CPT code 35515: Arterial bypass, subclavian to vertebral2026 Medicare rate & RVUs in Idaho

In Idaho, Medicare pays $1,085.31 for 35515 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35515 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 35515 covers

Code 35515 represents an open bypass that routes arterial blood from the subclavian artery to a vertebral artery, creating an alternate pathway around an obstructed or inadequate segment. Vascular surgeons perform it in the operating room for selected patients with compromised vertebral circulation, including cases associated with subclavian steal physiology. The defining feature is the named inflow and outflow vessels, not simply treatment of arm ischemia or any operation near the neck.

Report this code when operative documentation supports the subclavian-to-vertebral bypass; distinguish it from bypasses whose outflow is the carotid, axillary, or another vessel. Document laterality, anastomotic endpoints, indication, and the bypass performed. The 90-day global includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral work, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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 Idaho compares for 35515

Across 109 of 109 payment localities, the facility rate for 35515 runs from $1,055.04 in Wisconsin to $1,548.49 in Miami, FL. Idaho pays $1,085.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35515 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 35515 in every payment locality

How the 35515 rate is calculated

Each of 35515’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.

Payment rules and modifiers for 35515

35515 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 35515

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 35515 has changed in Idaho

Price 35515 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Acequia
• Albion
• American Falls
• Ammon
• Arbon Valley
• Arco
• Arimo

Browse all communities in Idaho

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

Open CMS sourceHow we calculate rates