No office rate
This code represents subclavian artery transposition without naming the carotid as its destination. Code 35694 is specifically for a subclavian-to-carotid transposition.
On this page
CMS RVU26D · Effective 2026-10-01
35693 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$733.60
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 35693: Subclavian artery transposition
Open subclavian artery transposition reroutes the native artery to improve blood flow and is reported for the documented subclavian transposition performed.
A vascular surgeon mobilizes and reroutes the patient’s subclavian artery, reconnecting it at a new site to redirect arterial flow. The operation is generally performed through an open approach in an operating room; the operative report should identify the artery’s original location, its new connection, and the reason for the reconstruction. The exact route matters because nearby transposition codes specify particular origin-to-destination relationships.
Report this code when the operative service is the subclavian artery transposition represented by this code, rather than a bypass using a graft or a separately specified transposition. Documentation should establish the involved artery, the transposition performed, and the reconstructed anatomy. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35693
- 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 RVU15.34 · 67%
- Practice expense (office) RVU3.73 · 16%
- Malpractice RVU3.91 · 17%
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.
35693 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Code 35695 describes moving the carotid artery to the subclavian artery. This code is for a subclavian artery transposition, so confirm the direction from the operative report.
No office rate
Code 35645 is a subclavian-to-vertebral bypass. A bypass constructs a route between vessels; a transposition reroutes and reconnects the native subclavian artery.
The same code, a different location
How does Wyoming** compare?
35693 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 · 35693
Office
Unavailable
Facility
$695.30
No comparable office rate is available.
Arkansas
Arkansas · 35693
Office
Unavailable
Facility
$686.65
No comparable office rate is available.
Arizona
Arizona · 35693
Office
Unavailable
Facility
$744.88
No comparable office rate is available.
Bakersfield
California · 35693
Office
Unavailable
Facility
$738.18
No comparable office rate is available.
Chico
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
El Centro
California · 35693
Office
Unavailable
Facility
$728.28
No comparable office rate is available.
Fresno
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Hanford-Corcoran
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Madera
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Merced
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Modesto
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Napa
California · 35693
Office
Unavailable
Facility
$775.20
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35693
Office
Unavailable
Facility
$755.34
No comparable office rate is available.
Redding
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Rest Of California
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35693
Office
Unavailable
Facility
$769.54
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35693
Office
Unavailable
Facility
$745.71
No comparable office rate is available.
Salinas
California · 35693
Office
Unavailable
Facility
$742.65
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35693
Office
Unavailable
Facility
$747.53
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35693
Office
Unavailable
Facility
$796.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35693
Office
Unavailable
Facility
$792.21
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35693
Office
Unavailable
Facility
$818.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35693
Office
Unavailable
Facility
$800.23
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35693
Office
Unavailable
Facility
$732.98
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35693
Office
Unavailable
Facility
$744.50
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35693
Office
Unavailable
Facility
$741.98
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35693
Office
Unavailable
Facility
$750.73
No comparable office rate is available.
Stockton
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Vallejo
California · 35693
Office
Unavailable
Facility
$768.80
No comparable office rate is available.
Visalia
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Yuba City
California · 35693
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Colorado
Colorado · 35693
Office
Unavailable
Facility
$753.07
No comparable office rate is available.
Connecticut
Connecticut · 35693
Office
Unavailable
Facility
$814.82
No comparable office rate is available.
Delaware
Delaware · 35693
Office
Unavailable
Facility
$755.43
No comparable office rate is available.
Fort Lauderdale
Florida · 35693
Office
Unavailable
Facility
$874.70
No comparable office rate is available.
Rest Of Florida
Florida · 35693
Office
Unavailable
Facility
$827.76
No comparable office rate is available.
Atlanta
Georgia · 35693
Office
Unavailable
Facility
$797.33
No comparable office rate is available.
Rest Of Georgia
Georgia · 35693
Office
Unavailable
Facility
$779.17
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35693
Office
Unavailable
Facility
$729.64
No comparable office rate is available.
Iowa
Iowa · 35693
Office
Unavailable
Facility
$678.21
No comparable office rate is available.
Idaho
Idaho · 35693
Office
Unavailable
Facility
$688.76
No comparable office rate is available.
East St. Louis
Illinois · 35693
Office
Unavailable
Facility
$890.01
No comparable office rate is available.
Rest Of Illinois
Illinois · 35693
Office
Unavailable
Facility
$830.24
No comparable office rate is available.
Suburban Chicago
Illinois · 35693
Office
Unavailable
Facility
$875.32
No comparable office rate is available.
Indiana
Indiana · 35693
Office
Unavailable
Facility
$691.33
No comparable office rate is available.
Kansas
Kansas · 35693
Office
Unavailable
Facility
$690.82
No comparable office rate is available.
Kentucky
Kentucky · 35693
Office
Unavailable
Facility
$742.62
No comparable office rate is available.
New Orleans
Louisiana · 35693
Office
Unavailable
Facility
$777.96
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35693
Office
Unavailable
Facility
$747.74
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35693
Office
Unavailable
Facility
$798.36
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35693
Office
Unavailable
Facility
$755.84
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35693
Office
Unavailable
Facility
$815.80
No comparable office rate is available.
Rest Of Maryland
Maryland · 35693
Office
Unavailable
Facility
$763.46
No comparable office rate is available.
Rest Of Maine
Maine · 35693
Office
Unavailable
Facility
$708.22
No comparable office rate is available.
Southern Maine
Maine · 35693
Office
Unavailable
Facility
$718.24
No comparable office rate is available.
Detroit
Michigan · 35693
Office
Unavailable
Facility
$852.78
No comparable office rate is available.
Rest Of Michigan
Michigan · 35693
Office
Unavailable
Facility
$773.56
No comparable office rate is available.
Minnesota
Minnesota · 35693
Office
Unavailable
Facility
$679.23
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35693
Office
Unavailable
Facility
$756.95
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35693
Office
Unavailable
Facility
$761.83
No comparable office rate is available.
Rest Of Missouri
Missouri · 35693
Office
Unavailable
Facility
$746.96
No comparable office rate is available.
Mississippi
Mississippi · 35693
Office
Unavailable
Facility
$716.15
No comparable office rate is available.
Montana**
Montana · 35693
Office
Unavailable
Facility
$767.29
No comparable office rate is available.
North Carolina
North Carolina · 35693
Office
Unavailable
Facility
$712.06
No comparable office rate is available.
North Dakota**
North Dakota · 35693
Office
Unavailable
Facility
$689.98
No comparable office rate is available.
Nebraska
Nebraska · 35693
Office
Unavailable
Facility
$676.73
No comparable office rate is available.
New Hampshire
New Hampshire · 35693
Office
Unavailable
Facility
$756.34
No comparable office rate is available.
Northern Nj
New Jersey · 35693
Office
Unavailable
Facility
$828.65
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35693
Office
Unavailable
Facility
$812.18
No comparable office rate is available.
New Mexico
New Mexico · 35693
Office
Unavailable
Facility
$783.46
No comparable office rate is available.
Nevada**
Nevada · 35693
Office
Unavailable
Facility
$745.87
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35693
Office
Unavailable
Facility
$935.81
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35693
Office
Unavailable
Facility
$829.87
No comparable office rate is available.
Queens
New York · 35693
Office
Unavailable
Facility
$880.74
No comparable office rate is available.
Rest Of New York
New York · 35693
Office
Unavailable
Facility
$722.54
No comparable office rate is available.
Ohio
Ohio · 35693
Office
Unavailable
Facility
$757.76
No comparable office rate is available.
Oklahoma
Oklahoma · 35693
Office
Unavailable
Facility
$725.10
No comparable office rate is available.
Portland
Oregon · 35693
Office
Unavailable
Facility
$756.15
No comparable office rate is available.
Rest Of Oregon
Oregon · 35693
Office
Unavailable
Facility
$728.27
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35693
Office
Unavailable
Facility
$807.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35693
Office
Unavailable
Facility
$750.15
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35693
Office
Unavailable
Facility
$766.96
No comparable office rate is available.
Rhode Island
Rhode Island · 35693
Office
Unavailable
Facility
$767.29
No comparable office rate is available.
South Carolina
South Carolina · 35693
Office
Unavailable
Facility
$738.49
No comparable office rate is available.
South Dakota**
South Dakota · 35693
Office
Unavailable
Facility
$680.84
No comparable office rate is available.
Tennessee
Tennessee · 35693
Office
Unavailable
Facility
$695.75
No comparable office rate is available.
Austin
Texas · 35693
Office
Unavailable
Facility
$760.92
No comparable office rate is available.
Beaumont
Texas · 35693
Office
Unavailable
Facility
$747.07
No comparable office rate is available.
Brazoria
Texas · 35693
Office
Unavailable
Facility
$741.80
No comparable office rate is available.
Dallas
Texas · 35693
Office
Unavailable
Facility
$753.12
No comparable office rate is available.
Fort Worth
Texas · 35693
Office
Unavailable
Facility
$753.57
No comparable office rate is available.
Galveston
Texas · 35693
Office
Unavailable
Facility
$748.32
No comparable office rate is available.
Houston
Texas · 35693
Office
Unavailable
Facility
$819.88
No comparable office rate is available.
Rest Of Texas
Texas · 35693
Office
Unavailable
Facility
$748.53
No comparable office rate is available.
Utah
Utah · 35693
Office
Unavailable
Facility
$746.76
No comparable office rate is available.
Virginia
Virginia · 35693
Office
Unavailable
Facility
$727.04
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35693
Office
Unavailable
Facility
$766.96
No comparable office rate is available.
Vermont
Vermont · 35693
Office
Unavailable
Facility
$701.79
No comparable office rate is available.
Rest Of Washington
Washington · 35693
Office
Unavailable
Facility
$749.60
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35693
Office
Unavailable
Facility
$797.55
No comparable office rate is available.
Wisconsin
Wisconsin · 35693
Office
Unavailable
Facility
$671.95
No comparable office rate is available.
West Virginia
West Virginia · 35693
Office
Unavailable
Facility
$807.52
No comparable office rate is available.
See how rates vary across the country
35693 · 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 35693 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$806.96
$733.60 × 110% = $806.96
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 35693 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,404
- Code
- 35693
- Physician work
- 15.34
- Practice expense
- 3.73
- Malpractice
- 3.91
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.34 | × 1.000 | 15.3400 |
| Practice expense | 3.73 | × 1.000 | 3.7300 |
| Malpractice | 3.91 | × 0.740 | 2.8934 |
| Total RVUs | 21.9634 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$733.60
Open 35693 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.34 | 1 |
| Practice expense | 3.73 | 1 |
| Malpractice | 3.91 | 0.74 |
(15.34 × 1 + 3.73 × 1 + 3.91 × 0.74) × $33.4009 = $733.60
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
35693 · 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 | $733.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $733.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $733.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $733.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $766.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $766.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $766.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $766.37 | RVU25A |
35693 billing questions
How does this code differ from 35694?
Code 35694 identifies a subclavian-to-carotid transposition. Use the code that matches the artery’s documented new connection; do not infer that destination from the general subclavian transposition wording alone.
How does this differ from a subclavian-vertebral bypass?
A transposition reroutes and reconnects the native artery. Code 35645 describes a bypass between the subclavian and vertebral arteries, so the operative report should establish whether a bypass was constructed.
What documentation supports reporting this code?
The operative report should identify the subclavian artery, describe its mobilization and new anastomosis or implantation site, and explain the resulting arterial reconstruction.
How is the bilateral service reported?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150%. The record should support transposition on both sides.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted under the listed CMS rules.
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.
4,40135685,,Bypass graft patency/patch,A,,3.94,0.39,NA,0.39,,1.02,5.35,5.35,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40235686,,Bypass graft/av fist patency,A,,3.26,0.26,NA,0.26,,0.83,4.35,4.35,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40335691,,Art trnsposj vertbrl carotid,A,,17.95,3.31,NA,3.31,,4.58,25.84,25.84,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40435693,,Art trnsposj subclavian,A,,15.34,3.73,NA,3.73,,3.91,22.98,22.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40535694,,Art trnsposj subclav carotid,A,,18.80,3.38,NA,3.38,,4.80,26.98,26.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40635695,,Art trnsposj carotid subclav,A,,19.56,3.44,NA,3.44,,4.98,27.98,27.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40735697,,Reimplant artery each,A,,2.93,0.29,NA,0.29,,0.73,3.95,3.95,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,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.,,,,,,