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CMS RVU26D · Effective 2026-10-01

35526 Arterial bypass Medicare reimbursement rates in Alaska

Reports open bypass using a vein conduit from the aorta to a carotid, innominate, or subclavian artery to restore arterial flow. Compare 35526 office and facility rates across CMS payment localities in Alaska.

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.

What does Medicare pay for 35526 in Alaska?

Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$2061.12

1 of 1 localities have a supported rate.

Payment area: Alaska*

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 35526 in your payment locality →

Vascular surgery

About 35526: Aortic-to-cervical artery vein bypass

Reports open bypass using a vein conduit from the aorta to a carotid, innominate, or subclavian artery to restore arterial flow.

A vascular surgeon creates an open bypass from the aorta to a carotid, innominate, or subclavian artery using a vein conduit. The operation reroutes blood around an obstructed or unusable arterial segment to improve flow to the head or upper extremity. It is performed in an operating room, generally in a hospital setting, for selected patients with disease affecting the proximal branches of the aorta.

Report the code when the operative record supports both the aortic inflow and the specified outflow vessel, and identifies vein as the conduit. The code has a 90-day 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. Modifier 50 bilateral procedures are paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 35526

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 RVU30.76 · 63%
  • Practice expense (office) RVU10.80 · 22%
  • Malpractice RVU7.38 · 15%

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.

35526 compared with similar codes

Office rates for Alaska, from the same CMS release.

35626

Arterial bypass

Aorta to arch branch

No office rate

Choose 35526 when the bypass uses vein; 35626 describes the corresponding aortic-to-branch bypass using a conduit other than vein.

35501

Carotid bypass

Ipsilateral carotid-to-carotid

No office rate

35501 describes a carotid-to-carotid vein bypass. Use 35526 when the bypass inflow is the aorta.

35506

Arterial bypass

Subclavian to carotid

No office rate

35506 describes a subclavian-to-carotid vein bypass. 35526 has aortic inflow and a carotid, innominate, or subclavian outflow.

Compare 35526 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

  • Alaska* →

    Office / nonfacility

    Unavailable

    Facility

    $2061.12

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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 35526 in Alaska*.

PPRRVU2026_Oct_nonQPP.csv

4,347

Code
35526
Physician work
30.76
Practice expense
10.80
Malpractice
7.38

GPCI2026.csv

5

Locality
Alaska*
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Facility calculation for 35526 in Alaska*
ComponentRVULocality factorAdjusted
Physician work30.76× 1.50046.1400
Practice expense10.80× 1.06511.5020
Malpractice7.38× 0.5514.0664
Total RVUs61.7084
Conversion factor× 33.4009

Facility rate, Alaska*$2061.12

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work30.761.5
Practice expense10.81.065
Malpractice7.380.551

(30.76 × 1.5 + 10.8 × 1.065 + 7.38 × 0.551) × $33.4009 = $2061.12

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.

35526 billing questions

How is this different from a carotid-to-carotid bypass?

This procedure uses the aorta as the inflow source. A carotid-to-carotid bypass has a carotid artery as the inflow source and is reported with the code for that configuration.

Does 35526 identify a vein conduit?

Yes. The operative documentation should identify vein as the bypass conduit as well as the aortic inflow and the outflow vessel.

Is vein harvesting described by this code?

The code describes the bypass using vein, not the separate act of harvesting it. When a vein is harvested, review 35500 and document the harvest service and site.

How does the 90-day global affect postoperative reporting?

The global includes the day-before preoperative visit and 90 days of related postoperative care. Routine related follow-up during that period is included in the surgical service.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons require supporting documentation; team surgery is not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. For a bilateral procedure reported with modifier 50, CMS pays at 150%.

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.

RVUs for 35526PPRRVU2026_Oct_nonQPP.csv, line 4,347 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet