No office rate
Choose 35526 when the bypass uses vein; 35626 describes the corresponding aortic-to-branch bypass using a conduit other than vein.
On this page
CMS RVU26D · Effective 2026-10-01
35526 Arterial bypass Medicare reimbursement rates
Reports open bypass using a vein conduit from the aorta to a carotid, innominate, or subclavian artery to restore arterial flow. Compare 35526 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 35526?
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 35526 pays more and less
Vascular surgery
About 35526: Aortic-to-cervical artery vein bypass
Reports open bypass using a vein conduit from the aorta to a carotid, innominate, or subclavian artery to restore arterial flow.
A vascular surgeon creates an open bypass from the aorta to a carotid, innominate, or subclavian artery using a vein conduit. The operation reroutes blood around an obstructed or unusable arterial segment to improve flow to the head or upper extremity. It is performed in an operating room, generally in a hospital setting, for selected patients with disease affecting the proximal branches of the aorta.
Report the code when the operative record supports both the aortic inflow and the specified outflow vessel, and identifies vein as the conduit. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 bilateral procedures are 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 35526
- 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 RVU30.76 · 63%
- Practice expense (office) RVU10.80 · 22%
- Malpractice RVU7.38 · 15%
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.
35526 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
35501 describes a carotid-to-carotid vein bypass. Use 35526 when the bypass inflow is the aorta.
No office rate
35506 describes a subclavian-to-carotid vein bypass. 35526 has aortic inflow and a carotid, innominate, or subclavian outflow.
See how rates vary across the country
35526 · 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 35526 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 $1482.57 |
| Alaska* | Office Unavailable | Facility $2061.12 |
| Arizona | Office Unavailable | Facility $1587.96 |
| Arkansas | Office Unavailable | Facility $1464.23 |
| Atlanta | Office Unavailable | Facility $1693.04 |
| Austin | Office Unavailable | Facility $1629.52 |
| Bakersfield | Office Unavailable | Facility $1592.41 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1735.83 |
| Beaumont | Office Unavailable | Facility $1584.67 |
| Brazoria | Office Unavailable | Facility $1585.38 |
| Chicago | Office Unavailable | Facility $1962.85 |
| Chico | Office Unavailable | Facility $1572.36 |
| Colorado | Office Unavailable | Facility $1616.07 |
| Connecticut | Office Unavailable | Facility $1734.73 |
| Dallas | Office Unavailable | Facility $1607.44 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1782.18 |
| Delaware | Office Unavailable | Facility $1610.55 |
| Detroit | Office Unavailable | Facility $1791.11 |
| East St. Louis | Office Unavailable | Facility $1855.73 |
| El Centro | Office Unavailable | Facility $1573.59 |
| Fort Lauderdale | Office Unavailable | Facility $1838.50 |
| Fort Worth | Office Unavailable | Facility $1607.04 |
| Fresno | Office Unavailable | Facility $1572.36 |
| Galveston | Office Unavailable | Facility $1597.94 |
| Hanford-Corcoran | Office Unavailable | Facility $1572.36 |
| Hawaii, Guam | Office Unavailable | Facility $1580.28 |
| Houston | Office Unavailable | Facility $1733.02 |
| Idaho | Office Unavailable | Facility $1475.88 |
| Indiana | Office Unavailable | Facility $1481.61 |
| Iowa | Office Unavailable | Facility $1455.34 |
| Kansas | Office Unavailable | Facility $1477.75 |
| Kentucky | Office Unavailable | Facility $1573.65 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1659.95 |
| Madera | Office Unavailable | Facility $1572.36 |
| Manhattan | Office Unavailable | Facility $1903.28 |
| Merced | Office Unavailable | Facility $1572.36 |
| Metropolitan Boston | Office Unavailable | Facility $1719.63 |
| Metropolitan Kansas City | Office Unavailable | Facility $1606.97 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1715.50 |
| Metropolitan St. Louis | Office Unavailable | Facility $1617.82 |
| Miami | Office Unavailable | Facility $2026.33 |
| Minnesota | Office Unavailable | Facility $1471.57 |
| Mississippi | Office Unavailable | Facility $1520.16 |
| Modesto | Office Unavailable | Facility $1572.36 |
| Montana** | Office Unavailable | Facility $1634.15 |
| Napa | Office Unavailable | Facility $1692.80 |
| Nebraska | Office Unavailable | Facility $1453.54 |
| Nevada** | Office Unavailable | Facility $1593.84 |
| New Hampshire | Office Unavailable | Facility $1618.62 |
| New Mexico | Office Unavailable | Facility $1654.25 |
| New Orleans | Office Unavailable | Facility $1646.88 |
| North Carolina | Office Unavailable | Facility $1521.49 |
| North Dakota** | Office Unavailable | Facility $1488.22 |
| Northern Nj | Office Unavailable | Facility $1773.85 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1979.82 |
| Ohio | Office Unavailable | Facility $1605.23 |
| Oklahoma | Office Unavailable | Facility $1541.07 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1636.13 |
| Portland | Office Unavailable | Facility $1628.02 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1766.91 |
| Puerto Rico | Office Unavailable | Facility $1634.91 |
| Queens | Office Unavailable | Facility $1875.00 |
| Redding | Office Unavailable | Facility $1572.36 |
| Rest Of California | Office Unavailable | Facility $1572.36 |
| Rest Of Florida | Office Unavailable | Facility $1742.76 |
| Rest Of Georgia | Office Unavailable | Facility $1643.01 |
| Rest Of Illinois | Office Unavailable | Facility $1742.04 |
| Rest Of Louisiana | Office Unavailable | Facility $1582.80 |
| Rest Of Maine | Office Unavailable | Facility $1512.61 |
| Rest Of Maryland | Office Unavailable | Facility $1629.03 |
| Rest Of Massachusetts | Office Unavailable | Facility $1620.16 |
| Rest Of Michigan | Office Unavailable | Facility $1635.05 |
| Rest Of Missouri | Office Unavailable | Facility $1578.45 |
| Rest Of New Jersey | Office Unavailable | Facility $1732.83 |
| Rest Of New York | Office Unavailable | Facility $1543.39 |
| Rest Of Oregon | Office Unavailable | Facility $1559.99 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1591.50 |
| Rest Of Texas | Office Unavailable | Facility $1592.33 |
| Rest Of Washington | Office Unavailable | Facility $1608.20 |
| Rhode Island | Office Unavailable | Facility $1639.44 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1651.53 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1616.05 |
| Salinas | Office Unavailable | Facility $1609.47 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1623.27 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1746.79 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1738.41 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1792.72 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1758.46 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1587.87 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1619.40 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1608.91 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1633.33 |
| Seattle (King Cnty) | Office Unavailable | Facility $1722.79 |
| South Carolina | Office Unavailable | Facility $1570.25 |
| South Dakota** | Office Unavailable | Facility $1470.96 |
| Southern Maine | Office Unavailable | Facility $1540.44 |
| Stockton | Office Unavailable | Facility $1572.36 |
| Suburban Chicago | Office Unavailable | Facility $1841.87 |
| Tennessee | Office Unavailable | Facility $1487.68 |
| Utah | Office Unavailable | Facility $1587.85 |
| Vallejo | Office Unavailable | Facility $1680.72 |
| Vermont | Office Unavailable | Facility $1509.26 |
| Virgin Islands | Office Unavailable | Facility $1634.91 |
| Virginia | Office Unavailable | Facility $1556.04 |
| Visalia | Office Unavailable | Facility $1572.36 |
| West Virginia | Office Unavailable | Facility $1693.63 |
| Wisconsin | Office Unavailable | Facility $1448.91 |
| Wyoming** | Office Unavailable | Facility $1570.55 |
| Yuba City | Office Unavailable | Facility $1572.36 |
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35526 billing questions
How is this different from a carotid-to-carotid bypass?
This procedure uses the aorta as the inflow source. A carotid-to-carotid bypass has a carotid artery as the inflow source and is reported with the code for that configuration.
Does 35526 identify a vein conduit?
Yes. The operative documentation should identify vein as the bypass conduit as well as the aortic inflow and the outflow vessel.
Is vein harvesting described by this code?
The code describes the bypass using vein, not the separate act of harvesting it. When a vein is harvested, review 35500 and document the harvest service and site.
How does the 90-day global affect postoperative reporting?
The global includes the day-before preoperative visit and 90 days of related postoperative care. Routine related follow-up during that period is included in the surgical service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons require supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. For a bilateral procedure reported with modifier 50, CMS pays at 150%.
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.
4,34435522,,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
4,35035533,,Art byp grft axill/fem/fem,A,,29.17,4.39,NA,4.39,,7.45,41.01,41.01,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00