No office rate
35506 describes a subclavian-to-carotid bypass. 35509 is for a bypass to the contralateral carotid target.
On this page
CMS RVU26D · Effective 2026-10-01
35506 Arterial bypass Medicare reimbursement rates in New Jersey
Reports an open graft bypass from the subclavian artery to the carotid artery, typically to reroute blood flow around obstructive disease. Compare 35506 office and facility rates across CMS payment localities in New Jersey.
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 35506 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1223.79–$1245.04
2 of 2 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.
Vascular surgery
About 35506: Subclavian-to-carotid bypass graft
Reports an open graft bypass from the subclavian artery to the carotid artery, typically to reroute blood flow around obstructive disease.
This open vascular operation creates a graft route between the subclavian and carotid arteries to bypass an obstructed segment and restore blood flow. Vascular surgeons most often perform it in a hospital operating room for proximal subclavian artery disease associated with arm ischemia or subclavian steal. The operative report should identify the bypass origin and target, the reason for rerouting flow, and the graft procedure performed.
Report 35506 when the completed bypass runs from the subclavian artery to the carotid artery; select a neighboring bypass code when the documented endpoints differ. The 90-day global period includes 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 35506
- 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 RVU24.70 · 71%
- Practice expense (office) RVU3.69 · 11%
- Malpractice RVU6.31 · 18%
30
Medicare services in 2024 · #5671 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.
35506 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Use 35506 for a subclavian-to-carotid route; 35508 identifies a carotid-to-vertebral route.
No office rate
35506 connects the subclavian and carotid arteries. 35511 connects the subclavian arteries to each other.
Compare 35506 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1245.04
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1223.79
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35506 billing questions
How do I distinguish 35506 from a carotid-to-carotid bypass code?
Use the documented bypass endpoints. 35506 is for a subclavian-to-carotid route; carotid-to-carotid procedures are represented by different codes, including 35509 for a contralateral carotid target.
What operative details support reporting 35506?
The operative report should establish the subclavian origin, carotid target, indication for bypass, and that the graft route was completed. The stated endpoints distinguish this service from other arterial bypass codes.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The code represents major surgery.
How is 35506 handled when other procedures occur in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%; an assistant may be paid, while co-surgeon payment requires supporting documentation.
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.
4,32935400,,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
4,33435509,,Art byp grft contral carotid,A,,27.39,4.06,NA,4.06,,7.01,38.46,38.46,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,3353550F,,Low rsk thromboembolism,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00