No office rate
Both describe vein-graft bypasses in the upper extremity, but 35522 uses an axillary-to-brachial route rather than a brachial-to-brachial route.
On this page
CMS RVU26D · Effective 2026-10-01
35525 Arterial bypass Medicare reimbursement rates
Reports a vein-graft bypass connecting brachial arteries to reroute blood flow around an upper-extremity arterial obstruction or injury. Compare 35525 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 35525?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 35525 pays more and less
Vascular surgery
About 35525: Brachial-to-brachial vein bypass
Reports a vein-graft bypass connecting brachial arteries to reroute blood flow around an upper-extremity arterial obstruction or injury.
A vascular surgeon uses a vein graft to create a new route between brachial arteries when disease or injury disrupts blood flow through the usual arterial pathway. The procedure is performed in an operating room and may be considered for upper-extremity ischemia when the documented bypass runs from brachial artery to brachial artery. The named origin and destination distinguish this service from bypasses connecting the axillary, subclavian, radial, or ulnar arteries.
Select the code based on the bypass route and the use of a vein graft. The operative report should identify both anastomosis sites, the conduit, the indication, and the work performed; a separately reportable vein harvest may be coded with 35500 when applicable. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting 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.
CMS billing rules for 35525
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU21.15 · 71%
- Practice expense (office) RVU3.42 · 11%
- Malpractice RVU5.40 · 18%
73
Medicare services in 2024 · #5118 by national volume
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.
35525 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
35523 applies when the bypass connects the brachial artery with forearm arteries, rather than connecting brachial arteries.
See how rates vary across the country
35525 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 35525 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $908.47 |
| Alaska* | Office Unavailable | Facility $1280.68 |
| Arizona | Office Unavailable | Facility $971.51 |
| Arkansas | Office Unavailable | Facility $897.44 |
| Atlanta | Office Unavailable | Facility $1041.23 |
| Austin | Office Unavailable | Facility $988.50 |
| Bakersfield | Office Unavailable | Facility $954.89 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1063.41 |
| Beaumont | Office Unavailable | Facility $977.94 |
| Brazoria | Office Unavailable | Facility $965.97 |
| Chicago | Office Unavailable | Facility $1240.11 |
| Chico | Office Unavailable | Facility $940.31 |
| Colorado | Office Unavailable | Facility $977.31 |
| Connecticut | Office Unavailable | Facility $1061.83 |
| Dallas | Office Unavailable | Facility $981.31 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1079.89 |
| Delaware | Office Unavailable | Facility $984.97 |
| Detroit | Office Unavailable | Facility $1120.76 |
| East St. Louis | Office Unavailable | Facility $1174.78 |
| El Centro | Office Unavailable | Facility $941.21 |
| Fort Lauderdale | Office Unavailable | Facility $1148.24 |
| Fort Worth | Office Unavailable | Facility $982.52 |
| Fresno | Office Unavailable | Facility $940.31 |
| Galveston | Office Unavailable | Facility $974.85 |
| Hanford-Corcoran | Office Unavailable | Facility $940.31 |
| Hawaii, Guam | Office Unavailable | Facility $940.74 |
| Houston | Office Unavailable | Facility $1073.69 |
| Idaho | Office Unavailable | Facility $896.83 |
| Indiana | Office Unavailable | Facility $899.98 |
| Iowa | Office Unavailable | Facility $882.56 |
| Kansas | Office Unavailable | Facility $900.60 |
| Kentucky | Office Unavailable | Facility $973.01 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $990.29 |
| Madera | Office Unavailable | Facility $940.31 |
| Manhattan | Office Unavailable | Facility $1170.44 |
| Merced | Office Unavailable | Facility $940.31 |
| Metropolitan Boston | Office Unavailable | Facility $1032.31 |
| Metropolitan Kansas City | Office Unavailable | Facility $989.91 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1053.23 |
| Metropolitan St. Louis | Office Unavailable | Facility $995.90 |
| Miami | Office Unavailable | Facility $1281.49 |
| Minnesota | Office Unavailable | Facility $877.36 |
| Mississippi | Office Unavailable | Facility $938.07 |
| Modesto | Office Unavailable | Facility $940.31 |
| Montana** | Office Unavailable | Facility $1000.66 |
| Napa | Office Unavailable | Facility $993.12 |
| Nebraska | Office Unavailable | Facility $880.04 |
| Nevada** | Office Unavailable | Facility $971.02 |
| New Hampshire | Office Unavailable | Facility $983.16 |
| New Mexico | Office Unavailable | Facility $1027.80 |
| New Orleans | Office Unavailable | Facility $1018.81 |
| North Carolina | Office Unavailable | Facility $928.26 |
| North Dakota** | Office Unavailable | Facility $893.89 |
| Northern Nj | Office Unavailable | Facility $1076.07 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1222.40 |
| Ohio | Office Unavailable | Facility $992.53 |
| Oklahoma | Office Unavailable | Facility $948.58 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $973.60 |
| Portland | Office Unavailable | Facility $978.83 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1081.54 |
| Puerto Rico | Office Unavailable | Facility $999.58 |
| Queens | Office Unavailable | Facility $1146.75 |
| Redding | Office Unavailable | Facility $940.31 |
| Rest Of California | Office Unavailable | Facility $940.31 |
| Rest Of Florida | Office Unavailable | Facility $1086.72 |
| Rest Of Georgia | Office Unavailable | Facility $1023.32 |
| Rest Of Illinois | Office Unavailable | Facility $1092.63 |
| Rest Of Louisiana | Office Unavailable | Facility $980.31 |
| Rest Of Maine | Office Unavailable | Facility $923.71 |
| Rest Of Maryland | Office Unavailable | Facility $994.67 |
| Rest Of Massachusetts | Office Unavailable | Facility $981.77 |
| Rest Of Michigan | Office Unavailable | Facility $1014.35 |
| Rest Of Missouri | Office Unavailable | Facility $980.57 |
| Rest Of New Jersey | Office Unavailable | Facility $1057.29 |
| Rest Of New York | Office Unavailable | Facility $941.75 |
| Rest Of Oregon | Office Unavailable | Facility $947.00 |
| Rest Of Pennsylvania | Office Unavailable | Facility $981.74 |
| Rest Of Texas | Office Unavailable | Facility $977.70 |
| Rest Of Washington | Office Unavailable | Facility $973.16 |
| Rhode Island | Office Unavailable | Facility $998.74 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $998.19 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $961.39 |
| Salinas | Office Unavailable | Facility $957.40 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $962.00 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1017.39 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1011.26 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1045.53 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1020.46 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $945.22 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $956.73 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $956.08 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $964.57 |
| Seattle (King Cnty) | Office Unavailable | Facility $1029.27 |
| South Carolina | Office Unavailable | Facility $965.29 |
| South Dakota** | Office Unavailable | Facility $881.26 |
| Southern Maine | Office Unavailable | Facility $933.44 |
| Stockton | Office Unavailable | Facility $940.31 |
| Suburban Chicago | Office Unavailable | Facility $1148.30 |
| Tennessee | Office Unavailable | Facility $907.12 |
| Utah | Office Unavailable | Facility $975.77 |
| Vallejo | Office Unavailable | Facility $984.28 |
| Vermont | Office Unavailable | Facility $910.78 |
| Virgin Islands | Office Unavailable | Facility $999.58 |
| Virginia | Office Unavailable | Facility $946.06 |
| Visalia | Office Unavailable | Facility $940.31 |
| West Virginia | Office Unavailable | Facility $1063.80 |
| Wisconsin | Office Unavailable | Facility $871.41 |
| Wyoming** | Office Unavailable | Facility $954.13 |
| Yuba City | Office Unavailable | Facility $940.31 |
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35525 billing questions
How is 35525 distinguished from 35522?
35525 describes a bypass running from brachial artery to brachial artery. Use 35522 when the documented route is axillary artery to brachial artery.
Does the graft material affect code selection?
Yes. Code 35525 represents a vein-graft bypass. For a brachial-to-brachial bypass using a material other than vein, compare 35625.
Can vein harvest be reported with the bypass?
A separately reportable vein harvest for the bypass may be coded with 35500 when applicable. The operative documentation should support the harvest.
How is bilateral 35525 reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays bilateral reporting at 150%.
What payment rules apply when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,34335521,,Art byp grft axill-femoral,A,,23.53,3.95,NA,3.95,,6.02,33.50,33.50,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34435522,,Art byp grft axill-brachial,A,,22.57,3.54,NA,3.54,,5.76,31.87,31.87,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34535523,,Art byp grft brchl-ulnr-rdl,A,,23.53,3.98,NA,3.98,,6.02,33.53,33.53,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34635525,,Art byp grft brachial-brchl,A,,21.15,3.42,NA,3.42,,5.40,29.97,29.97,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34735526,,Art byp grft aor/carot/innom,A,,30.76,10.80,NA,10.80,,7.38,48.94,48.94,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,3483552F,,Hgh risk for thromboembolism,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34935531,,Art byp grft aorcel/aormesen,A,,38.13,5.10,NA,5.10,,9.77,53.00,53.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00