CPT code 35512: Arterial bypass, subclavian-to-brachial route2026 Medicare rate & RVUs in Washington, DC area

Reports surgical graft bypass from the subclavian artery to the brachial artery to restore blood flow in an ischemic upper extremity.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $1,183.12 for 35512 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,183.12Hospital or facility

Check a contract rate as a % of Medicare · 35512 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 35512 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 35512 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 35512 covers

A vascular surgeon uses a graft to route blood from the subclavian artery to the brachial artery, bypassing an obstructed or diseased arterial segment. The operation is generally performed in a hospital operating room for upper-extremity arterial insufficiency when this inflow and outflow route is selected. The graft may use an appropriate conduit documented in the operative report.

Report 35512 when the bypass runs specifically from the subclavian artery to the brachial artery; the documented origin and destination distinguish it from other upper-extremity bypass codes. The operative note should identify the indication, bypass route, graft, and work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Washington, DC area compares for 35512

Across 109 of 109 payment localities, the facility rate for 35512 runs from $954.41 in Wisconsin to $1,406.53 in Miami, FL. Washington, DC area pays $1,183.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

35512 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,183.12
  2. Los Angeles, CA · California$1,084.23−$98.89
  3. Miami, FL · Florida$1,406.53+$223.41
  4. Chicago, IL · Illinois$1,361.06+$177.94
  5. Manhattan, NY · New York$1,283.14+$100.02
  6. Alaska · Alaska$1,404.61+$221.49
  7. Alabama · Alabama$995.79−$187.33

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

35512 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$983.72
ArizonaArizona—$1,064.83
Bakersfield, CACalifornia—$1,045.71
Chico, CACalifornia—$1,029.62
El Centro, CACalifornia—$1,030.61
Fresno, CACalifornia—$1,029.62
Hanford, CACalifornia—$1,029.62
Madera, CACalifornia—$1,029.62

35512 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
35512 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 35512 in every payment locality

How the 35512 rate is calculated

Each of 35512’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 · 35512

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.29

23.29 RVUs× 1.000 GPCI

Practice expense3.60

3.60 RVUs× 1.000 GPCI

Malpractice5.96

5.96 RVUs× 1.000 GPCI

Adjusted RVUs

32.8500

Conversion factor

$33.4009

Medicare rate

$1,097.22

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,338

Code
35512
Physician work
23.29
Practice expense
3.60
Malpractice
5.96

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 35512 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work23.29× 1.05424.5477
Practice expense3.60× 1.1784.2408
Malpractice5.96× 1.1136.6335
Total RVUs35.4219
Conversion factor× 33.4009

Facility rate, Washington, DC area$1183.12

Facility: (23.29 × 1.054 + 3.6 × 1.178 + 5.96 × 1.113) × $33.4009 = $1183.12

Open 35512 in the RVU calculator

Payment rules and modifiers for 35512

35512 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35512

Arterial bypass, subclavian-to-brachial route

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 · 35512

Arterial bypass, subclavian-to-brachial route

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

35512 without 50 · national facility

$1,097.22

Arterial bypass, subclavian-to-brachial route

35512-50 · Bilateral: 150%

$1,645.83

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 35512 has changed in Washington, DC area

35512 · 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$1,183.12RVU26D
2026-07-01Not available in this setting$1,183.12RVU26C
2026-04-01Not available in this setting$1,183.12RVU26B
2026-01-01Not available in this setting$1,183.12RVU26A
2025-10-01Not available in this setting$1,256.02RVU25D
2025-07-01Not available in this setting$1,256.02RVU25C
2025-04-01Not available in this setting$1,256.02RVU25B
2025-01-01Not available in this setting$1,256.02RVU25A
2024-10-01Not available in this setting$1,289.33RVU24D
2024-07-01Not available in this setting$1,289.33RVU24C
2024-04-01Not available in this setting$1,289.33RVU24B
2024-03-09Not available in this setting$1,289.33RVU24AR
2024-01-01Not available in this setting$1,268.29RVU24A
2023-10-01Not available in this setting$1,320.63RVU23D
2023-07-01Not available in this setting$1,320.63RVU23C
2023-04-01Not available in this setting$1,320.63RVU23B
2023-01-01Not available in this setting$1,320.63RVU23A
2022-10-01Not available in this setting$1,370.96RVU22D
2022-07-01Not available in this setting$1,370.96RVU22C
2022-04-01Not available in this setting$1,370.96RVU22B
2022-01-01Not available in this setting$1,370.96RVU22A
2021-10-01Not available in this setting$1,369.87RVU21D
2021-07-01Not available in this setting$1,369.87RVU21C
2021-04-01Not available in this setting$1,369.87RVU21B
2021-01-01Not available in this setting$1,369.87RVU21A
2020-10-01Not available in this setting$1,406.46RVU20D
2020-07-01Not available in this setting$1,406.46RVU20C
2020-04-01Not available in this setting$1,406.46RVU20B
2020-01-01Not available in this setting$1,406.46RVU20A
2019-10-01Not available in this setting$1,385.52RVU19D
2019-07-01Not available in this setting$1,385.52RVU19C
2019-04-01Not available in this setting$1,385.52RVU19B
2019-01-01Not available in this setting$1,385.52RVU19A
2018-10-01Not available in this setting$1,393.01RVU18D
2018-07-01Not available in this setting$1,393.01RVU18C
2018-04-01Not available in this setting$1,393.01RVU18B
2018-01-01Not available in this setting$1,393.01RVU18AR1
2017-10-01Not available in this setting$1,619.09RVU17D
2017-07-01Not available in this setting$1,619.09RVU17C
2017-04-01Not available in this setting$1,619.09RVU17B
2017-01-01Not available in this setting$1,619.09RVU17A
2016-10-01Not available in this setting$1,442.03RVU16D
2016-07-01Not available in this setting$1,442.03RVU16C
2016-04-01Not available in this setting$1,442.03RVU16B
2016-01-01Not available in this setting$1,442.03RVU16A
2015-10-01Not available in this setting$1,649.23RVU15D
2015-07-01Not available in this setting$1,649.23RVU15C
2015-04-01Not available in this setting$1,641.02RVU15B
2015-01-01Not available in this setting$1,641.02RVU15A
2014-10-01Not available in this setting$1,420.19RVU14D
2014-07-01Not available in this setting$1,420.19RVU14C
2014-04-01Not available in this setting$1,420.19RVU14B
2014-01-01Not available in this setting$1,420.19RVU14A
2013-10-01Not available in this setting$1,379.15RVU13D
2013-07-01Not available in this setting$1,379.15RVU13C
2013-04-01Not available in this setting$1,379.15RVU13B
2013-01-01Not available in this setting$1,379.15RVU13AR

Price 35512 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

35512 billing questions

How do I distinguish 35512 from 35516?

35512 describes a subclavian-to-brachial route. Use 35516 when the bypass runs from the subclavian artery to the axillary artery.

What operative documentation supports 35512?

Document the bypass indication, the subclavian inflow and brachial outflow, the graft used, and the operative work performed.

Does the 90-day global period include postoperative visits?

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

How is modifier 50 handled for bilateral bypass?

CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support bypasses on both sides.

How does the multiple procedure reduction affect 35512?

For procedures performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%.

Can an assistant or co-surgeon be reported?

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
RVUs for 35512PPRRVU2026_Oct_nonQPP.csv, line 4,338 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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