Billing code 35211: Vessel repairMedicare rate & RVUs in Utah
Reports direct repair of an intrathoracic blood vessel when the operation includes a bypass rather than a graft-based vessel reconstruction.
CMS doesn’t publish an office rate for 35211 in Utah.
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 35211 covers
This operation repairs a blood vessel within the chest by direct means and includes a bypass. It is generally performed by a vascular or cardiothoracic surgeon in an operating room, often during open chest surgery for a vessel injury or planned reconstruction. The operative report should identify the vessel and its intrathoracic location, describe the direct repair, and document the bypass performed.
Select this code when the repair is direct and includes a bypass; use a different vessel-repair code when the repair method or anatomic site differs. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons are paid only with 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.
35211 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,280.84 |
How the 35211 rate is calculated
Each of 35211’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 · 35211
RVUs × geographic indexes × conversion factor
Work23.97
23.97 RVUs× 1.000 GPCI
Practice expense9.63
9.63 RVUs× 1.000 GPCI
Malpractice5.93
5.93 RVUs× 1.000 GPCI
Adjusted RVUs
39.5300
Conversion factor
$33.4009
Medicare rate
$1,320.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35211
35211 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35211
Vessel 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 · 35211
Vessel 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
35211 without 50 · national facility
$1,320.34
Vessel repair
35211-50 · Bilateral: 150%
$1,980.51
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).
35211 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 35216Vessel repair
- Choose 35211 when direct intrathoracic vessel repair includes bypass; 35216 describes the direct repair without bypass.
- 35221Vessel repair
- 35221 is for direct repair of an intra-abdominal vessel. This code is for an intrathoracic vessel.
- 35241Vascular repair
- 35241 describes an intrathoracic repair using a vein graft with bypass; 35211 is the direct-repair option.
- 35261Vessel repair
- 35261 describes an intrathoracic repair using a graft other than a vein graft with bypass; 35211 is for direct repair.
35211 billing questions
How does this code differ from 35216?
Both describe direct repair of an intrathoracic vessel. Use 35211 when a bypass is included; 35216 is the corresponding repair without bypass.
When should a graft-based repair code be considered?
Use a graft-based code when the operative method uses a vein graft or another graft rather than direct repair. The operative report should support the reconstruction method.
Does the 90-day global include related postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is this handled with other procedures in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with 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 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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