No office rate
35537 is for aortic bypass to an iliac artery; 35538 is the aortobi-iliac configuration, with outflow to both iliac arteries.
On this page
CMS RVU26D · Effective 2026-10-01
35537 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1770.06
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 35537: Aortoiliac vein bypass graft
Reports an aortic-to-iliac arterial bypass using a vein graft, typically to restore blood flow in a patient with aortoiliac occlusive disease.
This code represents an open arterial bypass from the aorta to an iliac artery using a vein conduit. Vascular surgeons typically perform it in an operating room to route blood around diseased or obstructed aortoiliac segments. The operative report should identify the bypass origin and outflow, the vein conduit, and the condition being treated so the documented reconstruction supports this code rather than a bypass ending in the femoral arteries or involving both iliac arteries.
Report the code for the aorta-to-iliac configuration, not for each anastomosis or each side as a separate service. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35537
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU40.83 · 72%
- Practice expense (office) RVU5.35 · 9%
- Malpractice RVU10.46 · 18%
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.
35537 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
Choose 35539 when the aortic bypass ends at a femoral artery rather than an iliac artery.
No office rate
Choose 35540 for aortobifemoral bypass, with outflow to both femoral arteries; 35537 has iliac outflow.
The same code, a different location
How does Madera compare?
35537 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
Unavailable
No comparable rate is available in this setting.
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 · 35537
Office
Unavailable
Facility
$1770.06
No comparable office rate is available.
Modesto
California · 35537
Office
Unavailable
Facility
$1770.06
No comparable office rate is available.
Napa
California · 35537
Office
Unavailable
Facility
$1862.68
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35537
Office
Unavailable
Facility
$1830.82
No comparable office rate is available.
Redding
California · 35537
Office
Unavailable
Facility
$1770.06
No comparable office rate is available.
Rest Of California
California · 35537
Office
Unavailable
Facility
$1770.06
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35537
Office
Unavailable
Facility
$1882.17
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35537
Office
Unavailable
Facility
$1807.94
No comparable office rate is available.
Salinas
California · 35537
Office
Unavailable
Facility
$1800.41
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35537
Office
Unavailable
Facility
$1807.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35537
Office
Unavailable
Facility
$1905.64
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35537
Office
Unavailable
Facility
$1893.76
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35537
Office
Unavailable
Facility
$1958.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35537
Office
Unavailable
Facility
$1910.15
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35537
Office
Unavailable
Facility
$1777.74
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35537
Office
Unavailable
Facility
$1796.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35537
Office
Unavailable
Facility
$1797.57
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35537
Office
Unavailable
Facility
$1811.37
No comparable office rate is available.
Stockton
California · 35537
Office
Unavailable
Facility
$1770.06
No comparable office rate is available.
Vallejo
California · 35537
Office
Unavailable
Facility
$1845.56
No comparable office rate is available.
Visalia
California · 35537
Office
Unavailable
Facility
$1770.06
No comparable office rate is available.
Yuba City
California · 35537
Office
Unavailable
Facility
$1770.06
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35537
Office
Unavailable
Facility
$2036.76
No comparable office rate is available.
Miami
Florida · 35537
Office
Unavailable
Facility
$2433.35
No comparable office rate is available.
Chicago
Illinois · 35537
Office
Unavailable
Facility
$2354.71
No comparable office rate is available.
Manhattan
New York · 35537
Office
Unavailable
Facility
$2212.79
No comparable office rate is available.
Alaska*
Alaska · 35537
Office
Unavailable
Facility
$2428.45
No comparable office rate is available.
Alabama
Alabama · 35537
Office
Unavailable
Facility
$1717.86
No comparable office rate is available.
Arkansas
Arkansas · 35537
Office
Unavailable
Facility
$1697.18
No comparable office rate is available.
Arizona
Arizona · 35537
Office
Unavailable
Facility
$1835.98
No comparable office rate is available.
Colorado
Colorado · 35537
Office
Unavailable
Facility
$1843.12
No comparable office rate is available.
Connecticut
Connecticut · 35537
Office
Unavailable
Facility
$2006.23
No comparable office rate is available.
Delaware
Delaware · 35537
Office
Unavailable
Facility
$1861.21
No comparable office rate is available.
Fort Lauderdale
Florida · 35537
Office
Unavailable
Facility
$2176.44
No comparable office rate is available.
Rest Of Florida
Florida · 35537
Office
Unavailable
Facility
$2059.70
No comparable office rate is available.
Atlanta
Georgia · 35537
Office
Unavailable
Facility
$1969.00
No comparable office rate is available.
Rest Of Georgia
Georgia · 35537
Office
Unavailable
Facility
$1939.61
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35537
Office
Unavailable
Facility
$1769.22
No comparable office rate is available.
Iowa
Iowa · 35537
Office
Unavailable
Facility
$1665.97
No comparable office rate is available.
Idaho
Idaho · 35537
Office
Unavailable
Facility
$1693.41
No comparable office rate is available.
East St. Louis
Illinois · 35537
Office
Unavailable
Facility
$2231.80
No comparable office rate is available.
Rest Of Illinois
Illinois · 35537
Office
Unavailable
Facility
$2072.98
No comparable office rate is available.
Suburban Chicago
Illinois · 35537
Office
Unavailable
Facility
$2175.91
No comparable office rate is available.
Indiana
Indiana · 35537
Office
Unavailable
Facility
$1699.20
No comparable office rate is available.
Kansas
Kansas · 35537
Office
Unavailable
Facility
$1701.38
No comparable office rate is available.
Kentucky
Kentucky · 35537
Office
Unavailable
Facility
$1842.30
No comparable office rate is available.
New Orleans
Louisiana · 35537
Office
Unavailable
Facility
$1928.80
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35537
Office
Unavailable
Facility
$1856.60
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35537
Office
Unavailable
Facility
$1943.98
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35537
Office
Unavailable
Facility
$1852.20
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35537
Office
Unavailable
Facility
$2009.49
No comparable office rate is available.
Rest Of Maryland
Maryland · 35537
Office
Unavailable
Facility
$1878.96
No comparable office rate is available.
Rest Of Maine
Maine · 35537
Office
Unavailable
Facility
$1745.47
No comparable office rate is available.
Southern Maine
Maine · 35537
Office
Unavailable
Facility
$1761.30
No comparable office rate is available.
Detroit
Michigan · 35537
Office
Unavailable
Facility
$2125.24
No comparable office rate is available.
Rest Of Michigan
Michigan · 35537
Office
Unavailable
Facility
$1921.35
No comparable office rate is available.
Minnesota
Minnesota · 35537
Office
Unavailable
Facility
$1651.05
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35537
Office
Unavailable
Facility
$1872.89
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35537
Office
Unavailable
Facility
$1883.95
No comparable office rate is available.
Rest Of Missouri
Missouri · 35537
Office
Unavailable
Facility
$1858.08
No comparable office rate is available.
Mississippi
Mississippi · 35537
Office
Unavailable
Facility
$1775.80
No comparable office rate is available.
Montana**
Montana · 35537
Office
Unavailable
Facility
$1891.13
No comparable office rate is available.
North Carolina
North Carolina · 35537
Office
Unavailable
Facility
$1753.73
No comparable office rate is available.
North Dakota**
North Dakota · 35537
Office
Unavailable
Facility
$1684.30
No comparable office rate is available.
Nebraska
Nebraska · 35537
Office
Unavailable
Facility
$1660.76
No comparable office rate is available.
New Hampshire
New Hampshire · 35537
Office
Unavailable
Facility
$1855.48
No comparable office rate is available.
Northern Nj
New Jersey · 35537
Office
Unavailable
Facility
$2030.09
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35537
Office
Unavailable
Facility
$1996.71
No comparable office rate is available.
New Mexico
New Mexico · 35537
Office
Unavailable
Facility
$1947.22
No comparable office rate is available.
Nevada**
Nevada · 35537
Office
Unavailable
Facility
$1833.66
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35537
Office
Unavailable
Facility
$2312.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35537
Office
Unavailable
Facility
$2043.54
No comparable office rate is available.
Queens
New York · 35537
Office
Unavailable
Facility
$2166.05
No comparable office rate is available.
Rest Of New York
New York · 35537
Office
Unavailable
Facility
$1779.13
No comparable office rate is available.
Ohio
Ohio · 35537
Office
Unavailable
Facility
$1879.08
No comparable office rate is available.
Oklahoma
Oklahoma · 35537
Office
Unavailable
Facility
$1794.80
No comparable office rate is available.
Portland
Oregon · 35537
Office
Unavailable
Facility
$1844.04
No comparable office rate is available.
Rest Of Oregon
Oregon · 35537
Office
Unavailable
Facility
$1787.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35537
Office
Unavailable
Facility
$1991.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35537
Office
Unavailable
Facility
$1857.96
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35537
Office
Unavailable
Facility
$1888.55
No comparable office rate is available.
Rhode Island
Rhode Island · 35537
Office
Unavailable
Facility
$1885.90
No comparable office rate is available.
South Carolina
South Carolina · 35537
Office
Unavailable
Facility
$1825.84
No comparable office rate is available.
South Dakota**
South Dakota · 35537
Office
Unavailable
Facility
$1659.84
No comparable office rate is available.
Tennessee
Tennessee · 35537
Office
Unavailable
Facility
$1713.81
No comparable office rate is available.
Austin
Texas · 35537
Office
Unavailable
Facility
$1865.09
No comparable office rate is available.
Beaumont
Texas · 35537
Office
Unavailable
Facility
$1850.94
No comparable office rate is available.
Brazoria
Texas · 35537
Office
Unavailable
Facility
$1824.27
No comparable office rate is available.
Dallas
Texas · 35537
Office
Unavailable
Facility
$1853.78
No comparable office rate is available.
Fort Worth
Texas · 35537
Office
Unavailable
Facility
$1856.53
No comparable office rate is available.
Galveston
Texas · 35537
Office
Unavailable
Facility
$1841.39
No comparable office rate is available.
Houston
Texas · 35537
Office
Unavailable
Facility
$2032.85
No comparable office rate is available.
Rest Of Texas
Texas · 35537
Office
Unavailable
Facility
$1848.82
No comparable office rate is available.
Utah
Utah · 35537
Office
Unavailable
Facility
$1845.47
No comparable office rate is available.
Virginia
Virginia · 35537
Office
Unavailable
Facility
$1786.07
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35537
Office
Unavailable
Facility
$1888.55
No comparable office rate is available.
Vermont
Vermont · 35537
Office
Unavailable
Facility
$1717.45
No comparable office rate is available.
Rest Of Washington
Washington · 35537
Office
Unavailable
Facility
$1835.53
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35537
Office
Unavailable
Facility
$1936.64
No comparable office rate is available.
Wisconsin
Wisconsin · 35537
Office
Unavailable
Facility
$1642.56
No comparable office rate is available.
West Virginia
West Virginia · 35537
Office
Unavailable
Facility
$2019.00
No comparable office rate is available.
Wyoming**
Wyoming · 35537
Office
Unavailable
Facility
$1800.99
No comparable office rate is available.
See how rates vary across the country
35537 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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 35537 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1947.07
$1770.06 × 110% = $1947.07
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 35537 in Madera.
PPRRVU2026_Oct_nonQPP.csv
4,353
- Code
- 35537
- Physician work
- 40.83
- Practice expense
- 5.35
- Malpractice
- 10.46
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 40.83 | × 1.017 | 41.5241 |
| Practice expense | 5.35 | × 1.096 | 5.8636 |
| Malpractice | 10.46 | × 0.536 | 5.6066 |
| Total RVUs | 52.9943 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$1770.06
Open 35537 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 40.83 | 1.017 |
| Practice expense | 5.35 | 1.096 |
| Malpractice | 10.46 | 0.536 |
(40.83 × 1.017 + 5.35 × 1.096 + 10.46 × 0.536) × $33.4009 = $1770.06
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
35537 · 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 | $1770.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $1770.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $1770.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $1770.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $1875.05 | RVU25D |
| 2025-07-01 | Not available in this setting | $1875.05 | RVU25C |
| 2025-04-01 | Not available in this setting | $1875.05 | RVU25B |
| 2025-01-01 | Not available in this setting | $1875.05 | RVU25A |
35537 billing questions
How does this differ from 35538?
Use 35537 for a bypass from the aorta to an iliac artery. Code 35538 describes an aortic bypass to both iliac arteries.
When is 35539 or 35540 a better fit?
Those codes describe aortic bypasses with femoral rather than iliac outflow: 35539 for aortofemoral and 35540 for aortobifemoral reconstruction.
What operative details support 35537?
Document the aortic origin, the iliac outflow, use of a vein conduit, and the bypass performed. The documented endpoints distinguish this service from aortobi-iliac and aortofemoral bypasses.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy does not support modifier 50.
How does the global period affect postoperative visits?
The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,35035533,,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
4,35135535,,Art byp grft hepatorenal,A,,37.18,5.04,NA,5.04,,9.52,51.74,51.74,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35235536,,Art byp grft splenorenal,A,,32.89,4.68,NA,4.68,,8.40,45.97,45.97,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35335537,,Art byp grft aortoiliac,A,,40.83,5.35,NA,5.35,,10.46,56.64,56.64,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35435538,,Art byp grft aortobi-iliac,A,,45.85,5.82,NA,5.82,,11.75,63.42,63.42,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35535539,,Art byp grft aortofemoral,A,,43.01,5.52,NA,5.52,,11.01,59.54,59.54,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35635540,,Art byp grft aortbifemoral,A,,48.10,5.93,NA,5.93,,12.33,66.36,66.36,0,090,0.09,0.84,0.07,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508