Billing code 35697: Artery reimplantationMedicare rate & RVUs in Nebraska
Reports each artery reimplanted during a larger vascular operation, such as renal or mesenteric artery reimplantation in aortic reconstruction.
CMS doesn’t publish an office rate for 35697 in Nebraska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 35697 covers
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.
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 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $116.02 |
How the 35697 rate is calculated
Each of 35697’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 35697
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.93Practice expense 0.29Malpractice 0.73
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 35697
The CMS indicators that decide how 35697 is paid alongside other services.
CMS payment indicators · 35697
Artery reimplantation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
35697 without 80 · national facility
$131.93
Artery reimplantation
35697-80 · Assistant: 16%
$21.11
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
35697 compared with similar codes
Compare codes
35697 vs 35691 vs 35693 vs 35694: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 35691Arterial transposition
- This code is for each additional artery reimplanted during a larger operation. Code 35691 describes a named vertebral artery transposition or reimplantation procedure.
- 35693Arterial transposition
- Code 35693 describes a named subclavian artery transposition or reimplantation. This code instead reports each additional artery reimplanted with an eligible primary procedure.
- 35694Artery transposition
- Code 35694 describes subclavian-to-carotid artery transposition or reimplantation. This code captures each additional artery reimplanted during a larger vascular operation.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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