CPT code 35616: Arterial bypass, subclavian to axillary2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $947.49 for 35616 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35616 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 35616 covers

A vascular surgeon creates an alternate arterial route from the subclavian artery to the axillary artery, generally using a prosthetic rather than vein conduit. The bypass can restore upper-extremity blood flow when disease in the native arterial pathway limits circulation. This is an open operative service, typically performed in a hospital operating room; the operative report should identify the inflow and outflow arteries and the graft used.

Select the code by the bypass endpoints and the non-vein conduit, not simply by the diagnosis or the limb treated. The record should support the indication, route, and completed graft. A 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 35616

Across 109 of 109 payment localities, the facility rate for 35616 runs from $872.53 in Wisconsin to $1,284.55 in Miami, FL. Virginia pays $947.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35616 rates by state

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

See 35616 in every payment locality

How the 35616 rate is calculated

Each of 35616’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 35616

35616 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 35616

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

How 35616 has changed in Virginia

Price 35616 for an earlier date of service

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

Browse all communities in Virginia

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