No office rate
The inflow and target arteries are comparable, but 35526 is selected for a vein conduit; this code is for a conduit other than vein.
On this page
CMS RVU26D · Effective 2026-10-01
35626 Arterial bypass Medicare reimbursement rates in Missouri
Reports an aorta-origin bypass using a non-vein conduit to revascularize the subclavian, innominate, or carotid artery. Compare 35626 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 35626 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
$1434.23–$1467.55
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 35626 pays more and less in Missouri
Vascular surgery
About 35626: Aortic bypass to an arch branch
Reports an aorta-origin bypass using a non-vein conduit to revascularize the subclavian, innominate, or carotid artery.
This open vascular operation routes blood from the aorta to a subclavian, innominate, or carotid artery using a conduit other than vein. Vascular and cardiothoracic surgeons may perform it to restore flow when disease or reconstruction affects an aortic arch branch. The operative report should identify the aortic origin, the specific target artery, and the conduit used.
Select this code when the documented bypass has the aorta as its inflow and one of the named arteries as its outflow, and a non-vein conduit is used. A vein conduit points to the corresponding vein-graft code, 35526. CMS classifies this as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 35626
- 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 RVU28.41 · 64%
- Practice expense (office) RVU8.89 · 20%
- Malpractice RVU7.05 · 16%
361
Medicare services in 2024 · #3824 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.
35626 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
35606 describes a carotid-to-subclavian bypass. This code requires the aorta as the bypass origin and a subclavian, innominate, or carotid target.
No office rate
35642 connects a carotid artery with a vertebral artery; this code routes flow from the aorta to a subclavian, innominate, or carotid artery.
Compare 35626 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
$1457.80
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1467.55
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1434.23
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35626 billing questions
When should I choose this code instead of 35526?
Use this code when the aorta-to-subclavian, innominate, or carotid bypass uses a non-vein conduit. Code 35526 describes the corresponding bypass using vein.
What operative details support reporting this code?
The report should establish the aorta as the inflow source, identify the subclavian, innominate, or carotid target, and document use of a non-vein conduit.
Can I report a separate bypass code for the same graft?
Do not report another bypass code to describe the same graft. A separately performed bypass with a different origin and target should be evaluated from its own operative details.
How does the multiple-procedure payment rule affect this code?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
How are bilateral procedures and surgical assistance handled?
Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,37535616,,Bpg subclavian-axillary,A,,21.27,3.32,NA,3.32,,5.43,30.02,30.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37635621,,Bpg axillary-femoral,A,,20.50,3.93,NA,3.93,,5.22,29.65,29.65,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37735623,,Bpg axillary-pop/-tibial,A,,25.27,4.08,NA,4.08,,6.45,35.80,35.80,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37835626,,Bpg aor-subcla/innom/carotid,A,,28.41,8.89,NA,8.89,,7.05,44.35,44.35,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37935631,,Bpg aor-celiac-msn-renal,A,,35.13,6.06,NA,6.06,,8.93,50.12,50.12,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38035632,,Bpg ilio-celiac,A,,35.23,4.88,NA,4.88,,9.01,49.12,49.12,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38135633,,Bpg ilio-mesenteric,A,,38.13,6.11,NA,6.11,,9.72,53.96,53.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00