No office rate
Choose 35112 for repair of a ruptured splenic artery; 35111 is the related repair code for a splenic-artery defect without rupture.
On this page
CMS RVU26D · Effective 2026-10-01
35112 Artery repair Medicare reimbursement rates in Vermont
Repair of a ruptured splenic artery is reported for operative treatment of bleeding from this artery, including rupture requiring direct surgical repair. Compare 35112 office and facility rates across CMS payment localities in Vermont.
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 35112 in Vermont?
Vermont 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
$1350.16
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Vascular surgery
About 35112: Ruptured splenic artery repair
Repair of a ruptured splenic artery is reported for operative treatment of bleeding from this artery, including rupture requiring direct surgical repair.
This code represents operative repair of a ruptured splenic artery, an emergency procedure to control arterial bleeding. A vascular or general surgeon typically performs the repair in an operating room, often during treatment of acute intra-abdominal hemorrhage. The operative record should identify the splenic artery as the rupture site and describe the repair performed; documentation of an aneurysm alone does not establish that rupture was treated.
Report this code for the ruptured artery rather than the nonrupture splenic-artery repair code. CMS 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. Modifier 50 identifies a bilateral procedure and is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with supporting documentation. Team surgery is not permitted.
CMS billing rules for 35112
- 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 RVU31.76 · 71%
- Practice expense (office) RVU4.60 · 10%
- Malpractice RVU8.12 · 18%
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.
35112 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Both describe repair for arterial rupture, but 35103 is for the aortic site; 35112 identifies the splenic artery.
No office rate
35102 describes artery-defect repair rather than repair for rupture. Select based on the operative finding and the documented service.
Compare 35112 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1350.16
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 35112 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
4,271
- Code
- 35112
- Physician work
- 31.76
- Practice expense
- 4.60
- Malpractice
- 8.12
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.76 | × 1.000 | 31.7600 |
| Practice expense | 4.60 | × 0.990 | 4.5540 |
| Malpractice | 8.12 | × 0.506 | 4.1087 |
| Total RVUs | 40.4227 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1350.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.76 | 1 |
| Practice expense | 4.6 | 0.99 |
| Malpractice | 8.12 | 0.506 |
(31.76 × 1 + 4.6 × 0.99 + 8.12 × 0.506) × $33.4009 = $1350.16
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.
35112 billing questions
How is this distinguished from 35111?
Use 35112 when the splenic artery rupture is repaired. Code 35111 is the related splenic-artery repair code for a defect that is not documented as a rupture.
Does a splenic artery aneurysm diagnosis support this code?
An aneurysm diagnosis by itself does not establish rupture. The operative documentation should identify rupture of the splenic artery and describe its surgical repair.
What postoperative services are included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
When is modifier 50 relevant?
For a bilateral procedure, CMS pays this code with modifier 50 at 150%. The record should support the bilateral service.
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.
4,26835103,,Repair artery rupture aorta,A,,42.53,5.45,NA,5.45,,10.89,58.87,58.87,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2693510F,,Doc tb scrng-rslts interpd,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
4,27035111,,Repair defect of artery,A,,25.62,4.01,NA,4.01,,6.55,36.18,36.18,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,27135112,,Repair artery rupture spleen,A,,31.76,4.60,NA,4.60,,8.12,44.48,44.48,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2723511F,,Chlmyd/gonrh tsts docd 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
4,27335121,,Repair defect of artery,A,,30.73,4.42,NA,4.42,,7.87,43.02,43.02,0,090,0.09,0.84,0.07,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,27435122,,Repair artery rupture belly,A,,36.94,5.01,NA,5.01,,9.44,51.39,51.39,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817