No office rate
Both describe carotid-subclavian transposition configurations, but the artery sequence differs. Use the configuration documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
35695 Arterial transposition Medicare reimbursement rates in Virginia
Reports a carotid-subclavian arterial transposition that reroutes blood flow between these vessels, often to restore upper-extremity or vertebrobasilar circulation. Compare 35695 office and facility rates across CMS payment localities in Virginia.
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 35695 in Virginia?
Virginia 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
$883.70–$1009.08
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 35695: Carotid-subclavian arterial transposition
Reports a carotid-subclavian arterial transposition that reroutes blood flow between these vessels, often to restore upper-extremity or vertebrobasilar circulation.
This open vascular operation reroutes arterial flow between the carotid and subclavian vessels by mobilizing and directly reconnecting an artery, rather than using a separate bypass graft. Vascular surgeons may perform it to revascularize the arm or preserve circulation to the vertebral artery when proximal subclavian flow is compromised or must be interrupted during planned aortic treatment. The operative report should establish the vessels involved and the transposition performed.
Report this code when the documented operation matches the carotid-subclavian transposition, not a bypass or a different transposition configuration. The service has 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 procedure is paid in full and 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 35695
- 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 RVU19.56 · 70%
- Practice expense (office) RVU3.44 · 12%
- Malpractice RVU4.98 · 18%
41
Medicare services in 2024 · #5483 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.
35695 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
This code describes subclavian arterial transposition without the carotid-subclavian configuration specified by 35695.
No office rate
This is a carotid-to-vertebral bypass, not a carotid-subclavian transposition. Choose it when the documented procedure creates that bypass.
Compare 35695 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1009.08
Virginia →
Office / nonfacility
Unavailable
Facility
$883.70
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35695 billing questions
Is a separate bypass graft part of this service?
This code describes a transposition, in which an artery is rerouted and directly reconnected. A separate conduit bypass is a different operation and should be coded according to the documented procedure.
Does the 90-day global period include postoperative visits?
It includes the day-before preoperative visit and 90 days of related postoperative care. The global period is tied to the operation, not just the hospital stay.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The rule applies when multiple procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How is bilateral performance reported?
When the operation is performed bilaterally, modifier 50 is used, and CMS pays 150%.
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.
4,40335691,,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
4,40935701,,Expl n/flwd surg neck art,A,,7.31,2.87,NA,2.87,,1.30,11.48,11.48,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00