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 Arterial transposition Medicare reimbursement rates in Delaware
Open subclavian artery transposition reroutes the native artery to improve blood flow and is reported for the documented subclavian transposition performed. Compare 35693 office and facility rates across CMS payment localities in Delaware.
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 35693 in Delaware?
Delaware 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
$755.43
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
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 Delaware, 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.
Compare 35693 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
Delaware →
Office / nonfacility
Unavailable
Facility
$755.43
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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 35693 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,404
- Code
- 35693
- Physician work
- 15.34
- Practice expense
- 3.73
- Malpractice
- 3.91
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.34 | × 1.005 | 15.4167 |
| Practice expense | 3.73 | × 0.988 | 3.6852 |
| Malpractice | 3.91 | × 0.899 | 3.5151 |
| Total RVUs | 22.6170 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$755.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.34 | 1.005 |
| Practice expense | 3.73 | 0.988 |
| Malpractice | 3.91 | 0.899 |
(15.34 × 1.005 + 3.73 × 0.988 + 3.91 × 0.899) × $33.4009 = $755.43
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.
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503