CPT code 35501: Carotid bypass, ipsilateral carotid-to-carotid2026 Medicare rate & RVUs in Vermont
Reports an autogenous vein bypass between carotid artery segments on the same side to route blood around a diseased, injured, or obstructed segment.
In Vermont, Medicare pays $1,205.85 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.
On this page 11 sections
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 Vermont 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. Vermont pays $1,205.85. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$1,205.85
- Los Angeles, CA · California$1,309.50+$103.65
- Washington, DC area · District of Columbia$1,430.01+$224.16
- Miami, FL · Florida$1,703.41+$497.56
- Chicago, IL · Illinois$1,648.36+$442.51
- Manhattan, NY · New York$1,551.98+$346.13
- Alaska · Alaska$1,700.69+$494.84
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $1,243.78 |
| Merced, CACalifornia | — | $1,243.78 |
| Modesto, CACalifornia | — | $1,243.78 |
| Napa, CACalifornia | — | $1,311.04 |
| Oxnard, CACalifornia | — | $1,287.11 |
| Redding, CACalifornia | — | $1,243.78 |
| Rest of CaliforniaCalifornia | — | $1,243.78 |
| Riverside, CACalifornia | — | $1,321.60 |
| Sacramento, CACalifornia | — | $1,270.98 |
| Salinas, CACalifornia | — | $1,265.69 |
| San Diego, CACalifornia | — | $1,271.28 |
| Marin County, CACalifornia | — | $1,342.10 |
| San Francisco, CACalifornia | — | $1,333.86 |
| San Benito County, CACalifornia | — | $1,379.38 |
| Santa Clara County, CACalifornia | — | $1,345.67 |
| San Luis Obispo, CACalifornia | — | $1,249.69 |
| Santa Cruz, CACalifornia | — | $1,263.91 |
| Santa Maria, CACalifornia | — | $1,263.81 |
| Santa Rosa, CACalifornia | — | $1,274.22 |
| Stockton, CACalifornia | — | $1,243.78 |
| Vallejo, CACalifornia | — | $1,299.16 |
| Visalia, CACalifornia | — | $1,243.78 |
| Yuba City, CACalifornia | — | $1,243.78 |
| ColoradoColorado | — | $1,294.07 |
| ConnecticutConnecticut | — | $1,407.46 |
| DelawareDelaware | — | $1,305.62 |
| Fort Lauderdale, FLFlorida | — | $1,524.73 |
| Rest of FloridaFlorida | — | $1,442.95 |
| Atlanta, GAGeorgia | — | $1,380.80 |
| Rest of GeorgiaGeorgia | — | $1,358.75 |
| Hawaii, Guam, HIHawaii | — | $1,243.74 |
| IowaIowa | — | $1,169.13 |
| IdahoIdaho | — | $1,188.24 |
| East St. Louis, ILIllinois | — | $1,561.92 |
| Rest of IllinoisIllinois | — | $1,451.60 |
| Suburban Chicago, ILIllinois | — | $1,524.56 |
| IndianaIndiana | — | $1,192.36 |
| KansasKansas | — | $1,193.56 |
| KentuckyKentucky | — | $1,291.17 |
| New Orleans, LALouisiana | — | $1,351.90 |
| Rest of LouisianaLouisiana | — | $1,301.05 |
| Metropolitan Boston, MAMassachusetts | — | $1,365.81 |
| Rest of MassachusettsMassachusetts | — | $1,300.22 |
| Baltimore area, MDMaryland | — | $1,409.67 |
| Rest of MarylandMaryland | — | $1,318.25 |
| Rest of MaineMaine | — | $1,224.37 |
| Southern Maine, MEMaine | — | $1,236.30 |
| Detroit, MIMichigan | — | $1,488.56 |
| Rest of MichiganMichigan | — | $1,346.36 |
| MinnesotaMinnesota | — | $1,160.29 |
| Metropolitan Kansas City, MOMissouri | — | $1,313.07 |
| Metropolitan St. Louis, MOMissouri | — | $1,320.91 |
| Rest of MissouriMissouri | — | $1,301.77 |
| MississippiMississippi | — | $1,244.65 |
| MontanaMontana | — | $1,326.53 |
| North CarolinaNorth Carolina | — | $1,230.28 |
| North DakotaNorth Dakota | — | $1,182.98 |
| NebraskaNebraska | — | $1,165.62 |
| New HampshireNew Hampshire | — | $1,302.33 |
| Northern New JerseyNew Jersey | — | $1,425.15 |
| Rest of New JerseyNew Jersey | — | $1,401.06 |
| New MexicoNew Mexico | — | $1,364.36 |
| NevadaNevada | — | $1,286.66 |
| NYC suburbs and Long Island, NYNew York | — | $1,621.40 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,433.61 |
| Queens, NYNew York | — | $1,519.81 |
| Rest of New YorkNew York | — | $1,248.13 |
| OhioOhio | — | $1,317.01 |
| OklahomaOklahoma | — | $1,258.25 |
| Portland, OROregon | — | $1,295.33 |
| Rest of OregonOregon | — | $1,254.45 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,396.50 |
| Rest of PennsylvaniaPennsylvania | — | $1,302.42 |
| Puerto RicoPuerto Rico | — | $1,324.89 |
| Rhode IslandRhode Island | — | $1,323.36 |
| South CarolinaSouth Carolina | — | $1,280.21 |
| South DakotaSouth Dakota | — | $1,166.00 |
| TennesseeTennessee | — | $1,202.25 |
| Austin, TXTexas | — | $1,309.23 |
| Beaumont, TXTexas | — | $1,297.45 |
| Brazoria, TXTexas | — | $1,280.01 |
| Dallas, TXTexas | — | $1,300.56 |
| Fort Worth, TXTexas | — | $1,302.34 |
| Galveston, TXTexas | — | $1,291.93 |
| Houston, TXTexas | — | $1,424.81 |
| Rest of TexasTexas | — | $1,296.50 |
| UtahUtah | — | $1,294.05 |
| VirginiaVirginia | — | $1,253.39 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,324.89 |
| Rest of WashingtonWashington | — | $1,288.65 |
| King County, WAWashington | — | $1,361.17 |
| WisconsinWisconsin | — | $1,153.45 |
| West VirginiaWest Virginia | — | $1,413.55 |
| WyomingWyoming | — | $1,263.97 |
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
| 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 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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.36 | × 1.000 | 28.3600 |
| Practice expense | 4.11 | × 0.990 | 4.0689 |
| Malpractice | 7.26 | × 0.506 | 3.6736 |
| Total RVUs | 36.1025 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1205.85
Facility: (28.36 × 1 + 4.11 × 0.99 + 7.26 × 0.506) × $33.4009 = $1205.85
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share 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.
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).
How 35501 has changed in Vermont
35501 · 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 | $1,205.85 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,205.85 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,205.85 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,205.85 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,270.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,270.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,270.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,270.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,304.07 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,304.07 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,304.07 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,304.07 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,282.79 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,331.24 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,331.24 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,331.24 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,331.24 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,370.31 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,370.31 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,370.31 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,370.31 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,373.61 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,373.61 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,373.61 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,373.61 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,427.67 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,427.67 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,427.67 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,427.67 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,470.65 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,470.65 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,470.65 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,470.65 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,433.54 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,433.54 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,433.54 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,433.54 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,495.16 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,495.16 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,495.16 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,495.16 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,508.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,508.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,508.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,508.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,524.73 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,524.73 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,517.14 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,517.14 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,502.57 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,502.57 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,502.57 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,502.57 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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