No office rate
This code is for each additional artery reimplanted during a larger operation. Code 35691 describes a named vertebral artery transposition or reimplantation procedure.
On this page
CMS RVU26D · Effective 2026-10-01
35697 Artery reimplantation Medicare reimbursement rates in California
Reports each artery reimplanted during a larger vascular operation, such as renal or mesenteric artery reimplantation in aortic reconstruction. Compare 35697 office and facility rates across CMS payment localities in California.
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 35697 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$123.21–$135.67
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $12.46 per service.
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.
Where 35697 pays more and less in California
Vascular surgery
About 35697: Additional artery reimplantation
Reports each artery reimplanted during a larger vascular operation, such as renal or mesenteric artery reimplantation in aortic reconstruction.
This add-on code captures the reimplantation of an individual artery during a larger vascular operation. A vascular surgeon may detach a renal or mesenteric artery and reconnect it to a vascular graft during open aortic reconstruction. The primary procedure describes the main operation; this code accounts for each qualifying artery reimplanted in addition to that work.
Report it only with an eligible primary procedure, not as a stand-alone service. The operative report should identify each artery reimplanted and describe its disconnection and reconnection as part of the reconstruction. Select the primary procedure for the main operation and report this code for each additional artery addressed. Under the CMS rule supplied for this code, it is paid within the primary procedure’s global period.
CMS billing rules for 35697
- 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 RVU2.93 · 74%
- Practice expense (office) RVU0.29 · 7%
- Malpractice RVU0.73 · 18%
144
Medicare services in 2024 · #4595 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.
35697 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Code 35693 describes a named subclavian artery transposition or reimplantation. This code instead reports each additional artery reimplanted with an eligible primary procedure.
No office rate
Code 35694 describes subclavian-to-carotid artery transposition or reimplantation. This code captures each additional artery reimplanted during a larger vascular operation.
Compare 35697 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $125.19 |
| Chico | Office Unavailable | Facility $123.21 |
| El Centro | Office Unavailable | Facility $123.34 |
| Fresno | Office Unavailable | Facility $123.21 |
| Hanford-Corcoran | Office Unavailable | Facility $123.21 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $129.53 |
| Madera | Office Unavailable | Facility $123.21 |
| Merced | Office Unavailable | Facility $123.21 |
| Modesto | Office Unavailable | Facility $123.21 |
| Napa | Office Unavailable | Facility $129.18 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $127.24 |
| Redding | Office Unavailable | Facility $123.21 |
| Rest Of California | Office Unavailable | Facility $123.21 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $131.04 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $125.72 |
| Salinas | Office Unavailable | Facility $125.19 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $125.60 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $132.01 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $131.18 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $135.67 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $132.28 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $123.63 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $124.76 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $124.97 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $125.76 |
| Stockton | Office Unavailable | Facility $123.21 |
| Vallejo | Office Unavailable | Facility $127.99 |
| Visalia | Office Unavailable | Facility $123.21 |
| Yuba City | Office Unavailable | Facility $123.21 |
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35697 billing questions
When is this code appropriate instead of a named artery transposition code?
Use this code for each artery reimplanted as additional work during a larger vascular operation. Codes such as 35691 describe named vertebral artery transposition or reimplantation procedures.
Can this code be reported by itself?
No. It is an add-on code and must be reported with an eligible primary procedure.
How should the number of units be determined?
Report one unit for each artery reimplanted. The operative report should identify the artery or arteries and document the reimplantation performed.
How does the CMS global-period rule affect payment?
CMS pays this add-on within the global period of its primary procedure. The supplied CMS facts do not specify a global-period length.
What documentation supports reporting this code?
Document the primary operation and each artery that was detached and reconnected. The record should distinguish reimplantation from work described by the primary procedure alone.
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.
4,40435693,,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
4,40835700,,Reoperation bypass graft,A,,3.00,0.31,NA,0.31,,0.78,4.09,4.09,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40935701,,Expl n/flwd surg neck art,A,,7.31,2.87,NA,2.87,,1.30,11.48,11.48,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,41035702,,Expl n/flwd surg uxtr art,A,,6.94,2.55,NA,2.55,,1.65,11.14,11.14,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00