No office rate
The arterial route is the same, but 35506 applies when a vein conduit is used; 35606 is for a non-vein conduit.
On this page
CMS RVU26D · Effective 2026-10-01
35606 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1005.07
Base rate per service
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.
Vascular surgery
About 35606: Carotid-to-subclavian arterial bypass
Open carotid-subclavian bypass with a non-vein conduit reroutes blood flow when proximal subclavian obstruction limits arm or vertebral circulation.
A vascular surgeon creates a new route from the carotid artery to the subclavian artery using a non-vein conduit, commonly a prosthetic graft. The operation can restore flow with proximal subclavian occlusive disease causing arm ischemia or vertebral steal, or preserve circulation when the subclavian origin must be covered during aortic repair. It is generally performed in a hospital operating room.
Report this code for the completed carotid-to-subclavian bypass using a non-vein conduit; a vein conduit follows a different code. The operative report should identify the inflow and outflow arteries, conduit, laterality, and reason for revascularization. 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 one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35606
- 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 RVU21.90 · 69%
- Practice expense (office) RVU4.41 · 14%
- Malpractice RVU5.57 · 17%
670
Medicare services in 2024 · #3299 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.
35606 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
35612 connects the two subclavian arteries. Choose 35606 when the bypass runs from the carotid artery to the subclavian artery.
No office rate
35616 uses the subclavian artery as inflow and the axillary artery as outflow; 35606 uses carotid inflow and subclavian outflow.
No office rate
35626 uses the aorta as inflow for a bypass to a supra-aortic artery. 35606 begins at the carotid artery and ends at the subclavian artery.
The same code, a different location
How does Chico compare?
35606 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 35606
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Modesto
California · 35606
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Napa
California · 35606
Office
Unavailable
Facility
$1066.21
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35606
Office
Unavailable
Facility
$1041.97
No comparable office rate is available.
Redding
California · 35606
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Rest Of California
California · 35606
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35606
Office
Unavailable
Facility
$1064.78
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35606
Office
Unavailable
Facility
$1028.84
No comparable office rate is available.
Salinas
California · 35606
Office
Unavailable
Facility
$1024.59
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35606
Office
Unavailable
Facility
$1030.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35606
Office
Unavailable
Facility
$1094.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35606
Office
Unavailable
Facility
$1087.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35606
Office
Unavailable
Facility
$1124.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35606
Office
Unavailable
Facility
$1098.21
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35606
Office
Unavailable
Facility
$1011.41
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35606
Office
Unavailable
Facility
$1025.53
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35606
Office
Unavailable
Facility
$1023.43
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35606
Office
Unavailable
Facility
$1034.03
No comparable office rate is available.
Stockton
California · 35606
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Vallejo
California · 35606
Office
Unavailable
Facility
$1057.10
No comparable office rate is available.
Visalia
California · 35606
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Yuba City
California · 35606
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35606
Office
Unavailable
Facility
$1151.56
No comparable office rate is available.
Miami
Florida · 35606
Office
Unavailable
Facility
$1355.32
No comparable office rate is available.
Chicago
Illinois · 35606
Office
Unavailable
Facility
$1311.60
No comparable office rate is available.
Manhattan
New York · 35606
Office
Unavailable
Facility
$1244.52
No comparable office rate is available.
Alaska*
Alaska · 35606
Office
Unavailable
Facility
$1356.60
No comparable office rate is available.
Alabama
Alabama · 35606
Office
Unavailable
Facility
$965.67
No comparable office rate is available.
Arkansas
Arkansas · 35606
Office
Unavailable
Facility
$953.82
No comparable office rate is available.
Arizona
Arizona · 35606
Office
Unavailable
Facility
$1033.46
No comparable office rate is available.
Colorado
Colorado · 35606
Office
Unavailable
Facility
$1042.28
No comparable office rate is available.
Connecticut
Connecticut · 35606
Office
Unavailable
Facility
$1129.86
No comparable office rate is available.
Delaware
Delaware · 35606
Office
Unavailable
Facility
$1047.92
No comparable office rate is available.
Fort Lauderdale
Florida · 35606
Office
Unavailable
Facility
$1217.06
No comparable office rate is available.
Rest Of Florida
Florida · 35606
Office
Unavailable
Facility
$1151.92
No comparable office rate is available.
Atlanta
Georgia · 35606
Office
Unavailable
Facility
$1106.77
No comparable office rate is available.
Rest Of Georgia
Georgia · 35606
Office
Unavailable
Facility
$1084.63
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35606
Office
Unavailable
Facility
$1006.68
No comparable office rate is available.
Iowa
Iowa · 35606
Office
Unavailable
Facility
$940.12
No comparable office rate is available.
Idaho
Idaho · 35606
Office
Unavailable
Facility
$954.99
No comparable office rate is available.
East St. Louis
Illinois · 35606
Office
Unavailable
Facility
$1241.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 35606
Office
Unavailable
Facility
$1156.75
No comparable office rate is available.
Suburban Chicago
Illinois · 35606
Office
Unavailable
Facility
$1217.54
No comparable office rate is available.
Indiana
Indiana · 35606
Office
Unavailable
Facility
$958.44
No comparable office rate is available.
Kansas
Kansas · 35606
Office
Unavailable
Facility
$958.40
No comparable office rate is available.
Kentucky
Kentucky · 35606
Office
Unavailable
Facility
$1032.66
No comparable office rate is available.
New Orleans
Louisiana · 35606
Office
Unavailable
Facility
$1081.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35606
Office
Unavailable
Facility
$1040.07
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35606
Office
Unavailable
Facility
$1102.92
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35606
Office
Unavailable
Facility
$1046.56
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35606
Office
Unavailable
Facility
$1131.37
No comparable office rate is available.
Rest Of Maryland
Maryland · 35606
Office
Unavailable
Facility
$1058.65
No comparable office rate is available.
Rest Of Maine
Maine · 35606
Office
Unavailable
Facility
$982.71
No comparable office rate is available.
Southern Maine
Maine · 35606
Office
Unavailable
Facility
$994.85
No comparable office rate is available.
Detroit
Michigan · 35606
Office
Unavailable
Facility
$1187.29
No comparable office rate is available.
Rest Of Michigan
Michigan · 35606
Office
Unavailable
Facility
$1076.01
No comparable office rate is available.
Minnesota
Minnesota · 35606
Office
Unavailable
Facility
$938.12
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35606
Office
Unavailable
Facility
$1051.56
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35606
Office
Unavailable
Facility
$1058.12
No comparable office rate is available.
Rest Of Missouri
Missouri · 35606
Office
Unavailable
Facility
$1039.66
No comparable office rate is available.
Mississippi
Mississippi · 35606
Office
Unavailable
Facility
$995.79
No comparable office rate is available.
Montana**
Montana · 35606
Office
Unavailable
Facility
$1064.45
No comparable office rate is available.
North Carolina
North Carolina · 35606
Office
Unavailable
Facility
$987.79
No comparable office rate is available.
North Dakota**
North Dakota · 35606
Office
Unavailable
Facility
$954.31
No comparable office rate is available.
Nebraska
Nebraska · 35606
Office
Unavailable
Facility
$937.76
No comparable office rate is available.
New Hampshire
New Hampshire · 35606
Office
Unavailable
Facility
$1047.60
No comparable office rate is available.
Northern Nj
New Jersey · 35606
Office
Unavailable
Facility
$1147.12
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35606
Office
Unavailable
Facility
$1125.68
No comparable office rate is available.
New Mexico
New Mexico · 35606
Office
Unavailable
Facility
$1089.99
No comparable office rate is available.
Nevada**
Nevada · 35606
Office
Unavailable
Facility
$1033.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35606
Office
Unavailable
Facility
$1298.91
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35606
Office
Unavailable
Facility
$1150.80
No comparable office rate is available.
Queens
New York · 35606
Office
Unavailable
Facility
$1220.67
No comparable office rate is available.
Rest Of New York
New York · 35606
Office
Unavailable
Facility
$1002.20
No comparable office rate is available.
Ohio
Ohio · 35606
Office
Unavailable
Facility
$1053.49
No comparable office rate is available.
Oklahoma
Oklahoma · 35606
Office
Unavailable
Facility
$1007.57
No comparable office rate is available.
Portland
Oregon · 35606
Office
Unavailable
Facility
$1045.25
No comparable office rate is available.
Rest Of Oregon
Oregon · 35606
Office
Unavailable
Facility
$1008.98
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35606
Office
Unavailable
Facility
$1119.93
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35606
Office
Unavailable
Facility
$1042.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35606
Office
Unavailable
Facility
$1063.65
No comparable office rate is available.
Rhode Island
Rhode Island · 35606
Office
Unavailable
Facility
$1063.49
No comparable office rate is available.
South Carolina
South Carolina · 35606
Office
Unavailable
Facility
$1025.72
No comparable office rate is available.
South Dakota**
South Dakota · 35606
Office
Unavailable
Facility
$941.29
No comparable office rate is available.
Tennessee
Tennessee · 35606
Office
Unavailable
Facility
$965.28
No comparable office rate is available.
Austin
Texas · 35606
Office
Unavailable
Facility
$1053.62
No comparable office rate is available.
Beaumont
Texas · 35606
Office
Unavailable
Facility
$1038.35
No comparable office rate is available.
Brazoria
Texas · 35606
Office
Unavailable
Facility
$1028.42
No comparable office rate is available.
Dallas
Texas · 35606
Office
Unavailable
Facility
$1044.40
No comparable office rate is available.
Fort Worth
Texas · 35606
Office
Unavailable
Facility
$1045.34
No comparable office rate is available.
Galveston
Texas · 35606
Office
Unavailable
Facility
$1037.64
No comparable office rate is available.
Houston
Texas · 35606
Office
Unavailable
Facility
$1139.59
No comparable office rate is available.
Rest Of Texas
Texas · 35606
Office
Unavailable
Facility
$1039.26
No comparable office rate is available.
Utah
Utah · 35606
Office
Unavailable
Facility
$1037.01
No comparable office rate is available.
Virginia
Virginia · 35606
Office
Unavailable
Facility
$1007.62
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35606
Office
Unavailable
Facility
$1063.65
No comparable office rate is available.
Vermont
Vermont · 35606
Office
Unavailable
Facility
$971.44
No comparable office rate is available.
Rest Of Washington
Washington · 35606
Office
Unavailable
Facility
$1037.67
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35606
Office
Unavailable
Facility
$1100.79
No comparable office rate is available.
Wisconsin
Wisconsin · 35606
Office
Unavailable
Facility
$929.89
No comparable office rate is available.
West Virginia
West Virginia · 35606
Office
Unavailable
Facility
$1125.71
No comparable office rate is available.
Wyoming**
Wyoming · 35606
Office
Unavailable
Facility
$1016.45
No comparable office rate is available.
See how rates vary across the country
35606 · 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 35606 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1105.58
$1005.07 × 110% = $1105.58
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 35606 in Chico.
PPRRVU2026_Oct_nonQPP.csv
4,373
- Code
- 35606
- Physician work
- 21.90
- Practice expense
- 4.41
- Malpractice
- 5.57
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.90 | × 1.017 | 22.2723 |
| Practice expense | 4.41 | × 1.096 | 4.8334 |
| Malpractice | 5.57 | × 0.536 | 2.9855 |
| Total RVUs | 30.0912 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1005.07
Open 35606 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.9 | 1.017 |
| Practice expense | 4.41 | 1.096 |
| Malpractice | 5.57 | 0.536 |
(21.9 × 1.017 + 4.41 × 1.096 + 5.57 × 0.536) × $33.4009 = $1005.07
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
35606 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1005.07 | RVU26D |
| 2026-07-01 | Not available in this setting | $1005.07 | RVU26C |
| 2026-04-01 | Not available in this setting | $1005.07 | RVU26B |
| 2026-01-01 | Not available in this setting | $1005.07 | RVU26A |
| 2025-10-01 | Not available in this setting | $1065.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $1065.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $1065.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $1065.40 | RVU25A |
35606 billing questions
How does this code differ from 35506?
Both describe a carotid-to-subclavian bypass, but 35606 is for a non-vein conduit. Use 35506 when the bypass is performed with a vein conduit.
What should the operative report document?
Document the carotid inflow, subclavian outflow, conduit type, laterality, and indication. These details establish the route and distinguish a non-vein bypass from a vein bypass or a different arterial reconstruction.
How is bilateral reporting handled?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. Document the work performed on both sides.
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 the other procedure or procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
4,37035600,,Open hrv uxtr art 1 sgm cab,A,,3.50,0.70,NA,0.70,,0.86,5.06,5.06,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37135601,,Bpg com crtd-ipsi int crtd,A,,26.41,4.80,NA,4.80,,6.79,38.00,38.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37235602,,Bpg crtd-clat crtd,A,,23.53,5.13,NA,5.13,,5.95,34.61,34.61,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37335606,,Bpg carotid-subclavian,A,,21.90,4.41,NA,4.41,,5.57,31.88,31.88,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37435612,,Bpg subclavian-subclavian,A,,19.84,3.64,NA,3.64,,5.06,28.54,28.54,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37535616,,Bpg subclavian-axillary,A,,21.27,3.32,NA,3.32,,5.43,30.02,30.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37635621,,Bpg axillary-femoral,A,,20.50,3.93,NA,3.93,,5.22,29.65,29.65,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536