35102

Repair defect of artery

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary35102Repair defect of artery
1
$1,700.77
$1,700.77
Add-on35572Harvest femoropopliteal vein
0
$306.95/ unit
$306.95/ unit
Whole procedure · 35.62 wRVU credited
$1,700.77
$1,700.77

RVU Breakdown

Component
Office
Facility
Work
35.62
35.62
Practice expense
6.23
6.23
Malpractice
9.07
9.07
Total RVU
50.92
50.92

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $2,551.15 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 9% is attributed to pre-operative care, 84% to the procedure itself, and 7% to post-operative visits.