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

In North Dakota, Medicare pays $926.73 for 35518 in a facility. There’s no office rate.

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.

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 North Dakota 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. North Dakota pays $926.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35518 rates by state

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

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.

Payment rules and modifiers for 35518

35518 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 35518

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

How 35518 has changed in North Dakota

Price 35518 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

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