CPT code 35634: Arterial bypass, iliac-to-renal, non-vein graft2026 Medicare rate & RVUs in Arkansas
Open bypass from an iliac artery to a renal artery using a non-vein conduit is reported for selected renal revascularization procedures.
In Arkansas, Medicare pays $1,440.50 for 35634 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35634 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 35634 covers
A vascular surgeon creates a grafted route from an iliac artery to a renal artery to improve blood flow to the kidney. This open operation may be performed for selected renal artery disease, such as stenosis associated with impaired renal perfusion or renovascular hypertension. Code 35634 identifies the iliorenal route using a conduit other than vein, such as a prosthetic graft. It is generally performed in a hospital operating room.
Select the code from the documented inflow artery, renal artery target, and conduit. The operative report should identify the bypass route and graft material; a vein conduit is represented by a different code. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Arkansas compares for 35634
Across 109 of 109 payment localities, the facility rate for 35634 runs from $1,395.52 in Wisconsin to $2,062.44 in Miami, FL. Arkansas pays $1,440.50. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$1,440.50
- Los Angeles, CA · California$1,583.68+$143.18
- Washington, DC area · District of Columbia$1,729.96+$289.46
- Miami, FL · Florida$2,062.44+$621.94
- Chicago, IL · Illinois$1,995.84+$555.34
- Manhattan, NY · New York$1,878.08+$437.58
- Alaska · Alaska$2,059.59+$619.09
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,458.08 |
| ArizonaArizona | — | $1,558.55 |
| Bakersfield, CACalifornia | — | $1,528.18 |
| Chico, CACalifornia | — | $1,504.39 |
| El Centro, CACalifornia | — | $1,505.87 |
| Fresno, CACalifornia | — | $1,504.39 |
| Hanford, CACalifornia | — | $1,504.39 |
| Madera, CACalifornia | — | $1,504.39 |
| Merced, CACalifornia | — | $1,504.39 |
| Modesto, CACalifornia | — | $1,504.39 |
| Napa, CACalifornia | — | $1,584.83 |
| Oxnard, CACalifornia | — | $1,556.50 |
| Redding, CACalifornia | — | $1,504.39 |
| Rest of CaliforniaCalifornia | — | $1,504.39 |
| Riverside, CACalifornia | — | $1,598.83 |
| Sacramento, CACalifornia | — | $1,537.04 |
| Salinas, CACalifornia | — | $1,530.65 |
| San Diego, CACalifornia | — | $1,537.22 |
| Marin County, CACalifornia | — | $1,622.04 |
| San Francisco, CACalifornia | — | $1,612.03 |
| San Benito County, CACalifornia | — | $1,667.11 |
| Santa Clara County, CACalifornia | — | $1,626.21 |
| San Luis Obispo, CACalifornia | — | $1,511.32 |
| Santa Cruz, CACalifornia | — | $1,528.15 |
| Santa Maria, CACalifornia | — | $1,528.32 |
| Santa Rosa, CACalifornia | — | $1,540.60 |
| Stockton, CACalifornia | — | $1,504.39 |
| Vallejo, CACalifornia | — | $1,570.41 |
| Visalia, CACalifornia | — | $1,504.39 |
| Yuba City, CACalifornia | — | $1,504.39 |
| ColoradoColorado | — | $1,565.58 |
| ConnecticutConnecticut | — | $1,703.12 |
| DelawareDelaware | — | $1,580.02 |
| Fort Lauderdale, FLFlorida | — | $1,845.77 |
| Rest of FloridaFlorida | — | $1,746.85 |
| Atlanta, GAGeorgia | — | $1,671.09 |
| Rest of GeorgiaGeorgia | — | $1,645.03 |
| Hawaii, Guam, HIHawaii | — | $1,504.09 |
| IowaIowa | — | $1,414.79 |
| IdahoIdaho | — | $1,437.96 |
| East St. Louis, ILIllinois | — | $1,891.42 |
| Rest of IllinoisIllinois | — | $1,757.58 |
| Suburban Chicago, ILIllinois | — | $1,845.49 |
| IndianaIndiana | — | $1,442.91 |
| KansasKansas | — | $1,444.51 |
| KentuckyKentucky | — | $1,563.03 |
| New Orleans, LALouisiana | — | $1,636.44 |
| Rest of LouisianaLouisiana | — | $1,575.04 |
| Metropolitan Boston, MAMassachusetts | — | $1,651.96 |
| Rest of MassachusettsMassachusetts | — | $1,573.12 |
| Baltimore area, MDMaryland | — | $1,705.82 |
| Rest of MarylandMaryland | — | $1,595.22 |
| Rest of MaineMaine | — | $1,481.80 |
| Southern Maine, MEMaine | — | $1,495.88 |
| Detroit, MIMichigan | — | $1,802.14 |
| Rest of MichiganMichigan | — | $1,629.87 |
| MinnesotaMinnesota | — | $1,403.42 |
| Metropolitan Kansas City, MOMissouri | — | $1,589.33 |
| Metropolitan St. Louis, MOMissouri | — | $1,598.78 |
| Rest of MissouriMissouri | — | $1,576.05 |
| MississippiMississippi | — | $1,506.73 |
| MontanaMontana | — | $1,605.33 |
| North CarolinaNorth Carolina | — | $1,488.90 |
| North DakotaNorth Dakota | — | $1,431.12 |
| NebraskaNebraska | — | $1,410.49 |
| New HampshireNew Hampshire | — | $1,575.73 |
| Northern New JerseyNew Jersey | — | $1,724.18 |
| Rest of New JerseyNew Jersey | — | $1,695.30 |
| New MexicoNew Mexico | — | $1,651.70 |
| NevadaNevada | — | $1,556.93 |
| NYC suburbs and Long Island, NYNew York | — | $1,962.17 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,734.78 |
| Queens, NYNew York | — | $1,838.92 |
| Rest of New YorkNew York | — | $1,510.47 |
| OhioOhio | — | $1,594.26 |
| OklahomaOklahoma | — | $1,523.07 |
| Portland, OROregon | — | $1,566.86 |
| Rest of OregonOregon | — | $1,517.88 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,690.02 |
| Rest of PennsylvaniaPennsylvania | — | $1,576.53 |
| Puerto RicoPuerto Rico | — | $1,603.27 |
| Rhode IslandRhode Island | — | $1,601.31 |
| South CarolinaSouth Carolina | — | $1,549.54 |
| South DakotaSouth Dakota | — | $1,410.53 |
| TennesseeTennessee | — | $1,455.02 |
| Austin, TXTexas | — | $1,584.01 |
| Beaumont, TXTexas | — | $1,570.53 |
| Brazoria, TXTexas | — | $1,548.93 |
| Dallas, TXTexas | — | $1,573.84 |
| Fort Worth, TXTexas | — | $1,576.06 |
| Galveston, TXTexas | — | $1,563.38 |
| Houston, TXTexas | — | $1,724.64 |
| Rest of TexasTexas | — | $1,569.16 |
| UtahUtah | — | $1,566.24 |
| VirginiaVirginia | — | $1,516.67 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,603.27 |
| VermontVermont | — | $1,458.94 |
| Rest of WashingtonWashington | — | $1,559.08 |
| King County, WAWashington | — | $1,646.14 |
| WisconsinWisconsin | — | $1,395.52 |
| West VirginiaWest Virginia | — | $1,711.65 |
| WyomingWyoming | — | $1,529.41 |
35634 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 35634 rate is calculated
Each of 35634’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 · 35634
RVUs × geographic indexes × conversion factor
Work34.45
34.45 RVUs× 1.000 GPCI
Practice expense4.82
4.82 RVUs× 1.000 GPCI
Malpractice8.81
8.81 RVUs× 1.000 GPCI
Adjusted RVUs
48.0800
Conversion factor
$33.4009
Medicare rate
$1,605.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,382
- Code
- 35634
- Physician work
- 34.45
- Practice expense
- 4.82
- Malpractice
- 8.81
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.45 | × 1.000 | 34.4500 |
| Practice expense | 4.82 | × 0.859 | 4.1404 |
| Malpractice | 8.81 | × 0.515 | 4.5372 |
| Total RVUs | 43.1275 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1440.50
Facility: (34.45 × 1 + 4.82 × 0.859 + 8.81 × 0.515) × $33.4009 = $1440.50
Payment rules and modifiers for 35634
35634 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35634
Arterial bypass, iliac-to-renal, non-vein graft
| 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 · 35634
Arterial bypass, iliac-to-renal, non-vein graft
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
35634 without 50 · national facility
$1,605.92
Arterial bypass, iliac-to-renal, non-vein graft
35634-50 · Bilateral: 150%
$2,408.88
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 35634 has changed in Arkansas
35634 · 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 | $1,440.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,440.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,440.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,440.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,506.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,506.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,506.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,506.22 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,545.81 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,545.81 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,545.81 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,545.81 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,520.58 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,560.50 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,560.50 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,560.50 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,560.50 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,587.79 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,587.79 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,587.79 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,587.79 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,592.40 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,592.40 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,592.40 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,592.40 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,669.55 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,669.55 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,669.55 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,669.55 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,681.28 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,681.28 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,676.50 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,676.50 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,688.35 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,688.35 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,688.35 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,688.35 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,725.47 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,725.47 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,725.47 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,725.47 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,697.40 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,697.40 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,697.40 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,697.40 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,761.24 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,761.24 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,752.47 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,752.47 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,599.04 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,599.04 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,599.04 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,599.04 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,553.74 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,553.74 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,553.74 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,553.74 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
35634 billing questions
When should 35634 be selected instead of the vein-graft code?
Use 35634 for an ilio-renal bypass made with a conduit other than vein. The corresponding vein-graft route is reported with 35535.
What documentation supports 35634?
The operative report should establish the iliac inflow, renal artery target, and use of a non-vein conduit. It should also describe the bypass performed.
How is a bilateral ilio-renal bypass reported?
When the procedure is bilateral, report modifier 50 as appropriate; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and CMS does not permit team-surgery payment for this service.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
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 other procedures are paid at 50%.
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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