No office rate
Choose 35600 for open upper-extremity artery harvest; 33509 represents endoscopic harvest of the artery for CABG.
On this page
CMS RVU26D · Effective 2026-10-01
35600 Artery harvest Medicare reimbursement rates in Vermont
Reports open procurement of one upper-extremity artery segment, commonly the radial artery, for use as a coronary bypass graft. Compare 35600 office and facility rates across CMS payment localities in Vermont.
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 35600 in Vermont?
Vermont 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
$154.58
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Cardiothoracic surgery
About 35600: Open upper-extremity artery harvest for CABG
Reports open procurement of one upper-extremity artery segment, commonly the radial artery, for use as a coronary bypass graft.
During coronary artery bypass grafting, the surgeon exposes and harvests one segment of an artery in the arm for use as a bypass conduit. The radial artery is a common example. This is an open harvest, typically performed by a cardiac surgeon in the operating room as part of the CABG operation; it is not a standalone diagnostic or therapeutic service.
Report the code only with a primary CABG procedure, and select it when the operative record supports open harvest of one upper-extremity artery segment. Documentation should identify the harvested vessel, the open technique, the segment obtained, and its use for coronary bypass. CMS classifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period. The CABG procedure remains the primary service; this code captures the additional conduit-harvest work.
CMS billing rules for 35600
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.50 · 69%
- Practice expense (office) RVU0.70 · 14%
- Malpractice RVU0.86 · 17%
1.5K
Medicare services in 2024 · #2686 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.
35600 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
33533 reports the CABG service using a single arterial graft. 35600 is an add-on for qualifying open harvest of an arm artery segment.
No office rate
33534 identifies CABG using two arterial grafts. It is a primary bypass code, whereas 35600 captures the open harvest of one upper-extremity artery segment.
Compare 35600 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
Vermont →
Office / nonfacility
Unavailable
Facility
$154.58
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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 35600 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
4,370
- Code
- 35600
- Physician work
- 3.50
- Practice expense
- 0.70
- Malpractice
- 0.86
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.50 | × 1.000 | 3.5000 |
| Practice expense | 0.70 | × 0.990 | 0.6930 |
| Malpractice | 0.86 | × 0.506 | 0.4352 |
| Total RVUs | 4.6282 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$154.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.5 | 1 |
| Practice expense | 0.7 | 0.99 |
| Malpractice | 0.86 | 0.506 |
(3.5 × 1 + 0.7 × 0.99 + 0.86 × 0.506) × $33.4009 = $154.58
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.
35600 billing questions
When should this code be selected instead of 33509?
Use 35600 for open harvest of an upper-extremity artery segment for CABG. Code 33509 describes endoscopic harvest of that artery.
Can 35600 be reported by itself?
No. It is an add-on code and must be reported with a primary CABG procedure.
What documentation supports the code?
The operative report should establish that an upper-extremity artery was harvested by open technique, identify the vessel and segment, and document its use as a coronary bypass conduit.
How does the CMS global-period rule affect payment?
CMS pays this add-on within the global period of the primary procedure. It must be linked to the CABG procedure rather than billed as an independent service.
Does the code describe multiple harvested segments?
The code is for one segment. The operative documentation should support the segment reported; do not use it to characterize a different harvest technique.
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.
4,36735583,,Vein byp grft fem-popliteal,A,,27.06,5.03,NA,5.03,,6.89,38.98,38.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36835585,,Vein byp fem-tibial peroneal,A,,31.54,5.55,NA,5.55,,8.06,45.15,45.15,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36935587,,Vein byp pop-tibl peroneal,A,,25.55,4.22,NA,4.22,,6.53,36.30,36.30,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37035600,,Open hrv uxtr art 1 sgm cab,A,,3.50,0.70,NA,0.70,,0.86,5.06,5.06,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37135601,,Bpg com crtd-ipsi int crtd,A,,26.41,4.80,NA,4.80,,6.79,38.00,38.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37235602,,Bpg crtd-clat crtd,A,,23.53,5.13,NA,5.13,,5.95,34.61,34.61,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37335606,,Bpg carotid-subclavian,A,,21.90,4.41,NA,4.41,,5.57,31.88,31.88,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817