CPT code 35511: Artery bypass, subclavian to subclavian, vein graft2026 Medicare rate & RVUs in Utah
Reports a vein-graft bypass connecting the subclavian arteries when a vascular surgeon routes blood around subclavian artery obstruction.
In Utah, Medicare pays $994.18 for 35511 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Utah 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. Utah pays $994.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$994.18
- Los Angeles, CA · California$1,007.79+$13.61
- Washington, DC area · District of Columbia$1,099.57+$105.39
- Miami, FL · Florida$1,306.73+$312.55
- Chicago, IL · Illinois$1,264.55+$270.37
- Manhattan, NY · New York$1,192.37+$198.19
- Alaska · Alaska$1,305.63+$311.45
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $957.06 |
| Merced, CACalifornia | — | $957.06 |
| Modesto, CACalifornia | — | $957.06 |
| Napa, CACalifornia | — | $1,009.99 |
| Oxnard, CACalifornia | — | $990.71 |
| Redding, CACalifornia | — | $957.06 |
| Rest of CaliforniaCalifornia | — | $957.06 |
| Riverside, CACalifornia | — | $1,016.34 |
| Sacramento, CACalifornia | — | $978.30 |
| Salinas, CACalifornia | — | $974.23 |
| San Diego, CACalifornia | — | $978.76 |
| Marin County, CACalifornia | — | $1,034.38 |
| San Francisco, CACalifornia | — | $1,028.10 |
| San Benito County, CACalifornia | — | $1,063.03 |
| Santa Clara County, CACalifornia | — | $1,037.35 |
| San Luis Obispo, CACalifornia | — | $961.87 |
| Santa Cruz, CACalifornia | — | $973.27 |
| Santa Maria, CACalifornia | — | $972.85 |
| Santa Rosa, CACalifornia | — | $981.23 |
| Stockton, CACalifornia | — | $957.06 |
| Vallejo, CACalifornia | — | $1,000.94 |
| Visalia, CACalifornia | — | $957.06 |
| Yuba City, CACalifornia | — | $957.06 |
| ColoradoColorado | — | $995.12 |
| ConnecticutConnecticut | — | $1,081.60 |
| DelawareDelaware | — | $1,003.35 |
| Fort Lauderdale, FLFlorida | — | $1,170.43 |
| Rest of FloridaFlorida | — | $1,107.71 |
| Atlanta, GAGeorgia | — | $1,060.82 |
| Rest of GeorgiaGeorgia | — | $1,043.11 |
| Hawaii, Guam, HIHawaii | — | $957.30 |
| IowaIowa | — | $898.84 |
| IdahoIdaho | — | $913.44 |
| East St. Louis, ILIllinois | — | $1,198.07 |
| Rest of IllinoisIllinois | — | $1,113.98 |
| Suburban Chicago, ILIllinois | — | $1,170.41 |
| IndianaIndiana | — | $916.62 |
| KansasKansas | — | $917.37 |
| KentuckyKentucky | — | $991.61 |
| New Orleans, LALouisiana | — | $1,038.25 |
| Rest of LouisianaLouisiana | — | $999.10 |
| Metropolitan Boston, MAMassachusetts | — | $1,050.77 |
| Rest of MassachusettsMassachusetts | — | $999.73 |
| Baltimore area, MDMaryland | — | $1,083.24 |
| Rest of MarylandMaryland | — | $1,013.16 |
| Rest of MaineMaine | — | $940.96 |
| Southern Maine, MEMaine | — | $950.57 |
| Detroit, MIMichigan | — | $1,142.52 |
| Rest of MichiganMichigan | — | $1,033.82 |
| MinnesotaMinnesota | — | $892.94 |
| Metropolitan Kansas City, MOMissouri | — | $1,008.66 |
| Metropolitan St. Louis, MOMissouri | — | $1,014.73 |
| Rest of MissouriMissouri | — | $999.49 |
| MississippiMississippi | — | $955.97 |
| MontanaMontana | — | $1,019.36 |
| North CarolinaNorth Carolina | — | $945.55 |
| North DakotaNorth Dakota | — | $910.01 |
| NebraskaNebraska | — | $896.23 |
| New HampshireNew Hampshire | — | $1,001.23 |
| Northern New JerseyNew Jersey | — | $1,095.75 |
| Rest of New JerseyNew Jersey | — | $1,076.87 |
| New MexicoNew Mexico | — | $1,047.57 |
| NevadaNevada | — | $989.00 |
| NYC suburbs and Long Island, NYNew York | — | $1,245.45 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,101.69 |
| Queens, NYNew York | — | $1,168.01 |
| Rest of New YorkNew York | — | $959.28 |
| OhioOhio | — | $1,011.47 |
| OklahomaOklahoma | — | $966.57 |
| Portland, OROregon | — | $996.43 |
| Rest of OregonOregon | — | $964.42 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,072.98 |
| Rest of PennsylvaniaPennsylvania | — | $1,000.40 |
| Puerto RicoPuerto Rico | — | $1,018.19 |
| Rhode IslandRhode Island | — | $1,017.21 |
| South CarolinaSouth Carolina | — | $983.52 |
| South DakotaSouth Dakota | — | $897.08 |
| TennesseeTennessee | — | $924.03 |
| Austin, TXTexas | — | $1,006.61 |
| Beaumont, TXTexas | — | $996.54 |
| Brazoria, TXTexas | — | $983.87 |
| Dallas, TXTexas | — | $999.56 |
| Fort Worth, TXTexas | — | $1,000.84 |
| Galveston, TXTexas | — | $992.96 |
| Houston, TXTexas | — | $1,094.18 |
| Rest of TexasTexas | — | $996.11 |
| VirginiaVirginia | — | $963.52 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,018.19 |
| VermontVermont | — | $927.37 |
| Rest of WashingtonWashington | — | $990.92 |
| King County, WAWashington | — | $1,047.48 |
| WisconsinWisconsin | — | $887.21 |
| West VirginiaWest Virginia | — | $1,084.68 |
| WyomingWyoming | — | $971.71 |
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
| 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 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
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 Utah 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
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.65 | × 1.000 | 21.6500 |
| Practice expense | 3.35 | × 0.940 | 3.1490 |
| Malpractice | 5.53 | × 0.898 | 4.9659 |
| Total RVUs | 29.7649 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$994.18
Facility: (21.65 × 1 + 3.35 × 0.94 + 5.53 × 0.898) × $33.4009 = $994.18
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
| 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 · 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.
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).
How 35511 has changed in Utah
35511 · 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 | $994.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $994.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $994.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $994.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,040.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,040.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,040.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,040.48 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,068.26 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,068.26 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,068.26 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,068.26 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,050.82 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,069.40 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,069.40 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,069.40 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,069.40 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,082.68 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,082.68 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,082.68 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,082.68 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,084.31 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,084.31 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,084.31 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,084.31 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,157.30 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,157.30 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,157.30 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,157.30 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,183.16 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,183.16 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,155.87 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,155.87 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,187.86 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,187.86 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,187.86 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,187.86 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,290.49 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,290.49 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,290.49 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,290.49 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,203.95 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,203.95 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,203.95 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,203.95 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,210.75 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,210.75 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,204.72 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,204.72 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,344.80 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,344.80 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,344.80 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,344.80 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,316.97 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,316.97 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,316.97 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,316.97 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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
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