CPT code 35518: Arterial bypass, axillary to axillary2026 Medicare rate & RVUs in Mississippi

Reports open graft bypass from one axillary artery to the other, commonly routing blood around an obstructed subclavian artery.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Mississippi, Medicare pays $973.66 for 35518 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$973.66Hospital or facility

Check a contract rate as a % of Medicare · 35518 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 35518 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 35518 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 35518 covers

A vascular surgeon creates an extra-anatomic route between the axillary arteries, typically across the chest, to improve blood flow when the usual arterial pathway is obstructed. This operation is commonly considered for symptomatic subclavian artery occlusive disease when the axillary arteries provide suitable inflow and outflow. The graft may be prosthetic or another documented conduit; the operative report should identify its route and both anastomotic vessels.

Choose this code when the bypass runs from axillary artery to axillary artery, rather than from a subclavian artery or to an arm or leg artery. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 pricing is 150% for a bilateral procedure. An assistant at surgery may be paid; 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 Mississippi compares for 35518

Across 109 of 109 payment localities, the facility rate for 35518 runs from $903.56 in Wisconsin to $1,330.59 in Miami, FL. Mississippi pays $973.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

35518 in Mississippi vs other payment areas
  1. Mississippi · this page$973.66
  2. Los Angeles, CA · California$1,026.15+$52.49
  3. Washington, DC area · District of Columbia$1,119.60+$145.94
  4. Miami, FL · Florida$1,330.59+$356.93
  5. Chicago, IL · Illinois$1,287.68+$314.02
  6. Manhattan, NY · New York$1,214.12+$240.46
  7. Alaska · Alaska$1,330.08+$356.42

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

Every other payment area

35518 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$942.71
ArkansasArkansas—$931.31
ArizonaArizona—$1,007.86
Bakersfield, CACalifornia—$989.76
Chico, CACalifornia—$974.56
El Centro, CACalifornia—$975.50
Fresno, CACalifornia—$974.56
Hanford, CACalifornia—$974.56

35518 rates by state

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

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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
35518 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 35518 in every payment locality

How the 35518 rate is calculated

Each of 35518’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 · 35518

RVUs × geographic indexes × conversion factor

Office or facility?

Work22.08

22.08 RVUs× 1.000 GPCI

Practice expense3.38

3.38 RVUs× 1.000 GPCI

Malpractice5.63

5.63 RVUs× 1.000 GPCI

Adjusted RVUs

31.0900

Conversion factor

$33.4009

Medicare rate

$1,038.43

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,341

Code
35518
Physician work
22.08
Practice expense
3.38
Malpractice
5.63

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 35518 in Mississippi
ComponentRVULocality factorAdjusted
Physician work22.08× 1.00022.0800
Practice expense3.38× 0.8612.9102
Malpractice5.63× 0.7394.1606
Total RVUs29.1507
Conversion factor× 33.4009

Facility rate, Mississippi$973.66

Facility: (22.08 × 1 + 3.38 × 0.861 + 5.63 × 0.739) × $33.4009 = $973.66

Open 35518 in the RVU calculator

Payment rules and modifiers for 35518

35518 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35518

Arterial bypass, axillary to axillary

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 · 35518

Arterial bypass, axillary to axillary

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

35518 without 50 · national facility

$1,038.43

Arterial bypass, axillary to axillary

35518-50 · Bilateral: 150%

$1,557.65

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 35518 has changed in Mississippi

35518 · 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$973.66RVU26D
2026-07-01Not available in this setting$973.66RVU26C
2026-04-01Not available in this setting$973.66RVU26B
2026-01-01Not available in this setting$973.66RVU26A
2025-10-01Not available in this setting$1,018.35RVU25D
2025-07-01Not available in this setting$1,018.35RVU25C
2025-04-01Not available in this setting$1,018.35RVU25B
2025-01-01Not available in this setting$1,018.35RVU25A
2024-10-01Not available in this setting$1,044.49RVU24D
2024-07-01Not available in this setting$1,044.49RVU24C
2024-04-01Not available in this setting$1,044.49RVU24B
2024-03-09Not available in this setting$1,044.49RVU24AR
2024-01-01Not available in this setting$1,027.44RVU24A
2023-10-01Not available in this setting$1,049.84RVU23D
2023-07-01Not available in this setting$1,049.84RVU23C
2023-04-01Not available in this setting$1,049.84RVU23B
2023-01-01Not available in this setting$1,049.84RVU23A
2022-10-01Not available in this setting$1,064.80RVU22D
2022-07-01Not available in this setting$1,064.80RVU22C
2022-04-01Not available in this setting$1,064.80RVU22B
2022-01-01Not available in this setting$1,064.80RVU22A
2021-10-01Not available in this setting$1,067.00RVU21D
2021-07-01Not available in this setting$1,067.00RVU21C
2021-04-01Not available in this setting$1,067.00RVU21B
2021-01-01Not available in this setting$1,067.00RVU21A
2020-10-01Not available in this setting$1,076.96RVU20D
2020-07-01Not available in this setting$1,076.96RVU20C
2020-04-01Not available in this setting$1,076.96RVU20B
2020-01-01Not available in this setting$1,076.96RVU20A
2019-10-01Not available in this setting$1,045.62RVU19D
2019-07-01Not available in this setting$1,045.62RVU19C
2019-04-01Not available in this setting$1,042.42RVU19B
2019-01-01Not available in this setting$1,042.42RVU19A
2018-10-01Not available in this setting$1,051.45RVU18D
2018-07-01Not available in this setting$1,051.45RVU18C
2018-04-01Not available in this setting$1,051.45RVU18B
2018-01-01Not available in this setting$1,051.45RVU18AR1
2017-10-01Not available in this setting$1,095.52RVU17D
2017-07-01Not available in this setting$1,095.52RVU17C
2017-04-01Not available in this setting$1,095.52RVU17B
2017-01-01Not available in this setting$1,095.52RVU17A
2016-10-01Not available in this setting$1,125.19RVU16D
2016-07-01Not available in this setting$1,125.19RVU16C
2016-04-01Not available in this setting$1,125.19RVU16B
2016-01-01Not available in this setting$1,125.19RVU16A
2015-10-01Not available in this setting$1,114.91RVU15D
2015-07-01Not available in this setting$1,114.91RVU15C
2015-04-01Not available in this setting$1,109.37RVU15B
2015-01-01Not available in this setting$1,109.37RVU15A
2014-10-01Not available in this setting$1,132.73RVU14D
2014-07-01Not available in this setting$1,132.73RVU14C
2014-04-01Not available in this setting$1,132.73RVU14B
2014-01-01Not available in this setting$1,132.73RVU14A
2013-10-01Not available in this setting$1,258.77RVU13D
2013-07-01Not available in this setting$1,258.77RVU13C
2013-04-01Not available in this setting$1,258.77RVU13B
2013-01-01Not available in this setting$1,258.77RVU13AR

Price 35518 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

35518 billing questions

How do I distinguish this from a subclavian-to-axillary bypass?

Use this code when both bypass endpoints are axillary arteries. A bypass beginning at a subclavian artery and ending at an axillary artery is a different configuration.

What operative documentation supports this code?

Document the bypass indication, the donor and recipient arteries, the graft route, and the conduit used. The record should make clear that the graft connects axillary artery to axillary artery.

Does the 90-day global include postoperative visits?

Yes. The day-before preoperative visit and related postoperative care through 90 days are included in the global period.

How is this code priced with other procedures in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50%. For a bilateral procedure reported with modifier 50, the CMS pricing rule is 150%.

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.

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 35518PPRRVU2026_Oct_nonQPP.csv, line 4,341 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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