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.
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CMS RVU26D · Effective 2026-10-01
35500 Vein harvest Medicare reimbursement rates in Missouri
Reports harvesting upper extremity vein for use as a graft conduit during an arterial bypass, as an add-on to the primary bypass procedure. Compare 35500 office and facility rates across CMS payment localities in Missouri.
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 35500 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$282.18–$285.85
3 of 3 localities have a supported rate.
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 35500 pays more and less in Missouri
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 Missouri, 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.
Compare 35500 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$284.21
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$285.85
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$282.18
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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