No office rate
Use 35540 when the aortic reconstruction supplies both femoral arteries. Code 35539 describes a single femoral outflow target.
On this page
CMS RVU26D · Effective 2026-10-01
35539 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1860.18
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 35539: Aortic-to-femoral vein bypass
Reports an aorta-to-one-femoral-artery bypass using a vein conduit, typically to restore lower-extremity blood flow in aortoiliac occlusive disease.
A vascular surgeon routes a vein graft from the aorta to a femoral artery to bypass obstructed inflow and improve blood supply to one lower extremity. The operation is generally performed in a hospital operating room for significant aortoiliac occlusive disease, such as ischemia associated with rest pain or tissue loss. The operative report should establish the aortic origin, the single femoral outflow target, and use of a vein conduit.
Select this code when the documented reconstruction has one femoral target; an aortic reconstruction with two femoral outflows is distinguished by code 35540. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. CMS lists bilateral reporting with modifier 50 at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35539
- 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 RVU43.01 · 72%
- Practice expense (office) RVU5.52 · 9%
- Malpractice RVU11.01 · 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.
35539 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
35537 ends at an iliac artery; 35539 ends at a femoral artery. Follow the documented distal target.
No office rate
35538 supplies both iliac arteries from the aorta. It is distinct from the single femoral outflow described by 35539.
No office rate
35521 uses axillary inflow for a femoral target, rather than the aortic inflow used for 35539.
The same code, a different location
How does Modesto compare?
35539 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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
Madera
California · 35539
Office
Unavailable
Facility
$1860.18
No comparable office rate is available.
Merced
California · 35539
Office
Unavailable
Facility
$1860.18
No comparable office rate is available.
Napa
California · 35539
Office
Unavailable
Facility
$1956.89
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35539
Office
Unavailable
Facility
$1923.83
No comparable office rate is available.
Redding
California · 35539
Office
Unavailable
Facility
$1860.18
No comparable office rate is available.
Rest Of California
California · 35539
Office
Unavailable
Facility
$1860.18
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35539
Office
Unavailable
Facility
$1978.19
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35539
Office
Unavailable
Facility
$1899.83
No comparable office rate is available.
Salinas
California · 35539
Office
Unavailable
Facility
$1891.91
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35539
Office
Unavailable
Facility
$1899.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35539
Office
Unavailable
Facility
$2001.81
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35539
Office
Unavailable
Facility
$1989.30
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35539
Office
Unavailable
Facility
$2057.57
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35539
Office
Unavailable
Facility
$2006.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35539
Office
Unavailable
Facility
$1868.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35539
Office
Unavailable
Facility
$1887.86
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35539
Office
Unavailable
Facility
$1888.89
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35539
Office
Unavailable
Facility
$1903.19
No comparable office rate is available.
Stockton
California · 35539
Office
Unavailable
Facility
$1860.18
No comparable office rate is available.
Vallejo
California · 35539
Office
Unavailable
Facility
$1938.87
No comparable office rate is available.
Visalia
California · 35539
Office
Unavailable
Facility
$1860.18
No comparable office rate is available.
Yuba City
California · 35539
Office
Unavailable
Facility
$1860.18
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35539
Office
Unavailable
Facility
$2140.64
No comparable office rate is available.
Miami
Florida · 35539
Office
Unavailable
Facility
$2558.53
No comparable office rate is available.
Chicago
Illinois · 35539
Office
Unavailable
Facility
$2475.90
No comparable office rate is available.
Manhattan
New York · 35539
Office
Unavailable
Facility
$2326.00
No comparable office rate is available.
Alaska*
Alaska · 35539
Office
Unavailable
Facility
$2553.84
No comparable office rate is available.
Alabama
Alabama · 35539
Office
Unavailable
Facility
$1806.04
No comparable office rate is available.
Arkansas
Arkansas · 35539
Office
Unavailable
Facility
$1784.34
No comparable office rate is available.
Arizona
Arizona · 35539
Office
Unavailable
Facility
$1930.02
No comparable office rate is available.
Colorado
Colorado · 35539
Office
Unavailable
Facility
$1937.19
No comparable office rate is available.
Connecticut
Connecticut · 35539
Office
Unavailable
Facility
$2108.84
No comparable office rate is available.
Delaware
Delaware · 35539
Office
Unavailable
Facility
$1956.52
No comparable office rate is available.
Fort Lauderdale
Florida · 35539
Office
Unavailable
Facility
$2288.22
No comparable office rate is available.
Rest Of Florida
Florida · 35539
Office
Unavailable
Facility
$2165.55
No comparable office rate is available.
Atlanta
Georgia · 35539
Office
Unavailable
Facility
$2069.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 35539
Office
Unavailable
Facility
$2039.38
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35539
Office
Unavailable
Facility
$1859.13
No comparable office rate is available.
Iowa
Iowa · 35539
Office
Unavailable
Facility
$1751.27
No comparable office rate is available.
Idaho
Idaho · 35539
Office
Unavailable
Facility
$1780.14
No comparable office rate is available.
East St. Louis
Illinois · 35539
Office
Unavailable
Facility
$2346.83
No comparable office rate is available.
Rest Of Illinois
Illinois · 35539
Office
Unavailable
Facility
$2179.69
No comparable office rate is available.
Suburban Chicago
Illinois · 35539
Office
Unavailable
Facility
$2287.62
No comparable office rate is available.
Indiana
Indiana · 35539
Office
Unavailable
Facility
$1786.21
No comparable office rate is available.
Kansas
Kansas · 35539
Office
Unavailable
Facility
$1788.59
No comparable office rate is available.
Kentucky
Kentucky · 35539
Office
Unavailable
Facility
$1936.97
No comparable office rate is available.
New Orleans
Louisiana · 35539
Office
Unavailable
Facility
$2027.82
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35539
Office
Unavailable
Facility
$1952.04
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35539
Office
Unavailable
Facility
$2042.91
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35539
Office
Unavailable
Facility
$1946.79
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35539
Office
Unavailable
Facility
$2112.29
No comparable office rate is available.
Rest Of Maryland
Maryland · 35539
Office
Unavailable
Facility
$1975.11
No comparable office rate is available.
Rest Of Maine
Maine · 35539
Office
Unavailable
Facility
$1834.93
No comparable office rate is available.
Southern Maine
Maine · 35539
Office
Unavailable
Facility
$1851.33
No comparable office rate is available.
Detroit
Michigan · 35539
Office
Unavailable
Facility
$2234.51
No comparable office rate is available.
Rest Of Michigan
Michigan · 35539
Office
Unavailable
Facility
$2020.09
No comparable office rate is available.
Minnesota
Minnesota · 35539
Office
Unavailable
Facility
$1735.14
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35539
Office
Unavailable
Facility
$1968.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35539
Office
Unavailable
Facility
$1980.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 35539
Office
Unavailable
Facility
$1953.68
No comparable office rate is available.
Mississippi
Mississippi · 35539
Office
Unavailable
Facility
$1867.08
No comparable office rate is available.
Montana**
Montana · 35539
Office
Unavailable
Facility
$1987.95
No comparable office rate is available.
North Carolina
North Carolina · 35539
Office
Unavailable
Facility
$1843.58
No comparable office rate is available.
North Dakota**
North Dakota · 35539
Office
Unavailable
Facility
$1770.25
No comparable office rate is available.
Nebraska
Nebraska · 35539
Office
Unavailable
Facility
$1745.76
No comparable office rate is available.
New Hampshire
New Hampshire · 35539
Office
Unavailable
Facility
$1950.28
No comparable office rate is available.
Northern Nj
New Jersey · 35539
Office
Unavailable
Facility
$2133.70
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35539
Office
Unavailable
Facility
$2098.79
No comparable office rate is available.
New Mexico
New Mexico · 35539
Office
Unavailable
Facility
$2047.30
No comparable office rate is available.
Nevada**
Nevada · 35539
Office
Unavailable
Facility
$1927.46
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35539
Office
Unavailable
Facility
$2430.63
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35539
Office
Unavailable
Facility
$2148.08
No comparable office rate is available.
Queens
New York · 35539
Office
Unavailable
Facility
$2276.73
No comparable office rate is available.
Rest Of New York
New York · 35539
Office
Unavailable
Facility
$1870.25
No comparable office rate is available.
Ohio
Ohio · 35539
Office
Unavailable
Facility
$1975.59
No comparable office rate is available.
Oklahoma
Oklahoma · 35539
Office
Unavailable
Facility
$1886.95
No comparable office rate is available.
Portland
Oregon · 35539
Office
Unavailable
Facility
$1938.00
No comparable office rate is available.
Rest Of Oregon
Oregon · 35539
Office
Unavailable
Facility
$1878.73
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35539
Office
Unavailable
Facility
$2093.08
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35539
Office
Unavailable
Facility
$1953.35
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35539
Office
Unavailable
Facility
$1985.20
No comparable office rate is available.
Rhode Island
Rhode Island · 35539
Office
Unavailable
Facility
$1982.35
No comparable office rate is available.
South Carolina
South Carolina · 35539
Office
Unavailable
Facility
$1919.52
No comparable office rate is available.
South Dakota**
South Dakota · 35539
Office
Unavailable
Facility
$1744.51
No comparable office rate is available.
Tennessee
Tennessee · 35539
Office
Unavailable
Facility
$1801.65
No comparable office rate is available.
Austin
Texas · 35539
Office
Unavailable
Facility
$1960.33
No comparable office rate is available.
Beaumont
Texas · 35539
Office
Unavailable
Facility
$1945.99
No comparable office rate is available.
Brazoria
Texas · 35539
Office
Unavailable
Facility
$1917.62
No comparable office rate is available.
Dallas
Texas · 35539
Office
Unavailable
Facility
$1948.66
No comparable office rate is available.
Fort Worth
Texas · 35539
Office
Unavailable
Facility
$1951.60
No comparable office rate is available.
Galveston
Texas · 35539
Office
Unavailable
Facility
$1935.64
No comparable office rate is available.
Houston
Texas · 35539
Office
Unavailable
Facility
$2137.16
No comparable office rate is available.
Rest Of Texas
Texas · 35539
Office
Unavailable
Facility
$1943.62
No comparable office rate is available.
Utah
Utah · 35539
Office
Unavailable
Facility
$1940.12
No comparable office rate is available.
Virginia
Virginia · 35539
Office
Unavailable
Facility
$1877.44
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35539
Office
Unavailable
Facility
$1985.20
No comparable office rate is available.
Vermont
Vermont · 35539
Office
Unavailable
Facility
$1805.18
No comparable office rate is available.
Rest Of Washington
Washington · 35539
Office
Unavailable
Facility
$1929.25
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35539
Office
Unavailable
Facility
$2035.07
No comparable office rate is available.
Wisconsin
Wisconsin · 35539
Office
Unavailable
Facility
$1726.47
No comparable office rate is available.
West Virginia
West Virginia · 35539
Office
Unavailable
Facility
$2123.03
No comparable office rate is available.
Wyoming**
Wyoming · 35539
Office
Unavailable
Facility
$1893.08
No comparable office rate is available.
See how rates vary across the country
35539 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 35539 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2046.20
$1860.18 × 110% = $2046.20
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 35539 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
4,355
- Code
- 35539
- Physician work
- 43.01
- Practice expense
- 5.52
- Malpractice
- 11.01
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 43.01 | × 1.017 | 43.7412 |
| Practice expense | 5.52 | × 1.096 | 6.0499 |
| Malpractice | 11.01 | × 0.536 | 5.9014 |
| Total RVUs | 55.6924 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1860.18
Open 35539 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 43.01 | 1.017 |
| Practice expense | 5.52 | 1.096 |
| Malpractice | 11.01 | 0.536 |
(43.01 × 1.017 + 5.52 × 1.096 + 11.01 × 0.536) × $33.4009 = $1860.18
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
35539 · 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 | $1860.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $1860.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $1860.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $1860.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $1970.88 | RVU25D |
| 2025-07-01 | Not available in this setting | $1970.88 | RVU25C |
| 2025-04-01 | Not available in this setting | $1970.88 | RVU25B |
| 2025-01-01 | Not available in this setting | $1970.88 | RVU25A |
35539 billing questions
How does 35539 differ from 35540?
35539 describes a vein bypass from the aorta to one femoral artery. Use 35540 for an aortic reconstruction with right and left femoral outflows.
What operative details support 35539?
The operative report should identify the aortic inflow, the single femoral artery receiving flow, and the vein conduit. It should also document the indication for the reconstruction.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the major-surgery global period.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50% when they are performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; CMS does not permit team surgery.
When is modifier 50 relevant?
CMS lists bilateral reporting with modifier 50 at 150%. For an aortic reconstruction with two femoral outflows, compare the documented operation with the specific sibling code 35540.
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.
4,35235536,,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
4,35735556,,Art byp grft fem-popliteal,A,,26.08,5.08,NA,5.08,,6.62,37.78,37.78,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35835558,,Art byp grft fem-femoral,A,,22.55,4.80,NA,4.80,,5.68,33.03,33.03,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536