CPT code 35500: Vein harvest, upper extremity conduit2026 Medicare rate & RVUs in Colorado
Reports harvesting upper extremity vein for use as a graft conduit during an arterial bypass, as an add-on to the primary bypass procedure.
In Colorado, Medicare pays $279.43 for 35500 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35500 nationwide
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 11 sections
What 35500 covers
A vascular surgeon harvests a segment of vein from the arm for use as an autologous conduit in an arterial bypass. Arm vein, such as cephalic or basilic vein, may be selected when suitable leg vein is unavailable or insufficient. The work is performed as part of the operative treatment, commonly during a lower-extremity bypass for arterial disease.
Report 35500 only with the primary bypass procedure; it is not a stand-alone service. The operative report should identify the upper extremity vein harvested and document its use in the bypass. CMS treats this as an add-on code, with payment falling within the primary procedure’s global period. The bypass code describes the reconstruction, while 35500 accounts for the additional vein-harvesting work.
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.
How Colorado compares for 35500
Across 109 of 109 payment localities, the facility rate for 35500 runs from $249.37 in Wisconsin to $369.68 in Alaska. Colorado pays $279.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$279.43
- Los Angeles, CA · California$282.24+$2.81
- Washington, DC area · District of Columbia$308.54+$29.11
- Miami, FL · Florida$368.60+$89.17
- Chicago, IL · Illinois$356.85+$77.42
- Manhattan, NY · New York$335.21+$55.78
- Alaska · Alaska$369.68+$90.25
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $260.96 |
| ArkansasArkansas | — | $257.88 |
| ArizonaArizona | — | $278.56 |
| Bakersfield, CACalifornia | — | $272.61 |
| Chico, CACalifornia | — | $268.33 |
| El Centro, CACalifornia | — | $268.60 |
| Fresno, CACalifornia | — | $268.33 |
| Hanford, CACalifornia | — | $268.33 |
| Madera, CACalifornia | — | $268.33 |
| Merced, CACalifornia | — | $268.33 |
| Modesto, CACalifornia | — | $268.33 |
| Napa, CACalifornia | — | $281.92 |
| Oxnard, CACalifornia | — | $277.33 |
| Redding, CACalifornia | — | $268.33 |
| Rest of CaliforniaCalifornia | — | $268.33 |
| Riverside, CACalifornia | — | $285.27 |
| Sacramento, CACalifornia | — | $273.95 |
| Salinas, CACalifornia | — | $272.81 |
| San Diego, CACalifornia | — | $273.82 |
| Marin County, CACalifornia | — | $288.29 |
| San Francisco, CACalifornia | — | $286.49 |
| San Benito County, CACalifornia | — | $296.28 |
| Santa Clara County, CACalifornia | — | $288.94 |
| San Luis Obispo, CACalifornia | — | $269.38 |
| Santa Cruz, CACalifornia | — | $272.07 |
| Santa Maria, CACalifornia | — | $272.35 |
| Santa Rosa, CACalifornia | — | $274.28 |
| Stockton, CACalifornia | — | $268.33 |
| Vallejo, CACalifornia | — | $279.33 |
| Visalia, CACalifornia | — | $268.33 |
| Yuba City, CACalifornia | — | $268.33 |
| ConnecticutConnecticut | — | $304.07 |
| DelawareDelaware | — | $282.34 |
| Fort Lauderdale, FLFlorida | — | $329.87 |
| Rest of FloridaFlorida | — | $312.39 |
| Atlanta, GAGeorgia | — | $298.54 |
| Rest of GeorgiaGeorgia | — | $294.41 |
| Hawaii, Guam, HIHawaii | — | $268.04 |
| IowaIowa | — | $253.02 |
| IdahoIdaho | — | $257.15 |
| East St. Louis, ILIllinois | — | $338.48 |
| Rest of IllinoisIllinois | — | $314.50 |
| Suburban Chicago, ILIllinois | — | $329.78 |
| IndianaIndiana | — | $258.01 |
| KansasKansas | — | $258.40 |
| KentuckyKentucky | — | $279.72 |
| New Orleans, LALouisiana | — | $292.65 |
| Rest of LouisianaLouisiana | — | $281.89 |
| Metropolitan Boston, MAMassachusetts | — | $294.44 |
| Rest of MassachusettsMassachusetts | — | $280.85 |
| Baltimore area, MDMaryland | — | $304.56 |
| Rest of MarylandMaryland | — | $284.98 |
| Rest of MaineMaine | — | $265.01 |
| Southern Maine, MEMaine | — | $267.22 |
| Detroit, MIMichigan | — | $322.26 |
| Rest of MichiganMichigan | — | $291.60 |
| MinnesotaMinnesota | — | $250.47 |
| Metropolitan Kansas City, MOMissouri | — | $284.21 |
| Metropolitan St. Louis, MOMissouri | — | $285.85 |
| Rest of MissouriMissouri | — | $282.18 |
| MississippiMississippi | — | $269.75 |
| MontanaMontana | — | $286.81 |
| North CarolinaNorth Carolina | — | $266.23 |
| North DakotaNorth Dakota | — | $255.57 |
| NebraskaNebraska | — | $252.21 |
| New HampshireNew Hampshire | — | $281.32 |
| Northern New JerseyNew Jersey | — | $307.62 |
| Rest of New JerseyNew Jersey | — | $302.67 |
| New MexicoNew Mexico | — | $295.50 |
| NevadaNevada | — | $278.12 |
| NYC suburbs and Long Island, NYNew York | — | $350.17 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $309.75 |
| Queens, NYNew York | — | $328.10 |
| Rest of New YorkNew York | — | $270.02 |
| OhioOhio | — | $285.21 |
| OklahomaOklahoma | — | $272.54 |
| Portland, OROregon | — | $279.47 |
| Rest of OregonOregon | — | $271.14 |
| Metropolitan Philadelphia, PAPennsylvania | — | $301.87 |
| Rest of PennsylvaniaPennsylvania | — | $282.01 |
| Puerto RicoPuerto Rico | — | $286.39 |
| Rhode IslandRhode Island | — | $286.00 |
| South CarolinaSouth Carolina | — | $277.14 |
| South DakotaSouth Dakota | — | $251.87 |
| TennesseeTennessee | — | $260.26 |
| Austin, TXTexas | — | $282.73 |
| Beaumont, TXTexas | — | $280.97 |
| Brazoria, TXTexas | — | $276.76 |
| Dallas, TXTexas | — | $281.21 |
| Fort Worth, TXTexas | — | $281.65 |
| Galveston, TXTexas | — | $279.34 |
| Houston, TXTexas | — | $308.26 |
| Rest of TexasTexas | — | $280.55 |
| UtahUtah | — | $280.07 |
| VirginiaVirginia | — | $270.98 |
| Virgin Islands, VIUnited States Virgin Islands | — | $286.39 |
| VermontVermont | — | $260.60 |
| Rest of WashingtonWashington | — | $278.32 |
| King County, WAWashington | — | $293.28 |
| WisconsinWisconsin | — | $249.37 |
| West VirginiaWest Virginia | — | $306.46 |
| WyomingWyoming | — | $273.19 |
35500 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 35500 rate is calculated
Each of 35500’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 · 35500
RVUs × geographic indexes × conversion factor
Work6.28
6.28 RVUs× 1.000 GPCI
Practice expense0.73
0.73 RVUs× 1.000 GPCI
Malpractice1.58
1.58 RVUs× 1.000 GPCI
Adjusted RVUs
8.5900
Conversion factor
$33.4009
Medicare rate
$286.91
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,330
- Code
- 35500
- Physician work
- 6.28
- Practice expense
- 0.73
- Malpractice
- 1.58
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.28 | × 1.012 | 6.3554 |
| Practice expense | 0.73 | × 1.064 | 0.7767 |
| Malpractice | 1.58 | × 0.781 | 1.2340 |
| Total RVUs | 8.3661 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$279.43
Facility: (6.28 × 1.012 + 0.73 × 1.064 + 1.58 × 0.781) × $33.4009 = $279.43
Payment rules and modifiers for 35500
The CMS indicators that decide how 35500 is paid alongside other services.
CMS payment indicators · 35500
Vein harvest, upper extremity conduit
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
35500 without 80 · national facility
$286.91
Vein harvest, upper extremity conduit
35500-80 · Assistant: 16%
$45.91
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 35500 has changed in Colorado
35500 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $279.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $279.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $279.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $279.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $295.57 | RVU25D |
| 2025-07-01 | Not available in this setting | $295.57 | RVU25C |
| 2025-04-01 | Not available in this setting | $295.57 | RVU25B |
| 2025-01-01 | Not available in this setting | $295.57 | RVU25A |
| 2024-10-01 | Not available in this setting | $303.75 | RVU24D |
| 2024-07-01 | Not available in this setting | $303.75 | RVU24C |
| 2024-04-01 | Not available in this setting | $303.75 | RVU24B |
| 2024-03-09 | Not available in this setting | $303.75 | RVU24AR |
| 2024-01-01 | Not available in this setting | $298.79 | RVU24A |
| 2023-10-01 | Not available in this setting | $305.66 | RVU23D |
| 2023-07-01 | Not available in this setting | $305.66 | RVU23C |
| 2023-04-01 | Not available in this setting | $305.66 | RVU23B |
| 2023-01-01 | Not available in this setting | $305.66 | RVU23A |
| 2022-10-01 | Not available in this setting | $311.67 | RVU22D |
| 2022-07-01 | Not available in this setting | $311.67 | RVU22C |
| 2022-04-01 | Not available in this setting | $311.67 | RVU22B |
| 2022-01-01 | Not available in this setting | $311.67 | RVU22A |
| 2021-10-01 | Not available in this setting | $313.01 | RVU21D |
| 2021-07-01 | Not available in this setting | $313.01 | RVU21C |
| 2021-04-01 | Not available in this setting | $313.01 | RVU21B |
| 2021-01-01 | Not available in this setting | $313.01 | RVU21A |
| 2020-10-01 | Not available in this setting | $331.65 | RVU20D |
| 2020-07-01 | Not available in this setting | $331.65 | RVU20C |
| 2020-04-01 | Not available in this setting | $331.65 | RVU20B |
| 2020-01-01 | Not available in this setting | $331.65 | RVU20A |
| 2019-10-01 | Not available in this setting | $337.93 | RVU19D |
| 2019-07-01 | Not available in this setting | $337.93 | RVU19C |
| 2019-04-01 | Not available in this setting | $337.93 | RVU19B |
| 2019-01-01 | Not available in this setting | $337.93 | RVU19A |
| 2018-10-01 | Not available in this setting | $338.65 | RVU18D |
| 2018-07-01 | Not available in this setting | $338.65 | RVU18C |
| 2018-04-01 | Not available in this setting | $338.65 | RVU18B |
| 2018-01-01 | Not available in this setting | $338.65 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $340.18 | RVU17D |
| 2017-07-01 | Not available in this setting | $340.18 | RVU17C |
| 2017-04-01 | Not available in this setting | $340.18 | RVU17B |
| 2017-01-01 | Not available in this setting | $340.18 | RVU17A |
| 2016-10-01 | Not available in this setting | $343.00 | RVU16D |
| 2016-07-01 | Not available in this setting | $343.00 | RVU16C |
| 2016-04-01 | Not available in this setting | $343.00 | RVU16B |
| 2016-01-01 | Not available in this setting | $343.00 | RVU16A |
| 2015-10-01 | Not available in this setting | $345.38 | RVU15D |
| 2015-07-01 | Not available in this setting | $345.38 | RVU15C |
| 2015-04-01 | Not available in this setting | $343.66 | RVU15B |
| 2015-01-01 | Not available in this setting | $343.66 | RVU15A |
| 2014-10-01 | Not available in this setting | $338.73 | RVU14D |
| 2014-07-01 | Not available in this setting | $338.73 | RVU14C |
| 2014-04-01 | Not available in this setting | $338.73 | RVU14B |
| 2014-01-01 | Not available in this setting | $338.73 | RVU14A |
| 2013-10-01 | Not available in this setting | $326.46 | RVU13D |
| 2013-07-01 | Not available in this setting | $326.46 | RVU13C |
| 2013-04-01 | Not available in this setting | $326.46 | RVU13B |
| 2013-01-01 | Not available in this setting | $326.46 | RVU13AR |
Where the Colorado rate applies
Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.
- Acres Green
- Aetna Estates
- Aguilar
- Air Force Academy
- Akron
- Alamosa
- Alamosa East
- Allenspark
35500 billing questions
Can 35500 be reported by itself?
No. It is an add-on for harvesting upper extremity vein and must be reported with the primary bypass procedure.
When is 35500 preferred over 35572?
Use 35500 when the harvested conduit comes from the upper extremity. Code 35572 describes harvest of femoral vein instead.
What documentation supports 35500?
The operative report should identify the arm vein harvested and show that it was used as conduit for the bypass.
Is the bypass itself included in 35500?
No. Report the applicable primary bypass code as well; 35500 represents the additional upper extremity vein harvest.
How does the global period affect payment?
CMS treats 35500 as an add-on paid within the primary bypass procedure’s global period.
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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