CPT code 35606: Arterial bypass, carotid to subclavian2026 Medicare rate & RVUs in Dallas, TX

Open carotid-subclavian bypass with a non-vein conduit reroutes blood flow when proximal subclavian obstruction limits arm or vertebral circulation.

CMS RVU26DEffective Oct 1, 2026One payment locality670 Medicare services in 2024

In Dallas, TX, Medicare pays $1,044.40 for 35606 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,044.40Hospital or facility

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.

We’ll open 35606 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Dallas, TX
  2. What 35606 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 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 Dallas, TX 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. Dallas, TX pays $1,044.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

35606 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$1,044.40
  2. Austin, TX · Texas$1,053.62+$9.22
  3. Beaumont, TX · Texas$1,038.35−$6.05
  4. Brazoria, TX · Texas$1,028.42−$15.98
  5. Fort Worth, TX · Texas$1,045.34+$0.94
  6. Galveston, TX · Texas$1,037.64−$6.76
  7. Houston, TX · Texas$1,139.59+$95.19

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

Every other payment area

35606 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas—$1,039.26
Los Angeles, CACalifornia—$1,059.26
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

35606 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
35606 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 35606 in every payment locality

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

Office or facility?

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 Dallas, TX 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

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Facility calculation for 35606 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work21.90× 1.00922.0971
Practice expense4.41× 0.9964.3924
Malpractice5.57× 0.8584.7791
Total RVUs31.2685
Conversion factor× 33.4009

Facility rate, Dallas, TX$1044.40

Facility: (21.9 × 1.009 + 4.41 × 0.996 + 5.57 × 0.858) × $33.4009 = $1044.40

Open 35606 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

How 35606 has changed in Dallas, TX

35606 · 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$1,044.40RVU26D
2026-07-01Not available in this setting$1,044.40RVU26C
2026-04-01Not available in this setting$1,044.40RVU26B
2026-01-01Not available in this setting$1,044.40RVU26A
2025-10-01Not available in this setting$1,101.59RVU25D
2025-07-01Not available in this setting$1,101.59RVU25C
2025-04-01Not available in this setting$1,101.59RVU25B
2025-01-01Not available in this setting$1,101.59RVU25A
2024-10-01Not available in this setting$1,133.67RVU24D
2024-07-01Not available in this setting$1,133.67RVU24C
2024-04-01Not available in this setting$1,133.67RVU24B
2024-03-09Not available in this setting$1,133.67RVU24AR
2024-01-01Not available in this setting$1,115.17RVU24A
2023-10-01Not available in this setting$1,124.58RVU23D
2023-07-01Not available in this setting$1,124.58RVU23C
2023-04-01Not available in this setting$1,124.58RVU23B
2023-01-01Not available in this setting$1,124.58RVU23A
2022-10-01Not available in this setting$1,125.42RVU22D
2022-07-01Not available in this setting$1,125.42RVU22C
2022-04-01Not available in this setting$1,125.42RVU22B
2022-01-01Not available in this setting$1,125.42RVU22A
2021-10-01Not available in this setting$1,129.17RVU21D
2021-07-01Not available in this setting$1,129.17RVU21C
2021-04-01Not available in this setting$1,129.17RVU21B
2021-01-01Not available in this setting$1,129.17RVU21A
2020-10-01Not available in this setting$1,183.85RVU20D
2020-07-01Not available in this setting$1,183.85RVU20C
2020-04-01Not available in this setting$1,183.85RVU20B
2020-01-01Not available in this setting$1,183.85RVU20A
2019-10-01Not available in this setting$1,195.66RVU19D
2019-07-01Not available in this setting$1,195.66RVU19C
2019-04-01Not available in this setting$1,195.66RVU19B
2019-01-01Not available in this setting$1,195.66RVU19A
2018-10-01Not available in this setting$1,200.82RVU18D
2018-07-01Not available in this setting$1,200.82RVU18C
2018-04-01Not available in this setting$1,200.82RVU18B
2018-01-01Not available in this setting$1,200.82RVU18AR1
2017-10-01Not available in this setting$1,209.07RVU17D
2017-07-01Not available in this setting$1,209.07RVU17C
2017-04-01Not available in this setting$1,209.07RVU17B
2017-01-01Not available in this setting$1,209.07RVU17A
2016-10-01Not available in this setting$1,220.57RVU16D
2016-07-01Not available in this setting$1,220.57RVU16C
2016-04-01Not available in this setting$1,220.57RVU16B
2016-01-01Not available in this setting$1,220.57RVU16A
2015-10-01Not available in this setting$1,228.45RVU15D
2015-07-01Not available in this setting$1,228.45RVU15C
2015-04-01Not available in this setting$1,222.34RVU15B
2015-01-01Not available in this setting$1,222.34RVU15A
2014-10-01Not available in this setting$1,229.87RVU14D
2014-07-01Not available in this setting$1,229.87RVU14C
2014-04-01Not available in this setting$1,229.87RVU14B
2014-01-01Not available in this setting$1,229.87RVU14A
2013-10-01Not available in this setting$1,212.73RVU13D
2013-07-01Not available in this setting$1,212.73RVU13C
2013-04-01Not available in this setting$1,212.73RVU13B
2013-01-01Not available in this setting$1,212.73RVU13AR

Price 35606 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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
RVUs for 35606PPRRVU2026_Oct_nonQPP.csv, line 4,373 (RVU26D)
Geographic factors for Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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