CPT code 35612: Arterial bypass, subclavian to subclavian2026 Medicare rate & RVUs in Virginia
Reports an arterial bypass using a conduit other than vein to carry blood between the right and left subclavian arteries.
In Virginia, Medicare pays $901.51 for 35612 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35612 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 35612 covers
This operation creates a graft connection between the right and left subclavian arteries to route blood around an obstructed or otherwise unusable segment. Vascular surgeons may perform it for selected patients with subclavian artery occlusive disease when revascularization from the opposite subclavian artery is appropriate. The graft uses a conduit other than vein, commonly a prosthetic graft. The operative report should identify both arterial endpoints and describe the bypass performed.
Report this code when the bypass connects the subclavian artery on one side to the subclavian artery on the other, rather than using a carotid, axillary, or vertebral endpoint. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. A bilateral procedure reported 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 Virginia compares for 35612
Across 109 of 109 payment localities, the facility rate for 35612 runs from $831.20 in Wisconsin to $1,216.66 in Miami, FL. Virginia pays $901.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$901.51
- Los Angeles, CA · California$945.89+$44.38
- Washington, DC area · District of Columbia$1,029.79+$128.28
- Miami, FL · Florida$1,216.66+$315.15
- Chicago, IL · Illinois$1,177.37+$275.86
- Manhattan, NY · New York$1,114.41+$212.90
- Alaska · Alaska$1,216.62+$315.11
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $864.71 |
| ArkansasArkansas | — | $854.15 |
| ArizonaArizona | — | $925.16 |
| Bakersfield, CACalifornia | — | $911.44 |
| Chico, CACalifornia | — | $897.78 |
| El Centro, CACalifornia | — | $898.62 |
| Fresno, CACalifornia | — | $897.78 |
| Hanford, CACalifornia | — | $897.78 |
| Madera, CACalifornia | — | $897.78 |
| Merced, CACalifornia | — | $897.78 |
| Modesto, CACalifornia | — | $897.78 |
| Napa, CACalifornia | — | $950.52 |
| Oxnard, CACalifornia | — | $930.23 |
| Redding, CACalifornia | — | $897.78 |
| Rest of CaliforniaCalifornia | — | $897.78 |
| Riverside, CACalifornia | — | $952.02 |
| Sacramento, CACalifornia | — | $918.52 |
| Salinas, CACalifornia | — | $914.72 |
| San Diego, CACalifornia | — | $919.57 |
| Marin County, CACalifornia | — | $974.63 |
| San Francisco, CACalifornia | — | $968.88 |
| San Benito County, CACalifornia | — | $1,001.47 |
| Santa Clara County, CACalifornia | — | $977.98 |
| San Luis Obispo, CACalifornia | — | $903.01 |
| Santa Cruz, CACalifornia | — | $914.90 |
| Santa Maria, CACalifornia | — | $913.58 |
| Santa Rosa, CACalifornia | — | $922.44 |
| Stockton, CACalifornia | — | $897.78 |
| Vallejo, CACalifornia | — | $942.24 |
| Visalia, CACalifornia | — | $897.78 |
| Yuba City, CACalifornia | — | $897.78 |
| ColoradoColorado | — | $931.98 |
| ConnecticutConnecticut | — | $1,011.37 |
| DelawareDelaware | — | $938.05 |
| Fort Lauderdale, FLFlorida | — | $1,091.40 |
| Rest of FloridaFlorida | — | $1,032.92 |
| Atlanta, GAGeorgia | — | $991.17 |
| Rest of GeorgiaGeorgia | — | $972.58 |
| Hawaii, Guam, HIHawaii | — | $898.77 |
| IowaIowa | — | $841.02 |
| IdahoIdaho | — | $854.47 |
| East St. Louis, ILIllinois | — | $1,114.91 |
| Rest of IllinoisIllinois | — | $1,037.84 |
| Suburban Chicago, ILIllinois | — | $1,091.66 |
| IndianaIndiana | — | $857.52 |
| KansasKansas | — | $857.76 |
| KentuckyKentucky | — | $925.40 |
| New Orleans, LALouisiana | — | $969.07 |
| Rest of LouisianaLouisiana | — | $932.18 |
| Metropolitan Boston, MAMassachusetts | — | $985.43 |
| Rest of MassachusettsMassachusetts | — | $936.00 |
| Baltimore area, MDMaryland | — | $1,012.79 |
| Rest of MarylandMaryland | — | $947.49 |
| Rest of MaineMaine | — | $879.65 |
| Southern Maine, MEMaine | — | $889.80 |
| Detroit, MIMichigan | — | $1,064.95 |
| Rest of MichiganMichigan | — | $964.49 |
| MinnesotaMinnesota | — | $837.81 |
| Metropolitan Kansas City, MOMissouri | — | $941.96 |
| Metropolitan St. Louis, MOMissouri | — | $947.76 |
| Rest of MissouriMissouri | — | $932.09 |
| MississippiMississippi | — | $892.25 |
| MontanaMontana | — | $952.92 |
| North CarolinaNorth Carolina | — | $884.10 |
| North DakotaNorth Dakota | — | $852.87 |
| NebraskaNebraska | — | $838.78 |
| New HampshireNew Hampshire | — | $937.12 |
| Northern New JerseyNew Jersey | — | $1,025.96 |
| Rest of New JerseyNew Jersey | — | $1,007.35 |
| New MexicoNew Mexico | — | $977.14 |
| NevadaNevada | — | $925.16 |
| NYC suburbs and Long Island, NYNew York | — | $1,163.49 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,030.12 |
| Queens, NYNew York | — | $1,092.50 |
| Rest of New YorkNew York | — | $896.99 |
| OhioOhio | — | $944.04 |
| OklahomaOklahoma | — | $902.56 |
| Portland, OROregon | — | $934.09 |
| Rest of OregonOregon | — | $902.58 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,002.79 |
| Rest of PennsylvaniaPennsylvania | — | $934.00 |
| Puerto RicoPuerto Rico | — | $952.06 |
| Rhode IslandRhode Island | — | $951.61 |
| South CarolinaSouth Carolina | — | $918.67 |
| South DakotaSouth Dakota | — | $841.04 |
| TennesseeTennessee | — | $863.95 |
| Austin, TXTexas | — | $942.37 |
| Beaumont, TXTexas | — | $930.32 |
| Brazoria, TXTexas | — | $920.29 |
| Dallas, TXTexas | — | $934.74 |
| Fort Worth, TXTexas | — | $935.72 |
| Galveston, TXTexas | — | $928.64 |
| Houston, TXTexas | — | $1,021.26 |
| Rest of TexasTexas | — | $930.67 |
| UtahUtah | — | $928.73 |
| Virgin Islands, VIUnited States Virgin Islands | — | $952.06 |
| VermontVermont | — | $868.56 |
| Rest of WashingtonWashington | — | $927.93 |
| King County, WAWashington | — | $983.07 |
| WisconsinWisconsin | — | $831.20 |
| West VirginiaWest Virginia | — | $1,010.18 |
| WyomingWyoming | — | $909.32 |
35612 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 35612 rate is calculated
Each of 35612’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 · 35612
RVUs × geographic indexes × conversion factor
Work19.84
19.84 RVUs× 1.000 GPCI
Practice expense3.64
3.64 RVUs× 1.000 GPCI
Malpractice5.06
5.06 RVUs× 1.000 GPCI
Adjusted RVUs
28.5400
Conversion factor
$33.4009
Medicare rate
$953.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,374
- Code
- 35612
- Physician work
- 19.84
- Practice expense
- 3.64
- Malpractice
- 5.06
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.84 | × 1.000 | 19.8400 |
| Practice expense | 3.64 | × 0.983 | 3.5781 |
| Malpractice | 5.06 | × 0.706 | 3.5724 |
| Total RVUs | 26.9905 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$901.51
Facility: (19.84 × 1 + 3.64 × 0.983 + 5.06 × 0.706) × $33.4009 = $901.51
Payment rules and modifiers for 35612
35612 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35612
Arterial bypass, subclavian 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 · 35612
Arterial bypass, subclavian 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
35612 without 50 · national facility
$953.26
Arterial bypass, subclavian to subclavian
35612-50 · Bilateral: 150%
$1,429.89
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 35612 has changed in Virginia
35612 · 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 | $901.51 | RVU26D |
| 2026-07-01 | Not available in this setting | $901.51 | RVU26C |
| 2026-04-01 | Not available in this setting | $901.51 | RVU26B |
| 2026-01-01 | Not available in this setting | $901.51 | RVU26A |
| 2025-10-01 | Not available in this setting | $953.72 | RVU25D |
| 2025-07-01 | Not available in this setting | $953.72 | RVU25C |
| 2025-04-01 | Not available in this setting | $953.72 | RVU25B |
| 2025-01-01 | Not available in this setting | $953.72 | RVU25A |
| 2024-10-01 | Not available in this setting | $978.47 | RVU24D |
| 2024-07-01 | Not available in this setting | $978.47 | RVU24C |
| 2024-04-01 | Not available in this setting | $978.47 | RVU24B |
| 2024-03-09 | Not available in this setting | $978.47 | RVU24AR |
| 2024-01-01 | Not available in this setting | $962.50 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,003.34 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,003.34 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,003.34 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,003.34 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,040.98 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,040.98 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,040.98 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,040.98 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,040.16 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,040.16 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,040.16 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,040.16 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,074.85 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,074.85 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,074.85 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,074.85 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,067.38 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,067.38 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,061.82 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,061.82 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,072.69 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,072.69 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,072.69 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,072.69 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,094.08 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,094.08 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,094.08 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,094.08 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,104.51 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,104.51 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,104.51 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,104.51 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,079.19 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,079.19 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,073.82 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,073.82 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,074.29 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,074.29 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,074.29 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,074.29 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,045.09 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,045.09 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,045.09 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,045.09 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
35612 billing questions
How is this different from a carotid-to-subclavian bypass?
This code is for a graft connecting the right and left subclavian arteries. A bypass using a carotid artery as one endpoint is coded to the code for that endpoint configuration.
Does the bypass use a vein graft?
No. This code describes a bypass using a conduit other than vein. The operative report should support the conduit used.
What documentation supports reporting this code?
Document the indication, the conduit, and the subclavian artery on each side as the bypass endpoints. The operative report should make clear that the graft connects the two subclavian arteries.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period. The surgeon's related routine follow-up is not separately reported as another service.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. A bilateral procedure reported with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is submitted; 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
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