CPT code 35501: Carotid bypass, ipsilateral carotid-to-carotid2026 Medicare rate & RVUs in Nevada

Reports an autogenous vein bypass between carotid artery segments on the same side to route blood around a diseased, injured, or obstructed segment.

CMS RVU26DEffective Oct 1, 2026One payment locality36 Medicare services in 2024

In Nevada, Medicare pays $1,286.66 for 35501 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,286.66Hospital or facility

Check a contract rate as a % of Medicare · 35501 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 35501 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 35501 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 35501 covers

A vascular surgeon uses a vein graft to create a new blood-flow route between carotid artery segments on the same side of the neck. The operation may be considered when disease, injury, or another lesion prevents adequate flow through the native carotid segment. It is generally performed in a hospital operating room. The operative report should identify the side, the carotid segments joined, the graft material, and the reason for bypass.

Report this code for the ipsilateral carotid-to-carotid configuration; a bypass connecting different named arteries or the opposite carotid side is represented by a different code. If a vein is separately harvested for the graft, review the applicable harvest code and documentation. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 Nevada compares for 35501

Across 109 of 109 payment localities, the facility rate for 35501 runs from $1,153.45 in Wisconsin to $1,703.41 in Miami, FL. Nevada pays $1,286.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

35501 in Nevada vs other payment areas
  1. Nevada · this page$1,286.66
  2. Los Angeles, CA · California$1,309.50+$22.84
  3. Washington, DC area · District of Columbia$1,430.01+$143.35
  4. Miami, FL · Florida$1,703.41+$416.75
  5. Chicago, IL · Illinois$1,648.36+$361.70
  6. Manhattan, NY · New York$1,551.98+$265.32
  7. Alaska · Alaska$1,700.69+$414.03

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

35501 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,204.62
ArkansasArkansas—$1,190.05
ArizonaArizona—$1,287.84
Bakersfield, CACalifornia—$1,263.38
Chico, CACalifornia—$1,243.78
El Centro, CACalifornia—$1,245.00
Fresno, CACalifornia—$1,243.78
Hanford, CACalifornia—$1,243.78

35501 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
35501 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 35501 in every payment locality

How the 35501 rate is calculated

Each of 35501’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 · 35501

RVUs × geographic indexes × conversion factor

Office or facility?

Work28.36

28.36 RVUs× 1.000 GPCI

Practice expense4.11

4.11 RVUs× 1.000 GPCI

Malpractice7.26

7.26 RVUs× 1.000 GPCI

Adjusted RVUs

39.7300

Conversion factor

$33.4009

Medicare rate

$1,327.02

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,331

Code
35501
Physician work
28.36
Practice expense
4.11
Malpractice
7.26

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 35501 in Nevada
ComponentRVULocality factorAdjusted
Physician work28.36× 1.00028.3600
Practice expense4.11× 1.0014.1141
Malpractice7.26× 0.8336.0476
Total RVUs38.5217
Conversion factor× 33.4009

Facility rate, Nevada$1286.66

Facility: (28.36 × 1 + 4.11 × 1.001 + 7.26 × 0.833) × $33.4009 = $1286.66

Open 35501 in the RVU calculator

Payment rules and modifiers for 35501

35501 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35501

Carotid bypass, ipsilateral carotid-to-carotid

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35501

Carotid bypass, ipsilateral carotid-to-carotid

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35501 without 50 · national facility

$1,327.02

Carotid bypass, ipsilateral carotid-to-carotid

35501-50 · Bilateral: 150%

$1,990.53

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 35501 has changed in Nevada

35501 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,286.66RVU26D
2026-07-01Not available in this setting$1,286.66RVU26C
2026-04-01Not available in this setting$1,286.66RVU26B
2026-01-01Not available in this setting$1,286.66RVU26A
2025-10-01Not available in this setting$1,347.98RVU25D
2025-07-01Not available in this setting$1,347.98RVU25C
2025-04-01Not available in this setting$1,347.98RVU25B
2025-01-01Not available in this setting$1,347.98RVU25A
2024-10-01Not available in this setting$1,384.34RVU24D
2024-07-01Not available in this setting$1,384.34RVU24C
2024-04-01Not available in this setting$1,384.34RVU24B
2024-03-09Not available in this setting$1,384.34RVU24AR
2024-01-01Not available in this setting$1,361.75RVU24A
2023-10-01Not available in this setting$1,464.67RVU23D
2023-07-01Not available in this setting$1,464.67RVU23C
2023-04-01Not available in this setting$1,464.67RVU23B
2023-01-01Not available in this setting$1,464.67RVU23A
2022-10-01Not available in this setting$1,571.60RVU22D
2022-07-01Not available in this setting$1,571.60RVU22C
2022-04-01Not available in this setting$1,571.60RVU22B
2022-01-01Not available in this setting$1,571.60RVU22A
2021-10-01Not available in this setting$1,570.29RVU21D
2021-07-01Not available in this setting$1,570.29RVU21C
2021-04-01Not available in this setting$1,570.29RVU21B
2021-01-01Not available in this setting$1,570.29RVU21A
2020-10-01Not available in this setting$1,568.28RVU20D
2020-07-01Not available in this setting$1,568.28RVU20C
2020-04-01Not available in this setting$1,568.28RVU20B
2020-01-01Not available in this setting$1,568.28RVU20A
2019-10-01Not available in this setting$1,547.31RVU19D
2019-07-01Not available in this setting$1,547.31RVU19C
2019-04-01Not available in this setting$1,547.31RVU19B
2019-01-01Not available in this setting$1,547.31RVU19A
2018-10-01Not available in this setting$1,511.17RVU18D
2018-07-01Not available in this setting$1,511.17RVU18C
2018-04-01Not available in this setting$1,511.17RVU18B
2018-01-01Not available in this setting$1,511.17RVU18AR1
2017-10-01Not available in this setting$1,578.87RVU17D
2017-07-01Not available in this setting$1,578.87RVU17C
2017-04-01Not available in this setting$1,578.87RVU17B
2017-01-01Not available in this setting$1,578.87RVU17A
2016-10-01Not available in this setting$1,599.70RVU16D
2016-07-01Not available in this setting$1,599.70RVU16C
2016-04-01Not available in this setting$1,599.70RVU16B
2016-01-01Not available in this setting$1,599.70RVU16A
2015-10-01Not available in this setting$1,617.61RVU15D
2015-07-01Not available in this setting$1,617.61RVU15C
2015-04-01Not available in this setting$1,609.56RVU15B
2015-01-01Not available in this setting$1,609.56RVU15A
2014-10-01Not available in this setting$1,631.41RVU14D
2014-07-01Not available in this setting$1,631.41RVU14C
2014-04-01Not available in this setting$1,631.41RVU14B
2014-01-01Not available in this setting$1,631.41RVU14A
2013-10-01Not available in this setting$1,646.73RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 35501 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

35501 billing questions

How does this differ from 35509?

35501 is for a carotid-to-carotid bypass on the same side. 35509 describes a bypass between the right and left carotid arteries.

What details should the operative report support?

Document the bypass indication, laterality, carotid segments connected, and use of a vein graft. These details distinguish the ipsilateral configuration from other carotid bypass routes.

Can the vein harvest be reported separately?

When a vein is separately harvested for the bypass, review 35500 for the harvest and document the work performed. The bypass code describes the carotid reconstruction.

How is bilateral performance reported?

When the procedure is performed bilaterally, modifier 50 applies under the CMS bilateral rule; payment is at 150%. The operative documentation should establish both sides.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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
RVUs for 35501PPRRVU2026_Oct_nonQPP.csv, line 4,331 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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