No office rate
35500 identifies upper extremity vein harvest; 35572 identifies femoral vein harvest. Select based on the donor vein documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
35500 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$273.19
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 35500: Upper extremity vein harvest for bypass
Reports harvesting upper extremity vein for use as a graft conduit during an arterial bypass, as an add-on to the primary bypass procedure.
A vascular surgeon harvests a segment of vein from the arm for use as an autologous conduit in an arterial bypass. Arm vein, such as cephalic or basilic vein, may be selected when suitable leg vein is unavailable or insufficient. The work is performed as part of the operative treatment, commonly during a lower-extremity bypass for arterial disease.
Report 35500 only with the primary bypass procedure; it is not a stand-alone service. The operative report should identify the upper extremity vein harvested and document its use in the bypass. CMS treats this as an add-on code, with payment falling within the primary procedure’s global period. The bypass code describes the reconstruction, while 35500 accounts for the additional vein-harvesting work.
CMS billing rules for 35500
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU6.28 · 73%
- Practice expense (office) RVU0.73 · 8%
- Malpractice RVU1.58 · 18%
231
Medicare services in 2024 · #4198 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.
35500 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
35556 reports the femoral-popliteal bypass reconstruction using vein. Add 35500 when upper extremity vein is harvested for that bypass.
No office rate
35656 reports a femoral-popliteal bypass using a graft other than vein. It does not describe upper extremity vein harvest.
The same code, a different location
How does Wyoming** compare?
35500 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 35500
Office
Unavailable
Facility
$260.96
No comparable office rate is available.
Arkansas
Arkansas · 35500
Office
Unavailable
Facility
$257.88
No comparable office rate is available.
Arizona
Arizona · 35500
Office
Unavailable
Facility
$278.56
No comparable office rate is available.
Bakersfield
California · 35500
Office
Unavailable
Facility
$272.61
No comparable office rate is available.
Chico
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
El Centro
California · 35500
Office
Unavailable
Facility
$268.60
No comparable office rate is available.
Fresno
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Hanford-Corcoran
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Madera
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Merced
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Modesto
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Napa
California · 35500
Office
Unavailable
Facility
$281.92
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35500
Office
Unavailable
Facility
$277.33
No comparable office rate is available.
Redding
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Rest Of California
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35500
Office
Unavailable
Facility
$285.27
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35500
Office
Unavailable
Facility
$273.95
No comparable office rate is available.
Salinas
California · 35500
Office
Unavailable
Facility
$272.81
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35500
Office
Unavailable
Facility
$273.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35500
Office
Unavailable
Facility
$288.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35500
Office
Unavailable
Facility
$286.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35500
Office
Unavailable
Facility
$296.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35500
Office
Unavailable
Facility
$288.94
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35500
Office
Unavailable
Facility
$269.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35500
Office
Unavailable
Facility
$272.07
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35500
Office
Unavailable
Facility
$272.35
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35500
Office
Unavailable
Facility
$274.28
No comparable office rate is available.
Stockton
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Vallejo
California · 35500
Office
Unavailable
Facility
$279.33
No comparable office rate is available.
Visalia
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Yuba City
California · 35500
Office
Unavailable
Facility
$268.33
No comparable office rate is available.
Colorado
Colorado · 35500
Office
Unavailable
Facility
$279.43
No comparable office rate is available.
Connecticut
Connecticut · 35500
Office
Unavailable
Facility
$304.07
No comparable office rate is available.
Delaware
Delaware · 35500
Office
Unavailable
Facility
$282.34
No comparable office rate is available.
Fort Lauderdale
Florida · 35500
Office
Unavailable
Facility
$329.87
No comparable office rate is available.
Rest Of Florida
Florida · 35500
Office
Unavailable
Facility
$312.39
No comparable office rate is available.
Atlanta
Georgia · 35500
Office
Unavailable
Facility
$298.54
No comparable office rate is available.
Rest Of Georgia
Georgia · 35500
Office
Unavailable
Facility
$294.41
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35500
Office
Unavailable
Facility
$268.04
No comparable office rate is available.
Iowa
Iowa · 35500
Office
Unavailable
Facility
$253.02
No comparable office rate is available.
Idaho
Idaho · 35500
Office
Unavailable
Facility
$257.15
No comparable office rate is available.
East St. Louis
Illinois · 35500
Office
Unavailable
Facility
$338.48
No comparable office rate is available.
Rest Of Illinois
Illinois · 35500
Office
Unavailable
Facility
$314.50
No comparable office rate is available.
Suburban Chicago
Illinois · 35500
Office
Unavailable
Facility
$329.78
No comparable office rate is available.
Indiana
Indiana · 35500
Office
Unavailable
Facility
$258.01
No comparable office rate is available.
Kansas
Kansas · 35500
Office
Unavailable
Facility
$258.40
No comparable office rate is available.
Kentucky
Kentucky · 35500
Office
Unavailable
Facility
$279.72
No comparable office rate is available.
New Orleans
Louisiana · 35500
Office
Unavailable
Facility
$292.65
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35500
Office
Unavailable
Facility
$281.89
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35500
Office
Unavailable
Facility
$294.44
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35500
Office
Unavailable
Facility
$280.85
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35500
Office
Unavailable
Facility
$304.56
No comparable office rate is available.
Rest Of Maryland
Maryland · 35500
Office
Unavailable
Facility
$284.98
No comparable office rate is available.
Rest Of Maine
Maine · 35500
Office
Unavailable
Facility
$265.01
No comparable office rate is available.
Southern Maine
Maine · 35500
Office
Unavailable
Facility
$267.22
No comparable office rate is available.
Detroit
Michigan · 35500
Office
Unavailable
Facility
$322.26
No comparable office rate is available.
Rest Of Michigan
Michigan · 35500
Office
Unavailable
Facility
$291.60
No comparable office rate is available.
Minnesota
Minnesota · 35500
Office
Unavailable
Facility
$250.47
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35500
Office
Unavailable
Facility
$284.21
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35500
Office
Unavailable
Facility
$285.85
No comparable office rate is available.
Rest Of Missouri
Missouri · 35500
Office
Unavailable
Facility
$282.18
No comparable office rate is available.
Mississippi
Mississippi · 35500
Office
Unavailable
Facility
$269.75
No comparable office rate is available.
Montana**
Montana · 35500
Office
Unavailable
Facility
$286.81
No comparable office rate is available.
North Carolina
North Carolina · 35500
Office
Unavailable
Facility
$266.23
No comparable office rate is available.
North Dakota**
North Dakota · 35500
Office
Unavailable
Facility
$255.57
No comparable office rate is available.
Nebraska
Nebraska · 35500
Office
Unavailable
Facility
$252.21
No comparable office rate is available.
New Hampshire
New Hampshire · 35500
Office
Unavailable
Facility
$281.32
No comparable office rate is available.
Northern Nj
New Jersey · 35500
Office
Unavailable
Facility
$307.62
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35500
Office
Unavailable
Facility
$302.67
No comparable office rate is available.
New Mexico
New Mexico · 35500
Office
Unavailable
Facility
$295.50
No comparable office rate is available.
Nevada**
Nevada · 35500
Office
Unavailable
Facility
$278.12
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35500
Office
Unavailable
Facility
$350.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35500
Office
Unavailable
Facility
$309.75
No comparable office rate is available.
Queens
New York · 35500
Office
Unavailable
Facility
$328.10
No comparable office rate is available.
Rest Of New York
New York · 35500
Office
Unavailable
Facility
$270.02
No comparable office rate is available.
Ohio
Ohio · 35500
Office
Unavailable
Facility
$285.21
No comparable office rate is available.
Oklahoma
Oklahoma · 35500
Office
Unavailable
Facility
$272.54
No comparable office rate is available.
Portland
Oregon · 35500
Office
Unavailable
Facility
$279.47
No comparable office rate is available.
Rest Of Oregon
Oregon · 35500
Office
Unavailable
Facility
$271.14
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35500
Office
Unavailable
Facility
$301.87
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35500
Office
Unavailable
Facility
$282.01
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35500
Office
Unavailable
Facility
$286.39
No comparable office rate is available.
Rhode Island
Rhode Island · 35500
Office
Unavailable
Facility
$286.00
No comparable office rate is available.
South Carolina
South Carolina · 35500
Office
Unavailable
Facility
$277.14
No comparable office rate is available.
South Dakota**
South Dakota · 35500
Office
Unavailable
Facility
$251.87
No comparable office rate is available.
Tennessee
Tennessee · 35500
Office
Unavailable
Facility
$260.26
No comparable office rate is available.
Austin
Texas · 35500
Office
Unavailable
Facility
$282.73
No comparable office rate is available.
Beaumont
Texas · 35500
Office
Unavailable
Facility
$280.97
No comparable office rate is available.
Brazoria
Texas · 35500
Office
Unavailable
Facility
$276.76
No comparable office rate is available.
Dallas
Texas · 35500
Office
Unavailable
Facility
$281.21
No comparable office rate is available.
Fort Worth
Texas · 35500
Office
Unavailable
Facility
$281.65
No comparable office rate is available.
Galveston
Texas · 35500
Office
Unavailable
Facility
$279.34
No comparable office rate is available.
Houston
Texas · 35500
Office
Unavailable
Facility
$308.26
No comparable office rate is available.
Rest Of Texas
Texas · 35500
Office
Unavailable
Facility
$280.55
No comparable office rate is available.
Utah
Utah · 35500
Office
Unavailable
Facility
$280.07
No comparable office rate is available.
Virginia
Virginia · 35500
Office
Unavailable
Facility
$270.98
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35500
Office
Unavailable
Facility
$286.39
No comparable office rate is available.
Vermont
Vermont · 35500
Office
Unavailable
Facility
$260.60
No comparable office rate is available.
Rest Of Washington
Washington · 35500
Office
Unavailable
Facility
$278.32
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35500
Office
Unavailable
Facility
$293.28
No comparable office rate is available.
Wisconsin
Wisconsin · 35500
Office
Unavailable
Facility
$249.37
No comparable office rate is available.
West Virginia
West Virginia · 35500
Office
Unavailable
Facility
$306.46
No comparable office rate is available.
See how rates vary across the country
35500 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 35500 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$300.51
$273.19 × 110% = $300.51
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 35500 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,330
- Code
- 35500
- Physician work
- 6.28
- Practice expense
- 0.73
- Malpractice
- 1.58
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.28 | × 1.000 | 6.2800 |
| Practice expense | 0.73 | × 1.000 | 0.7300 |
| Malpractice | 1.58 | × 0.740 | 1.1692 |
| Total RVUs | 8.1792 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$273.19
Open 35500 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.28 | 1 |
| Practice expense | 0.73 | 1 |
| Malpractice | 1.58 | 0.74 |
(6.28 × 1 + 0.73 × 1 + 1.58 × 0.74) × $33.4009 = $273.19
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
35500 · 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 | $273.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $273.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $273.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $273.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $287.24 | RVU25D |
| 2025-07-01 | Not available in this setting | $287.24 | RVU25C |
| 2025-04-01 | Not available in this setting | $287.24 | RVU25B |
| 2025-01-01 | Not available in this setting | $287.24 | RVU25A |
35500 billing questions
Can 35500 be reported by itself?
No. It is an add-on for harvesting upper extremity vein and must be reported with the primary bypass procedure.
When is 35500 preferred over 35572?
Use 35500 when the harvested conduit comes from the upper extremity. Code 35572 describes harvest of femoral vein instead.
What documentation supports 35500?
The operative report should identify the arm vein harvested and show that it was used as conduit for the bypass.
Is the bypass itself included in 35500?
No. Report the applicable primary bypass code as well; 35500 represents the additional upper extremity vein harvest.
How does the global period affect payment?
CMS treats 35500 as an add-on paid within the primary bypass procedure’s global period.
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.
4,32735372,,Rechanneling of artery,A,,18.12,3.77,NA,3.77,,4.62,26.51,26.51,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32835390,,Reoperation carotid add-on,A,,3.11,0.39,NA,0.39,,0.79,4.29,4.29,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32935400,,Angioscopy,A,,2.93,0.24,NA,0.24,,0.75,3.92,3.92,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,33035500,,Harvest vein for bypass,A,,6.28,0.73,NA,0.73,,1.58,8.59,8.59,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,33135501,,Art byp grft ipsilat carotid,A,,28.36,4.11,NA,4.11,,7.26,39.73,39.73,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,33235506,,Art byp grft subclav-carotid,A,,24.70,3.69,NA,3.69,,6.31,34.70,34.70,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,33335508,,Art byp grft carotid-vertbrl,A,,25.44,4.33,NA,4.33,,6.49,36.26,36.26,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,