CPT code 35510: Arterial bypass, carotid to brachial2026 Medicare rate & RVUs in Kentucky
Reports open bypass from a carotid artery to a brachial artery to restore blood flow to an arm when native arterial circulation is inadequate.
In Kentucky, Medicare pays $1,087.88 for 35510 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Kentucky 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. Kentucky pays $1,087.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$1,087.88
- Los Angeles, CA · California$1,105.12+$17.24
- Washington, DC area · District of Columbia$1,206.02+$118.14
- Miami, FL · Florida$1,434.07+$346.19
- Chicago, IL · Illinois$1,387.75+$299.87
- Manhattan, NY · New York$1,308.07+$220.19
- Alaska · Alaska$1,432.43+$344.55
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $1,049.51 |
| Merced, CACalifornia | — | $1,049.51 |
| Modesto, CACalifornia | — | $1,049.51 |
| Napa, CACalifornia | — | $1,107.28 |
| Oxnard, CACalifornia | — | $1,086.34 |
| Redding, CACalifornia | — | $1,049.51 |
| Rest of CaliforniaCalifornia | — | $1,049.51 |
| Riverside, CACalifornia | — | $1,114.68 |
| Sacramento, CACalifornia | — | $1,072.73 |
| Salinas, CACalifornia | — | $1,068.27 |
| San Diego, CACalifornia | — | $1,073.18 |
| Marin County, CACalifornia | — | $1,133.90 |
| San Francisco, CACalifornia | — | $1,126.99 |
| San Benito County, CACalifornia | — | $1,165.33 |
| Santa Clara County, CACalifornia | — | $1,137.10 |
| San Luis Obispo, CACalifornia | — | $1,054.72 |
| Santa Cruz, CACalifornia | — | $1,067.12 |
| Santa Maria, CACalifornia | — | $1,066.73 |
| Santa Rosa, CACalifornia | — | $1,075.84 |
| Stockton, CACalifornia | — | $1,049.51 |
| Vallejo, CACalifornia | — | $1,097.33 |
| Visalia, CACalifornia | — | $1,049.51 |
| Yuba City, CACalifornia | — | $1,049.51 |
| ColoradoColorado | — | $1,091.41 |
| ConnecticutConnecticut | — | $1,186.46 |
| DelawareDelaware | — | $1,100.60 |
| Fort Lauderdale, FLFlorida | — | $1,284.26 |
| Rest of FloridaFlorida | — | $1,215.41 |
| Atlanta, GAGeorgia | — | $1,163.74 |
| Rest of GeorgiaGeorgia | — | $1,144.49 |
| Hawaii, Guam, HIHawaii | — | $1,049.71 |
| IowaIowa | — | $985.83 |
| IdahoIdaho | — | $1,001.87 |
| East St. Louis, ILIllinois | — | $1,314.82 |
| Rest of IllinoisIllinois | — | $1,222.38 |
| Suburban Chicago, ILIllinois | — | $1,284.21 |
| IndianaIndiana | — | $1,005.36 |
| KansasKansas | — | $1,006.23 |
| New Orleans, LALouisiana | — | $1,139.06 |
| Rest of LouisianaLouisiana | — | $1,096.12 |
| Metropolitan Boston, MAMassachusetts | — | $1,152.34 |
| Rest of MassachusettsMassachusetts | — | $1,096.51 |
| Baltimore area, MDMaryland | — | $1,188.28 |
| Rest of MarylandMaryland | — | $1,111.34 |
| Rest of MaineMaine | — | $1,032.13 |
| Southern Maine, MEMaine | — | $1,042.57 |
| Detroit, MIMichigan | — | $1,253.66 |
| Rest of MichiganMichigan | — | $1,134.24 |
| MinnesotaMinnesota | — | $979.15 |
| Metropolitan Kansas City, MOMissouri | — | $1,106.53 |
| Metropolitan St. Louis, MOMissouri | — | $1,113.18 |
| Rest of MissouriMissouri | — | $1,096.58 |
| MississippiMississippi | — | $1,048.74 |
| MontanaMontana | — | $1,118.19 |
| North CarolinaNorth Carolina | — | $1,037.16 |
| North DakotaNorth Dakota | — | $997.97 |
| NebraskaNebraska | — | $982.95 |
| New HampshireNew Hampshire | — | $1,098.18 |
| Northern New JerseyNew Jersey | — | $1,201.84 |
| Rest of New JerseyNew Jersey | — | $1,181.22 |
| New MexicoNew Mexico | — | $1,149.35 |
| NevadaNevada | — | $1,084.80 |
| NYC suburbs and Long Island, NYNew York | — | $1,366.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,208.50 |
| Queens, NYNew York | — | $1,281.26 |
| Rest of New YorkNew York | — | $1,052.22 |
| OhioOhio | — | $1,109.67 |
| OklahomaOklahoma | — | $1,060.34 |
| Portland, OROregon | — | $1,092.77 |
| Rest of OregonOregon | — | $1,057.80 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,177.06 |
| Rest of PennsylvaniaPennsylvania | — | $1,097.48 |
| Puerto RicoPuerto Rico | — | $1,116.88 |
| Rhode IslandRhode Island | — | $1,115.76 |
| South CarolinaSouth Carolina | — | $1,078.92 |
| South DakotaSouth Dakota | — | $983.75 |
| TennesseeTennessee | — | $1,013.54 |
| Austin, TXTexas | — | $1,104.07 |
| Beaumont, TXTexas | — | $1,093.27 |
| Brazoria, TXTexas | — | $1,079.18 |
| Dallas, TXTexas | — | $1,096.42 |
| Fort Worth, TXTexas | — | $1,097.85 |
| Galveston, TXTexas | — | $1,089.17 |
| Houston, TXTexas | — | $1,200.46 |
| Rest of TexasTexas | — | $1,092.71 |
| UtahUtah | — | $1,090.61 |
| VirginiaVirginia | — | $1,056.83 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,116.88 |
| VermontVermont | — | $1,017.06 |
| Rest of WashingtonWashington | — | $1,086.81 |
| King County, WAWashington | — | $1,148.67 |
| WisconsinWisconsin | — | $972.97 |
| West VirginiaWest Virginia | — | $1,190.24 |
| WyomingWyoming | — | $1,065.80 |
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
| 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 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
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 Kentucky 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
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.78 | × 1.000 | 23.7800 |
| Practice expense | 3.63 | × 0.889 | 3.2271 |
| Malpractice | 6.08 | × 0.915 | 5.5632 |
| Total RVUs | 32.5703 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1087.88
Facility: (23.78 × 1 + 3.63 × 0.889 + 6.08 × 0.915) × $33.4009 = $1087.88
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
| 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 · 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.
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).
How 35510 has changed in Kentucky
35510 · 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 | $1,087.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,087.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,087.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,087.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,127.82 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,127.82 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,127.82 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,127.82 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,158.68 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,158.68 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,158.68 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,158.68 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,139.77 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,164.93 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,164.93 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,164.93 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,164.93 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,184.62 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,184.62 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,184.62 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,184.62 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,185.64 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,185.64 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,185.64 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,185.64 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,226.22 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,226.22 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,226.22 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,226.22 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,219.58 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,219.58 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,213.97 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,213.97 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,225.02 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,225.02 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,225.02 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,225.02 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,226.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,226.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,226.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,226.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,234.50 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,234.50 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,234.50 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,234.50 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,240.25 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,240.25 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,234.08 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,234.08 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,238.53 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,238.53 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,238.53 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,238.53 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,205.29 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,205.29 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,205.29 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,205.29 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
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
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