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35266 repair blvsl grf oth/th vn uxtr

Surgery Global 90d

Also known as: arm prosthetic graft repair, upper extremity synthetic bypass

Repair of blood vessel injury in the upper extremity using prosthetic or arterial graft reconstruction.

In Plain Language

Fixing arm blood vessel with synthetic material; Repairing arm artery with man-made graft

Clinical Context

Upper extremity vascular reconstruction using prosthetic graft when venous conduit unavailable. Polytetrafluoroethylene (PTFE) commonly used but carries infection risk in contaminated wounds.

RVU Breakdown

Work RVU15.43
Total RVU15.43

Est. Medicare Payment

$515.36

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 15.43, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Vascular SurgeryHand SurgeryTrauma Surgery

Frequently Asked Questions

What is CPT code 35266?

CPT 35266 (repair blvsl grf oth/th vn uxtr) is a Surgery code. Repair of blood vessel injury in the upper extremity using prosthetic or arterial graft reconstruction.

What is the wRVU value for CPT 35266?

The work RVU for CPT 35266 is 15.43. This code is primarily used by Vascular Surgery, Hand Surgery, Trauma Surgery. It has a 90-day global period.

When is CPT 35266 used?

Upper extremity vascular reconstruction using prosthetic graft when venous conduit unavailable. Polytetrafluoroethylene (PTFE) commonly used but carries infection risk in contaminated wounds.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.