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Billing code 35694: Artery transpositionMedicare rate & RVUs

Reports direct surgical relocation of the subclavian artery to the carotid artery, commonly to restore flow in proximal subclavian occlusive disease.

CMS RVU26DEffective Oct 1, 2026109 payment localities41 Medicare services in 2024

Medicare pays $901.16 for 35694 nationally in a facility.

Medicare rate · 35694

Artery transposition

Swap in your local Medicare rate.

Work RVUs
18.8
Total RVUs
26.98
Global days
090

National rate · 2026

$901.16

Facility setting, before claim adjustments.

See every locality for 35694 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 35694 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 35694 covers

A vascular surgeon mobilizes the subclavian artery and reconnects it directly to the carotid artery, redirecting blood flow without using a bypass conduit. The operation may be performed for conditions such as subclavian steal syndrome or proximal subclavian artery occlusion. It is typically performed in an operating room as an open vascular procedure.

Report this code when the operative work is a subclavian-to-carotid transposition, rather than a graft bypass between those vessels. The operative report should identify the vessels and side, describe the direct reconstruction, and support the clinical indication. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued 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.

Where 35694 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

35694 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$817.46
Alaska*Unavailable$1,150.48
ArizonaUnavailable$874.57
ArkansasUnavailable$807.48
AtlantaUnavailable$937.07
AustinUnavailable$890.68
BakersfieldUnavailable$861.24
Baltimore/Surr. CntysUnavailable$957.44
BeaumontUnavailable$879.61
BrazoriaUnavailable$869.89

35694 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
35694 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 35694 rate is calculated

Each of 35694’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 · 35694

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 18.80Practice expense 3.38Malpractice 4.80

26.9800 adjusted RVUs×$33.4009 conversion factor=$901.16

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 35694

35694 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35694

Artery transposition

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35694

Artery transposition

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35694 without 50 · national facility

$901.16

Artery transposition

35694-50 · Bilateral: 150%

$1,351.74

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).

When to use modifier 50

35694 compared with similar codes

Compare codes

35694 vs 35695 vs 35606 vs 35691: national Medicare rates

Swap in your local Medicare rate.

  • 35694
    Artery transposition · 18.8 wRVU
    —
  • 35695
    Arterial transposition · 19.56 wRVU
    —
  • 35606
    Arterial bypass · 21.9 wRVU
    —
  • 35691
    Arterial transposition · 17.95 wRVU
    —

How to choose

35695Arterial transposition
Use 35694 for subclavian-to-carotid transposition. Code 35695 describes the reverse vessel direction.
35606Arterial bypass
Use 35694 for direct arterial relocation and reconnection. Code 35606 describes carotid-subclavian bypass using a vein graft.
35691Arterial transposition
Code 35691 transposes the vertebral artery to the carotid artery; 35694 involves the subclavian artery as the vessel being transposed.

Codes related to 35694

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

Codes related to 35694
CodeHow it relatesNational office range
Same family
35695Arterial transpositionTransposition in the opposite direction, from carotid artery to subclavian artery.No office rate
35691Arterial transpositionTransposes the vertebral artery to the carotid artery rather than the subclavian artery.No office rate
Used instead
35606Arterial bypassCarotid-subclavian revascularization using a vein bypass graft rather than direct transposition.No office rate

35694 billing questions

How is this different from a carotid-subclavian bypass?

This code describes direct relocation and reconnection of the subclavian artery to the carotid artery. A bypass code is used when a graft conduit creates the connection.

Is this the same operation as code 35695?

No. Code 35694 is for the subclavian-to-carotid direction; 35695 describes transposition in the carotid-to-subclavian direction.

What documentation supports reporting this code?

The operative report should document the subclavian and carotid arteries involved, the side, and the direct transposition performed. It should also state the condition prompting revascularization.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The period begins with the surgery.

How are bilateral and same-session procedures handled?

For a bilateral procedure reported with modifier 50, CMS payment is 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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
RVUs for 35694PPRRVU2026_Oct_nonQPP.csv, line 4,405 (RVU26D)

Open CMS sourceHow we calculate rates

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