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

In Virginia, Medicare pays $1,253.39 for 35501 in a facility. There’s no office rate.

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.

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 Virginia 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. Virginia pays $1,253.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35501 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 35501

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

What modifiers do to the payment

When to use modifier 50

Codes related to 35501

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 35501 has changed in Virginia

Price 35501 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates