CPT code 35510: Arterial bypass, carotid to brachial2026 Medicare rate & RVUs in Iowa

Reports open bypass from a carotid artery to a brachial artery to restore blood flow to an arm when native arterial circulation is inadequate.

CMS RVU26DEffective Oct 1, 2026One payment locality24 Medicare services in 2024

In Iowa, Medicare pays $985.83 for 35510 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$985.83Hospital or facility

Check a contract rate as a % of Medicare · 35510 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 35510 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 35510 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 35510 covers

Code 35510 describes an open operation that routes blood from a carotid artery to a brachial artery through a bypass graft. Vascular surgeons typically perform it in a hospital operating room for selected patients with serious arm ischemia when the usual proximal arterial inflow is unsuitable. The operative report should identify the inflow and outflow arteries, side, graft route and conduit, and the reason for the reconstruction.

Select this code when the bypass connects the carotid and brachial arteries; a bypass between different named vessels belongs to the code matching those sites. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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 Iowa compares for 35510

Across 109 of 109 payment localities, the facility rate for 35510 runs from $972.97 in Wisconsin to $1,434.07 in Miami, FL. Iowa pays $985.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

35510 in Iowa vs other payment areas
  1. Iowa · this page$985.83
  2. Los Angeles, CA · California$1,105.12+$119.29
  3. Washington, DC area · District of Columbia$1,206.02+$220.19
  4. Miami, FL · Florida$1,434.07+$448.24
  5. Chicago, IL · Illinois$1,387.75+$401.92
  6. Manhattan, NY · New York$1,308.07+$322.24
  7. Alaska · Alaska$1,432.43+$446.60

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

Every other payment area

35510 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,015.30
ArkansasArkansas—$1,003.01
ArizonaArizona—$1,085.59
Bakersfield, CACalifornia—$1,065.92
Chico, CACalifornia—$1,049.51
El Centro, CACalifornia—$1,050.53
Fresno, CACalifornia—$1,049.51
Hanford, CACalifornia—$1,049.51

35510 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
35510 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 35510 in every payment locality

How the 35510 rate is calculated

Each of 35510’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 · 35510

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.78

23.78 RVUs× 1.000 GPCI

Practice expense3.63

3.63 RVUs× 1.000 GPCI

Malpractice6.08

6.08 RVUs× 1.000 GPCI

Adjusted RVUs

33.4900

Conversion factor

$33.4009

Medicare rate

$1,118.60

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,336

Code
35510
Physician work
23.78
Practice expense
3.63
Malpractice
6.08

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Facility calculation for 35510 in Iowa
ComponentRVULocality factorAdjusted
Physician work23.78× 1.00023.7800
Practice expense3.63× 0.9153.3215
Malpractice6.08× 0.3972.4138
Total RVUs29.5152
Conversion factor× 33.4009

Facility rate, Iowa$985.83

Facility: (23.78 × 1 + 3.63 × 0.915 + 6.08 × 0.397) × $33.4009 = $985.83

Open 35510 in the RVU calculator

Payment rules and modifiers for 35510

35510 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35510

Arterial bypass, carotid to brachial

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 · 35510

Arterial bypass, carotid to brachial

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

35510 without 50 · national facility

$1,118.60

Arterial bypass, carotid to brachial

35510-50 · Bilateral: 150%

$1,677.90

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 35510 has changed in Iowa

35510 · 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$985.83RVU26D
2026-07-01Not available in this setting$985.83RVU26C
2026-04-01Not available in this setting$985.83RVU26B
2026-01-01Not available in this setting$985.83RVU26A
2025-10-01Not available in this setting$1,045.96RVU25D
2025-07-01Not available in this setting$1,045.96RVU25C
2025-04-01Not available in this setting$1,045.96RVU25B
2025-01-01Not available in this setting$1,045.96RVU25A
2024-10-01Not available in this setting$1,073.05RVU24D
2024-07-01Not available in this setting$1,073.05RVU24C
2024-04-01Not available in this setting$1,073.05RVU24B
2024-03-09Not available in this setting$1,073.05RVU24AR
2024-01-01Not available in this setting$1,055.53RVU24A
2023-10-01Not available in this setting$1,085.82RVU23D
2023-07-01Not available in this setting$1,085.82RVU23C
2023-04-01Not available in this setting$1,085.82RVU23B
2023-01-01Not available in this setting$1,085.82RVU23A
2022-10-01Not available in this setting$1,107.02RVU22D
2022-07-01Not available in this setting$1,107.02RVU22C
2022-04-01Not available in this setting$1,107.02RVU22B
2022-01-01Not available in this setting$1,107.02RVU22A
2021-10-01Not available in this setting$1,110.07RVU21D
2021-07-01Not available in this setting$1,110.07RVU21C
2021-04-01Not available in this setting$1,110.07RVU21B
2021-01-01Not available in this setting$1,110.07RVU21A
2020-10-01Not available in this setting$1,148.64RVU20D
2020-07-01Not available in this setting$1,148.64RVU20C
2020-04-01Not available in this setting$1,148.64RVU20B
2020-01-01Not available in this setting$1,148.64RVU20A
2019-10-01Not available in this setting$1,144.43RVU19D
2019-07-01Not available in this setting$1,144.43RVU19C
2019-04-01Not available in this setting$1,141.53RVU19B
2019-01-01Not available in this setting$1,141.53RVU19A
2018-10-01Not available in this setting$1,151.07RVU18D
2018-07-01Not available in this setting$1,151.07RVU18C
2018-04-01Not available in this setting$1,151.07RVU18B
2018-01-01Not available in this setting$1,151.07RVU18AR1
2017-10-01Not available in this setting$1,162.88RVU17D
2017-07-01Not available in this setting$1,162.88RVU17C
2017-04-01Not available in this setting$1,162.88RVU17B
2017-01-01Not available in this setting$1,162.88RVU17A
2016-10-01Not available in this setting$1,178.81RVU16D
2016-07-01Not available in this setting$1,178.81RVU16C
2016-04-01Not available in this setting$1,178.81RVU16B
2016-01-01Not available in this setting$1,178.81RVU16A
2015-10-01Not available in this setting$1,183.23RVU15D
2015-07-01Not available in this setting$1,183.23RVU15C
2015-04-01Not available in this setting$1,177.34RVU15B
2015-01-01Not available in this setting$1,177.34RVU15A
2014-10-01Not available in this setting$1,184.14RVU14D
2014-07-01Not available in this setting$1,184.14RVU14C
2014-04-01Not available in this setting$1,184.14RVU14B
2014-01-01Not available in this setting$1,184.14RVU14A
2013-10-01Not available in this setting$1,151.26RVU13D
2013-07-01Not available in this setting$1,151.26RVU13C
2013-04-01Not available in this setting$1,151.26RVU13B
2013-01-01Not available in this setting$1,151.26RVU13AR

Price 35510 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

35510 billing questions

How is 35510 distinguished from other upper-extremity bypass codes?

Use 35510 when the bypass runs from a carotid artery to a brachial artery. Select the code for the actual inflow and outflow vessels when either endpoint differs.

What operative details support reporting 35510?

Document the clinical indication, side, carotid inflow, brachial outflow, graft route and conduit, and the completed anastomoses.

Does the 90-day global period include postoperative care?

Yes. It includes the day-before preoperative visit and 90 days of related postoperative care.

How does Medicare handle bilateral reporting and multiple procedures?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Is vein harvest included in 35510?

If a separate vein-harvest service is performed, evaluate 35500 and document the harvest. Do not assume separate payment without checking the applicable coding edits.

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 35510PPRRVU2026_Oct_nonQPP.csv, line 4,336 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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