CPT code 35525: Arterial bypass, brachial to brachial2026 Medicare rate & RVUs in Connecticut

Reports a vein-graft bypass connecting brachial arteries to reroute blood flow around an upper-extremity arterial obstruction or injury.

CMS RVU26DEffective Oct 1, 2026One payment locality73 Medicare services in 2024

In Connecticut, Medicare pays $1,061.83 for 35525 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,061.83Hospital or facility

Check a contract rate as a % of Medicare · 35525 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 35525 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 35525 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 35525 covers

A vascular surgeon uses a vein graft to create a new route between brachial arteries when disease or injury disrupts blood flow through the usual arterial pathway. The procedure is performed in an operating room and may be considered for upper-extremity ischemia when the documented bypass runs from brachial artery to brachial artery. The named origin and destination distinguish this service from bypasses connecting the axillary, subclavian, radial, or ulnar arteries.

Select the code based on the bypass route and the use of a vein graft. The operative report should identify both anastomosis sites, the conduit, the indication, and the work performed; a separately reportable vein harvest may be coded with 35500 when applicable. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require 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 Connecticut compares for 35525

Across 109 of 109 payment localities, the facility rate for 35525 runs from $871.41 in Wisconsin to $1,281.49 in Miami, FL. Connecticut pays $1,061.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

35525 in Connecticut vs other payment areas
  1. Connecticut · this page$1,061.83
  2. Los Angeles, CA · California$990.29−$71.54
  3. Washington, DC area · District of Columbia$1,079.89+$18.06
  4. Miami, FL · Florida$1,281.49+$219.66
  5. Chicago, IL · Illinois$1,240.11+$178.28
  6. Manhattan, NY · New York$1,170.44+$108.61
  7. Alaska · Alaska$1,280.68+$218.85

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

Every other payment area

35525 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$908.47
ArkansasArkansas—$897.44
ArizonaArizona—$971.51
Bakersfield, CACalifornia—$954.89
Chico, CACalifornia—$940.31
El Centro, CACalifornia—$941.21
Fresno, CACalifornia—$940.31
Hanford, CACalifornia—$940.31

35525 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
35525 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 35525 in every payment locality

How the 35525 rate is calculated

Each of 35525’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 · 35525

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.15

21.15 RVUs× 1.000 GPCI

Practice expense3.42

3.42 RVUs× 1.000 GPCI

Malpractice5.40

5.40 RVUs× 1.000 GPCI

Adjusted RVUs

29.9700

Conversion factor

$33.4009

Medicare rate

$1,001.02

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,346

Code
35525
Physician work
21.15
Practice expense
3.42
Malpractice
5.40

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 35525 in Connecticut
ComponentRVULocality factorAdjusted
Physician work21.15× 1.02021.5730
Practice expense3.42× 1.0773.6833
Malpractice5.40× 1.2106.5340
Total RVUs31.7903
Conversion factor× 33.4009

Facility rate, Connecticut$1061.83

Facility: (21.15 × 1.02 + 3.42 × 1.077 + 5.4 × 1.21) × $33.4009 = $1061.83

Open 35525 in the RVU calculator

Payment rules and modifiers for 35525

35525 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35525

Arterial bypass, brachial to brachial

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 · 35525

Arterial bypass, brachial to brachial

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

35525 without 50 · national facility

$1,001.02

Arterial bypass, brachial to brachial

35525-50 · Bilateral: 150%

$1,501.53

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 35525 has changed in Connecticut

35525 · 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$1,061.83RVU26D
2026-07-01Not available in this setting$1,061.83RVU26C
2026-04-01Not available in this setting$1,061.83RVU26B
2026-01-01Not available in this setting$1,061.83RVU26A
2025-10-01Not available in this setting$1,112.28RVU25D
2025-07-01Not available in this setting$1,112.28RVU25C
2025-04-01Not available in this setting$1,112.28RVU25B
2025-01-01Not available in this setting$1,112.28RVU25A
2024-10-01Not available in this setting$1,175.90RVU24D
2024-07-01Not available in this setting$1,175.90RVU24C
2024-04-01Not available in this setting$1,175.90RVU24B
2024-03-09Not available in this setting$1,175.90RVU24AR
2024-01-01Not available in this setting$1,156.71RVU24A
2023-10-01Not available in this setting$1,176.31RVU23D
2023-07-01Not available in this setting$1,176.31RVU23C
2023-04-01Not available in this setting$1,176.31RVU23B
2023-01-01Not available in this setting$1,176.31RVU23A
2022-10-01Not available in this setting$1,190.07RVU22D
2022-07-01Not available in this setting$1,190.07RVU22C
2022-04-01Not available in this setting$1,190.07RVU22B
2022-01-01Not available in this setting$1,190.07RVU22A
2021-10-01Not available in this setting$1,193.81RVU21D
2021-07-01Not available in this setting$1,193.81RVU21C
2021-04-01Not available in this setting$1,193.81RVU21B
2021-01-01Not available in this setting$1,193.81RVU21A
2020-10-01Not available in this setting$1,256.66RVU20D
2020-07-01Not available in this setting$1,256.66RVU20C
2020-04-01Not available in this setting$1,256.66RVU20B
2020-01-01Not available in this setting$1,256.66RVU20A
2019-10-01Not available in this setting$1,279.97RVU19D
2019-07-01Not available in this setting$1,279.97RVU19C
2019-04-01Not available in this setting$1,279.97RVU19B
2019-01-01Not available in this setting$1,279.97RVU19A
2018-10-01Not available in this setting$1,283.72RVU18D
2018-07-01Not available in this setting$1,283.72RVU18C
2018-04-01Not available in this setting$1,283.72RVU18B
2018-01-01Not available in this setting$1,283.72RVU18AR1
2017-10-01Not available in this setting$1,299.45RVU17D
2017-07-01Not available in this setting$1,299.45RVU17C
2017-04-01Not available in this setting$1,299.45RVU17B
2017-01-01Not available in this setting$1,299.45RVU17A
2016-10-01Not available in this setting$1,304.49RVU16D
2016-07-01Not available in this setting$1,304.49RVU16C
2016-04-01Not available in this setting$1,304.49RVU16B
2016-01-01Not available in this setting$1,304.49RVU16A
2015-10-01Not available in this setting$1,315.52RVU15D
2015-07-01Not available in this setting$1,315.52RVU15C
2015-04-01Not available in this setting$1,308.98RVU15B
2015-01-01Not available in this setting$1,308.98RVU15A
2014-10-01Not available in this setting$1,295.71RVU14D
2014-07-01Not available in this setting$1,295.71RVU14C
2014-04-01Not available in this setting$1,295.71RVU14B
2014-01-01Not available in this setting$1,295.71RVU14A
2013-10-01Not available in this setting$1,278.87RVU13D
2013-07-01Not available in this setting$1,278.87RVU13C
2013-04-01Not available in this setting$1,278.87RVU13B
2013-01-01Not available in this setting$1,278.87RVU13AR

Price 35525 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

35525 billing questions

How is 35525 distinguished from 35522?

35525 describes a bypass running from brachial artery to brachial artery. Use 35522 when the documented route is axillary artery to brachial artery.

Does the graft material affect code selection?

Yes. Code 35525 represents a vein-graft bypass. For a brachial-to-brachial bypass using a material other than vein, compare 35625.

Can vein harvest be reported with the bypass?

A separately reportable vein harvest for the bypass may be coded with 35500 when applicable. The operative documentation should support the harvest.

How is bilateral 35525 reported?

When the procedure is performed bilaterally, report modifier 50; CMS pays bilateral reporting at 150%.

What payment rules apply when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeons are paid only with 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 35525PPRRVU2026_Oct_nonQPP.csv, line 4,346 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 35525 pays in Connecticut?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 35525 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet