CPT 35207
Global 090 ActiveRpr bld vsl dir hand finger
CPT 35207 Billing & Documentation Guide
CPT code 35207 (Rpr bld vsl dir hand finger) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 10.67, a non-facility practice expense RVU of 7.73, and a malpractice RVU of 2.06, a total non-facility RVU of 20.46 and facility RVU of 20.46. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $692.02, though rates vary from $613.61 to $847.46 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 35207, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 35207 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 35207 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 35207
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.67 | 10.67 |
| Practice Expense RVU | 7.73 | 7.73 |
| Malpractice RVU | 2.06 | 2.06 |
| Total RVU | 20.46 | 20.46 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 35207
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $711.98 | $711.98 | $682.3 - $804.78 | 29 |
| Florida | $749.38 | $749.38 | $706.63 - $799.17 | 3 |
| Georgia | $685.56 | $685.56 | $668.71 - $702.41 | 2 |
| Illinois | $738.6 | $738.6 | $699.66 - $776.27 | 4 |
| Michigan | $695.68 | $695.68 | $669.8 - $721.55 | 2 |
| North Carolina | $641.24 | $641.24 | $641.24 - $641.24 | 1 |
| New York | $754.87 | $754.87 | $650.04 - $813.96 | 5 |
| Ohio | $661.47 | $661.47 | $661.47 - $661.47 | 1 |
| Pennsylvania | $686.05 | $686.05 | $658.43 - $713.66 | 2 |
| Texas | $676.45 | $676.45 | $655.26 - $710.3 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 35207
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 35207 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0543T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0544T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 35207
What does CPT code 35207 mean? +
CPT code 35207 represents: Rpr bld vsl dir hand finger. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 35207? +
The 2026 Medicare national average non-facility payment for CPT 35207 is $692.02. Rates range from $613.61 to $847.46 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 35207? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 35207? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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