CPT code 35606: Arterial bypass, carotid to subclavian2026 Medicare rate & RVUs in Madera, CA
Open carotid-subclavian bypass with a non-vein conduit reroutes blood flow when proximal subclavian obstruction limits arm or vertebral circulation.
In Madera, CA, Medicare pays $1,005.07 for 35606 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35606 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 35606 covers
A vascular surgeon creates a new route from the carotid artery to the subclavian artery using a non-vein conduit, commonly a prosthetic graft. The operation can restore flow with proximal subclavian occlusive disease causing arm ischemia or vertebral steal, or preserve circulation when the subclavian origin must be covered during aortic repair. It is generally performed in a hospital operating room.
Report this code for the completed carotid-to-subclavian bypass using a non-vein conduit; a vein conduit follows a different code. The operative report should identify the inflow and outflow arteries, conduit, laterality, and reason for revascularization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant may be paid; 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 Madera, CA compares for 35606
Across 109 of 109 payment localities, the facility rate for 35606 runs from $929.89 in Wisconsin to $1,356.60 in Alaska. Madera, CA pays $1,005.07. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Madera, CA · this page$1,005.07
- Bakersfield, CA · California$1,020.12+$15.05
- Chico, CA · California$1,005.07
- El Centro, CA · California$1,006.00+$0.93
- Fresno, CA · California$1,005.07
- Hanford, CA · California$1,005.07
- Los Angeles, CA · California$1,059.26+$54.19
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | — | $1,005.07 |
| Modesto, CACalifornia | — | $1,005.07 |
| Napa, CACalifornia | — | $1,066.21 |
| Oxnard, CACalifornia | — | $1,041.97 |
| Redding, CACalifornia | — | $1,005.07 |
| Rest of CaliforniaCalifornia | — | $1,005.07 |
| Riverside, CACalifornia | — | $1,064.78 |
| Sacramento, CACalifornia | — | $1,028.84 |
| Salinas, CACalifornia | — | $1,024.59 |
| San Diego, CACalifornia | — | $1,030.43 |
| Marin County, CACalifornia | — | $1,094.05 |
| San Francisco, CACalifornia | — | $1,087.73 |
| San Benito County, CACalifornia | — | $1,124.07 |
| Santa Clara County, CACalifornia | — | $1,098.21 |
| San Luis Obispo, CACalifornia | — | $1,011.41 |
| Santa Cruz, CACalifornia | — | $1,025.53 |
| Santa Maria, CACalifornia | — | $1,023.43 |
| Santa Rosa, CACalifornia | — | $1,034.03 |
| Stockton, CACalifornia | — | $1,005.07 |
| Vallejo, CACalifornia | — | $1,057.10 |
| Visalia, CACalifornia | — | $1,005.07 |
| Yuba City, CACalifornia | — | $1,005.07 |
| Washington, DC areaDistrict of Columbia | — | $1,151.56 |
| Miami, FLFlorida | — | $1,355.32 |
| Chicago, ILIllinois | — | $1,311.60 |
| Manhattan, NYNew York | — | $1,244.52 |
| AlaskaAlaska | — | $1,356.60 |
| AlabamaAlabama | — | $965.67 |
| ArkansasArkansas | — | $953.82 |
| ArizonaArizona | — | $1,033.46 |
| ColoradoColorado | — | $1,042.28 |
| ConnecticutConnecticut | — | $1,129.86 |
| DelawareDelaware | — | $1,047.92 |
| Fort Lauderdale, FLFlorida | — | $1,217.06 |
| Rest of FloridaFlorida | — | $1,151.92 |
| Atlanta, GAGeorgia | — | $1,106.77 |
| Rest of GeorgiaGeorgia | — | $1,084.63 |
| Hawaii, Guam, HIHawaii | — | $1,006.68 |
| IowaIowa | — | $940.12 |
| IdahoIdaho | — | $954.99 |
| East St. Louis, ILIllinois | — | $1,241.68 |
| Rest of IllinoisIllinois | — | $1,156.75 |
| Suburban Chicago, ILIllinois | — | $1,217.54 |
| IndianaIndiana | — | $958.44 |
| KansasKansas | — | $958.40 |
| KentuckyKentucky | — | $1,032.66 |
| New Orleans, LALouisiana | — | $1,081.43 |
| Rest of LouisianaLouisiana | — | $1,040.07 |
| Metropolitan Boston, MAMassachusetts | — | $1,102.92 |
| Rest of MassachusettsMassachusetts | — | $1,046.56 |
| Baltimore area, MDMaryland | — | $1,131.37 |
| Rest of MarylandMaryland | — | $1,058.65 |
| Rest of MaineMaine | — | $982.71 |
| Southern Maine, MEMaine | — | $994.85 |
| Detroit, MIMichigan | — | $1,187.29 |
| Rest of MichiganMichigan | — | $1,076.01 |
| MinnesotaMinnesota | — | $938.12 |
| Metropolitan Kansas City, MOMissouri | — | $1,051.56 |
| Metropolitan St. Louis, MOMissouri | — | $1,058.12 |
| Rest of MissouriMissouri | — | $1,039.66 |
| MississippiMississippi | — | $995.79 |
| MontanaMontana | — | $1,064.45 |
| North CarolinaNorth Carolina | — | $987.79 |
| North DakotaNorth Dakota | — | $954.31 |
| NebraskaNebraska | — | $937.76 |
| New HampshireNew Hampshire | — | $1,047.60 |
| Northern New JerseyNew Jersey | — | $1,147.12 |
| Rest of New JerseyNew Jersey | — | $1,125.68 |
| New MexicoNew Mexico | — | $1,089.99 |
| NevadaNevada | — | $1,033.90 |
| NYC suburbs and Long Island, NYNew York | — | $1,298.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,150.80 |
| Queens, NYNew York | — | $1,220.67 |
| Rest of New YorkNew York | — | $1,002.20 |
| OhioOhio | — | $1,053.49 |
| OklahomaOklahoma | — | $1,007.57 |
| Portland, OROregon | — | $1,045.25 |
| Rest of OregonOregon | — | $1,008.98 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,119.93 |
| Rest of PennsylvaniaPennsylvania | — | $1,042.51 |
| Puerto RicoPuerto Rico | — | $1,063.65 |
| Rhode IslandRhode Island | — | $1,063.49 |
| South CarolinaSouth Carolina | — | $1,025.72 |
| South DakotaSouth Dakota | — | $941.29 |
| TennesseeTennessee | — | $965.28 |
| Austin, TXTexas | — | $1,053.62 |
| Beaumont, TXTexas | — | $1,038.35 |
| Brazoria, TXTexas | — | $1,028.42 |
| Dallas, TXTexas | — | $1,044.40 |
| Fort Worth, TXTexas | — | $1,045.34 |
| Galveston, TXTexas | — | $1,037.64 |
| Houston, TXTexas | — | $1,139.59 |
| Rest of TexasTexas | — | $1,039.26 |
| UtahUtah | — | $1,037.01 |
| VirginiaVirginia | — | $1,007.62 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,063.65 |
| VermontVermont | — | $971.44 |
| Rest of WashingtonWashington | — | $1,037.67 |
| King County, WAWashington | — | $1,100.79 |
| WisconsinWisconsin | — | $929.89 |
| West VirginiaWest Virginia | — | $1,125.71 |
| WyomingWyoming | — | $1,016.45 |
35606 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 35606 rate is calculated
Each of 35606’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 · 35606
RVUs × geographic indexes × conversion factor
Work21.90
21.90 RVUs× 1.000 GPCI
Practice expense4.41
4.41 RVUs× 1.000 GPCI
Malpractice5.57
5.57 RVUs× 1.000 GPCI
Adjusted RVUs
31.8800
Conversion factor
$33.4009
Medicare rate
$1,064.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Madera, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,373
- Code
- 35606
- Physician work
- 21.90
- Practice expense
- 4.41
- Malpractice
- 5.57
GPCI2026.csv
14
- Locality
- Madera, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.90 | × 1.017 | 22.2723 |
| Practice expense | 4.41 | × 1.096 | 4.8334 |
| Malpractice | 5.57 | × 0.536 | 2.9855 |
| Total RVUs | 30.0912 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera, CA$1005.07
Facility: (21.9 × 1.017 + 4.41 × 1.096 + 5.57 × 0.536) × $33.4009 = $1005.07
Payment rules and modifiers for 35606
35606 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35606
Arterial bypass, carotid to subclavian
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35606
Arterial bypass, carotid to subclavian
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35606 without 50 · national facility
$1,064.82
Arterial bypass, carotid to subclavian
35606-50 · Bilateral: 150%
$1,597.23
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).
How 35606 has changed in Madera, CA
35606 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,005.07 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,005.07 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,005.07 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,005.07 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,065.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,065.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,065.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,065.40 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,095.51 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,095.51 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,095.51 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,095.51 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,077.63 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,117.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,117.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,117.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,117.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,146.85 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,146.85 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,146.85 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,146.85 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,150.38 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,150.38 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,150.38 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,150.38 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,185.40 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,185.40 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,185.40 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,185.40 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,177.84 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,177.84 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,177.84 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,177.84 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,183.67 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,183.67 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,183.67 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,183.67 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,203.36 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,203.36 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,203.36 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,203.36 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Madera, CA rate applies
Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Madera
- Ahwahnee
- Bass Lake
- Bonadelle Ranchos
- Chowchilla
- Coarsegold
- Fairmead
- La Vina
35606 billing questions
How does this code differ from 35506?
Both describe a carotid-to-subclavian bypass, but 35606 is for a non-vein conduit. Use 35506 when the bypass is performed with a vein conduit.
What should the operative report document?
Document the carotid inflow, subclavian outflow, conduit type, laterality, and indication. These details establish the route and distinguish a non-vein bypass from a vein bypass or a different arterial reconstruction.
How is bilateral reporting handled?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. Document the work performed on both sides.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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
Fee sheets · Coming soon
Put 35606 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist