No office rate
Both describe vein-graft bypasses in the upper extremity, but 35522 uses an axillary-to-brachial route rather than a brachial-to-brachial route.
On this page
CMS RVU26D · Effective 2026-10-01
35525 Arterial bypass Medicare reimbursement rates in Utah
Reports a vein-graft bypass connecting brachial arteries to reroute blood flow around an upper-extremity arterial obstruction or injury. Compare 35525 office and facility rates across CMS payment localities in Utah.
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 35525 in Utah?
Utah 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
$975.77
1 of 1 localities have a supported rate.
Payment area: Utah
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 35525: Brachial-to-brachial vein bypass
Reports a vein-graft bypass connecting brachial arteries to reroute blood flow around an upper-extremity arterial obstruction or injury.
A vascular surgeon uses a vein graft to create a new route between brachial arteries when disease or injury disrupts blood flow through the usual arterial pathway. The procedure is performed in an operating room and may be considered for upper-extremity ischemia when the documented bypass runs from brachial artery to brachial artery. The named origin and destination distinguish this service from bypasses connecting the axillary, subclavian, radial, or ulnar arteries.
Select the code based on the bypass route and the use of a vein graft. The operative report should identify both anastomosis sites, the conduit, the indication, and the work performed; a separately reportable vein harvest may be coded with 35500 when applicable. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35525
- 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 RVU21.15 · 71%
- Practice expense (office) RVU3.42 · 11%
- Malpractice RVU5.40 · 18%
73
Medicare services in 2024 · #5118 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.
35525 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
35523 applies when the bypass connects the brachial artery with forearm arteries, rather than connecting brachial arteries.
Compare 35525 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
Utah →
Office / nonfacility
Unavailable
Facility
$975.77
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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 35525 in Utah.
PPRRVU2026_Oct_nonQPP.csv
4,346
- Code
- 35525
- Physician work
- 21.15
- Practice expense
- 3.42
- Malpractice
- 5.40
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.15 | × 1.000 | 21.1500 |
| Practice expense | 3.42 | × 0.940 | 3.2148 |
| Malpractice | 5.40 | × 0.898 | 4.8492 |
| Total RVUs | 29.2140 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$975.77
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.15 | 1 |
| Practice expense | 3.42 | 0.94 |
| Malpractice | 5.4 | 0.898 |
(21.15 × 1 + 3.42 × 0.94 + 5.4 × 0.898) × $33.4009 = $975.77
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.
35525 billing questions
How is 35525 distinguished from 35522?
35525 describes a bypass running from brachial artery to brachial artery. Use 35522 when the documented route is axillary artery to brachial artery.
Does the graft material affect code selection?
Yes. Code 35525 represents a vein-graft bypass. For a brachial-to-brachial bypass using a material other than vein, compare 35625.
Can vein harvest be reported with the bypass?
A separately reportable vein harvest for the bypass may be coded with 35500 when applicable. The operative documentation should support the harvest.
How is bilateral 35525 reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays bilateral reporting at 150%.
What payment rules apply when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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.
4,34335521,,Art byp grft axill-femoral,A,,23.53,3.95,NA,3.95,,6.02,33.50,33.50,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34435522,,Art byp grft axill-brachial,A,,22.57,3.54,NA,3.54,,5.76,31.87,31.87,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34535523,,Art byp grft brchl-ulnr-rdl,A,,23.53,3.98,NA,3.98,,6.02,33.53,33.53,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34635525,,Art byp grft brachial-brchl,A,,21.15,3.42,NA,3.42,,5.40,29.97,29.97,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,34735526,,Art byp grft aor/carot/innom,A,,30.76,10.80,NA,10.80,,7.38,48.94,48.94,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,3483552F,,Hgh risk for 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
4,34935531,,Art byp grft aorcel/aormesen,A,,38.13,5.10,NA,5.10,,9.77,53.00,53.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985