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CMS RVU26D · Effective 2026-10-01

35506 Arterial bypass Medicare reimbursement rates in Wyoming

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 Wyoming.

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 Wyoming?

Wyoming 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

$1104.21

1 of 1 localities have a supported rate.

Payment area: Wyoming**

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.

Find 35506 in your payment locality →

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 Wyoming, from the same CMS release.

35509

Carotid bypass

Contralateral carotid, vein graft

No office rate

35506 describes a subclavian-to-carotid bypass. 35509 is for a bypass to the contralateral carotid target.

35508

Arterial bypass

Carotid to vertebral

No office rate

Use 35506 for a subclavian-to-carotid route; 35508 identifies a carotid-to-vertebral route.

35511

Artery bypass

Subclavian to subclavian, vein graft

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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 35506 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

4,332

Code
35506
Physician work
24.70
Practice expense
3.69
Malpractice
6.31

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Facility calculation for 35506 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work24.70× 1.00024.7000
Practice expense3.69× 1.0003.6900
Malpractice6.31× 0.7404.6694
Total RVUs33.0594
Conversion factor× 33.4009

Facility rate, Wyoming**$1104.21

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work24.71
Practice expense3.691
Malpractice6.310.74

(24.7 × 1 + 3.69 × 1 + 6.31 × 0.74) × $33.4009 = $1104.21

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.

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.

RVUs for 35506PPRRVU2026_Oct_nonQPP.csv, line 4,332 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet