No office rate
Use 35694 for subclavian-to-carotid transposition. Code 35695 describes the reverse vessel direction.
On this page
CMS RVU26D · Effective 2026-10-01
35694 Artery transposition Medicare reimbursement rates in Tennessee
Reports direct surgical relocation of the subclavian artery to the carotid artery, commonly to restore flow in proximal subclavian occlusive disease. Compare 35694 office and facility rates across CMS payment localities in Tennessee.
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 35694 in Tennessee?
Tennessee 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
$816.65
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 35694: Subclavian-to-carotid artery transposition
Reports direct surgical relocation of the subclavian artery to the carotid artery, commonly to restore flow in proximal subclavian occlusive disease.
A vascular surgeon mobilizes the subclavian artery and reconnects it directly to the carotid artery, redirecting blood flow without using a bypass conduit. The operation may be performed for conditions such as subclavian steal syndrome or proximal subclavian artery occlusion. It is typically performed in an operating room as an open vascular procedure.
Report this code when the operative work is a subclavian-to-carotid transposition, rather than a graft bypass between those vessels. The operative report should identify the vessels and side, describe the direct reconstruction, and support the clinical indication. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and the others 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 35694
- 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 RVU18.80 · 70%
- Practice expense (office) RVU3.38 · 13%
- Malpractice RVU4.80 · 18%
41
Medicare services in 2024 · #5482 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.
35694 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
Use 35694 for direct arterial relocation and reconnection. Code 35606 describes carotid-subclavian bypass using a vein graft.
No office rate
Code 35691 transposes the vertebral artery to the carotid artery; 35694 involves the subclavian artery as the vessel being transposed.
Compare 35694 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$816.65
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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 35694 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
4,405
- Code
- 35694
- Physician work
- 18.80
- Practice expense
- 3.38
- Malpractice
- 4.80
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.80 | × 1.000 | 18.8000 |
| Practice expense | 3.38 | × 0.909 | 3.0724 |
| Malpractice | 4.80 | × 0.537 | 2.5776 |
| Total RVUs | 24.4500 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$816.65
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.8 | 1 |
| Practice expense | 3.38 | 0.909 |
| Malpractice | 4.8 | 0.537 |
(18.8 × 1 + 3.38 × 0.909 + 4.8 × 0.537) × $33.4009 = $816.65
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.
35694 billing questions
How is this different from a carotid-subclavian bypass?
This code describes direct relocation and reconnection of the subclavian artery to the carotid artery. A bypass code is used when a graft conduit creates the connection.
Is this the same operation as code 35695?
No. Code 35694 is for the subclavian-to-carotid direction; 35695 describes transposition in the carotid-to-subclavian direction.
What documentation supports reporting this code?
The operative report should document the subclavian and carotid arteries involved, the side, and the direct transposition performed. It should also state the condition prompting revascularization.
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 period begins with the surgery.
How are bilateral and same-session procedures handled?
For a bilateral procedure reported with modifier 50, CMS payment is 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
4,40235686,,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
4,40835700,,Reoperation bypass graft,A,,3.00,0.31,NA,0.31,,0.78,4.09,4.09,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780