,,5.16,36.20,36.20,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,25935022,,Repair artery rupture chest,A,,25.06,10.12,NA,10.12,,6.01,41.19,41.19,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2603502F,,Hiv rna vrl ld <lmts quantif,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