CPT code 35511: Artery bypass, subclavian to subclavian, vein graft2026 Medicare rate & RVUs in North Dakota

Reports a vein-graft bypass connecting the subclavian arteries when a vascular surgeon routes blood around subclavian artery obstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Dakota, Medicare pays $910.01 for 35511 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$910.01Hospital or facility

Check a contract rate as a % of Medicare · 35511 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 35511 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 35511 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 35511 covers

A vascular surgeon creates a bypass from one subclavian artery to the other using a vein graft. The operation provides a route for blood around disease affecting subclavian flow and is performed in an operating room. The operative report should identify both arterial connections and the vein conduit; the graft’s destination distinguishes this procedure from bypasses ending in the brachial, axillary, or vertebral artery.

Report 35511 for the completed subclavian-to-subclavian bypass, using the operative findings to confirm the inflow and outflow arteries. CMS assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For a bilateral procedure reported with modifier 50, CMS pays 150%; a single graft connecting arteries on opposite sides should not be mistaken for two bypasses. An assistant at surgery may be paid. Co-surgeons require supporting documentation, and CMS does not permit team surgery for this code.

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 North Dakota compares for 35511

Across 109 of 109 payment localities, the facility rate for 35511 runs from $887.21 in Wisconsin to $1,306.73 in Miami, FL. North Dakota pays $910.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

35511 in North Dakota vs other payment areas
  1. North Dakota · this page$910.01
  2. Los Angeles, CA · California$1,007.79+$97.78
  3. Washington, DC area · District of Columbia$1,099.57+$189.56
  4. Miami, FL · Florida$1,306.73+$396.72
  5. Chicago, IL · Illinois$1,264.55+$354.54
  6. Manhattan, NY · New York$1,192.37+$282.36
  7. Alaska · Alaska$1,305.63+$395.62

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

Every other payment area

35511 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$925.58
ArkansasArkansas—$914.37
ArizonaArizona—$989.66
Bakersfield, CACalifornia—$971.99
Chico, CACalifornia—$957.06
El Centro, CACalifornia—$957.98
Fresno, CACalifornia—$957.06
Hanford, CACalifornia—$957.06

35511 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
35511 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 35511 in every payment locality

How the 35511 rate is calculated

Each of 35511’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 · 35511

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.65

21.65 RVUs× 1.000 GPCI

Practice expense3.35

3.35 RVUs× 1.000 GPCI

Malpractice5.53

5.53 RVUs× 1.000 GPCI

Adjusted RVUs

30.5300

Conversion factor

$33.4009

Medicare rate

$1,019.73

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,337

Code
35511
Physician work
21.65
Practice expense
3.35
Malpractice
5.53

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 35511 in North Dakota
ComponentRVULocality factorAdjusted
Physician work21.65× 1.00021.6500
Practice expense3.35× 1.0003.3500
Malpractice5.53× 0.4062.2452
Total RVUs27.2452
Conversion factor× 33.4009

Facility rate, North Dakota$910.01

Facility: (21.65 × 1 + 3.35 × 1 + 5.53 × 0.406) × $33.4009 = $910.01

Open 35511 in the RVU calculator

Payment rules and modifiers for 35511

35511 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35511

Artery bypass, subclavian to subclavian, vein graft

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 · 35511

Artery bypass, subclavian to subclavian, vein graft

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

35511 without 50 · national facility

$1,019.73

Artery bypass, subclavian to subclavian, vein graft

35511-50 · Bilateral: 150%

$1,529.60

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 35511 has changed in North Dakota

35511 · 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$910.01RVU26D
2026-07-01Not available in this setting$910.01RVU26C
2026-04-01Not available in this setting$910.01RVU26B
2026-01-01Not available in this setting$910.01RVU26A
2025-10-01Not available in this setting$978.74RVU25D
2025-07-01Not available in this setting$978.74RVU25C
2025-04-01Not available in this setting$978.74RVU25B
2025-01-01Not available in this setting$978.74RVU25A
2024-10-01Not available in this setting$1,003.59RVU24D
2024-07-01Not available in this setting$1,003.59RVU24C
2024-04-01Not available in this setting$1,003.59RVU24B
2024-03-09Not available in this setting$1,003.59RVU24AR
2024-01-01Not available in this setting$987.21RVU24A
2023-10-01Not available in this setting$1,010.86RVU23D
2023-07-01Not available in this setting$1,010.86RVU23C
2023-04-01Not available in this setting$1,010.86RVU23B
2023-01-01Not available in this setting$1,010.86RVU23A
2022-10-01Not available in this setting$1,026.34RVU22D
2022-07-01Not available in this setting$1,026.34RVU22C
2022-04-01Not available in this setting$1,026.34RVU22B
2022-01-01Not available in this setting$1,026.34RVU22A
2021-10-01Not available in this setting$1,029.30RVU21D
2021-07-01Not available in this setting$1,029.30RVU21C
2021-04-01Not available in this setting$1,029.30RVU21B
2021-01-01Not available in this setting$1,029.30RVU21A
2020-10-01Not available in this setting$1,075.65RVU20D
2020-07-01Not available in this setting$1,075.65RVU20C
2020-04-01Not available in this setting$1,075.65RVU20B
2020-01-01Not available in this setting$1,075.65RVU20A
2019-10-01Not available in this setting$1,080.82RVU19D
2019-07-01Not available in this setting$1,080.82RVU19C
2019-04-01Not available in this setting$1,068.17RVU19B
2019-01-01Not available in this setting$1,068.17RVU19A
2018-10-01Not available in this setting$1,087.14RVU18D
2018-07-01Not available in this setting$1,087.14RVU18C
2018-04-01Not available in this setting$1,087.14RVU18B
2018-01-01Not available in this setting$1,087.14RVU18AR1
2017-10-01Not available in this setting$1,195.87RVU17D
2017-07-01Not available in this setting$1,195.87RVU17C
2017-04-01Not available in this setting$1,195.87RVU17B
2017-01-01Not available in this setting$1,195.87RVU17A
2016-10-01Not available in this setting$1,106.66RVU16D
2016-07-01Not available in this setting$1,106.66RVU16C
2016-04-01Not available in this setting$1,106.66RVU16B
2016-01-01Not available in this setting$1,106.66RVU16A
2015-10-01Not available in this setting$1,111.01RVU15D
2015-07-01Not available in this setting$1,111.01RVU15C
2015-04-01Not available in this setting$1,105.48RVU15B
2015-01-01Not available in this setting$1,105.48RVU15A
2014-10-01Not available in this setting$1,266.58RVU14D
2014-07-01Not available in this setting$1,266.58RVU14C
2014-04-01Not available in this setting$1,266.58RVU14B
2014-01-01Not available in this setting$1,266.58RVU14A
2013-10-01Not available in this setting$1,245.23RVU13D
2013-07-01Not available in this setting$1,245.23RVU13C
2013-04-01Not available in this setting$1,245.23RVU13B
2013-01-01Not available in this setting$1,245.23RVU13AR

Price 35511 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

35511 billing questions

When is 35511 selected instead of 35512?

Select 35511 when the bypass ends in a subclavian artery. Code 35512 describes a bypass from a subclavian artery to a brachial artery.

Does a graft crossing from one side to the other require modifier 50?

The single subclavian-to-subclavian graft is not, by itself, two bilateral bypass procedures. CMS pays 150% for a bilateral procedure reported with modifier 50.

Which visits are included in the global period?

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

How is 35511 paid with another procedure in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team surgery for 35511.

What operative details support selection of 35511?

The report should identify the subclavian artery at each end of the bypass and document the vein graft used to connect them.

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 35511PPRRVU2026_Oct_nonQPP.csv, line 4,337 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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