Billing code 35005: Artery repairMedicare rate & RVUs in Vermont
Reports surgical repair of an arterial defect within the chest, with code selection based on the vessel location and the operative service performed.
CMS doesn’t publish an office rate for 35005 in Vermont.
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 35005 covers
billing code 35005 describes surgical repair of an arterial defect in the chest. A vascular or cardiothoracic surgeon may perform the repair in an operating room when an intrathoracic artery has a defect requiring operative correction. The operative report should identify the affected vessel and location, describe the defect, and document the repair performed. This code is distinct from arterial repairs assigned to other body regions and from codes describing rupture repairs.
Report the code when the documented service and arterial location meet its scope; the operative note should support the anatomical site and work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires 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.
35005 in Vermont
| Payment locality | Office | Facility |
|---|---|---|
| Vermont | Unavailable | $828.44 |
How the 35005 rate is calculated
Each of 35005’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 · 35005
RVUs × geographic indexes × conversion factor
Work18.81
18.81 RVUs× 1.000 GPCI
Practice expense3.60
3.60 RVUs× 1.000 GPCI
Malpractice4.80
4.80 RVUs× 1.000 GPCI
Adjusted RVUs
27.2100
Conversion factor
$33.4009
Medicare rate
$908.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35005
35005 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35005
Artery 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 · 35005
Artery 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
35005 without 50 · national facility
$908.84
Artery repair
35005-50 · Bilateral: 150%
$1,363.26
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).
35005 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 35001Arterial repair
- 35005 is for an intrathoracic arterial defect; 35001 is a related repair code for a different anatomical region.
- 35011Artery repair
- Choose 35005 for an intrathoracic defect rather than the arterial repair represented by 35011 for another body region.
- 35022Arterial repair
- 35005 describes repair of an arterial defect in the chest. 35022 is the related chest code when the documented circumstance is arterial rupture.
35005 billing questions
How is 35005 distinguished from nearby arterial repair codes?
Use 35005 for an arterial defect in the chest. The operative documentation must support the intrathoracic location; neighboring codes may describe repairs in other regions or a rupture circumstance.
What documentation supports reporting 35005?
The operative report should identify the artery and its intrathoracic location, describe the defect, and document the surgical repair performed.
Does the 90-day global period include related postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How is bilateral reporting handled?
For a bilateral procedure reported with modifier 50, CMS applies the bilateral payment rule at 150%.
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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