CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 35501 RVU and Medicare Payment (2026)

Art byp grft ipsilat carotid — 28.36 work RVU, about $1,327.02 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
28.36
PE RVU (non-facility)
4.11
PE RVU (facility)
4.11
MP RVU
7.26
Office payment
$1,327.02
Facility payment
$1,327.02

How the payment is calculated

Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 35501 in a non-facility setting with national GPCI: (28.36 + 4.11 + 7.26) × $33.4009 ≈ $1,327.02. The same code in a facility setting pays about $1,327.02 because facility PE RVU (4.11) replaces office PE RVU.

What changes by locality

GPCI moves 35501 non-facility payment from $1,153.45 to $1,703.41 across CMS localities — from Wisconsin to Miami. Check your exact locality in the GPCI calculator rather than using a state average.

Related codes

Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.

Frequently asked questions

What is the 2026 work RVU for CPT 35501?

28.36. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.

How much does Medicare pay for CPT 35501 in 2026?

About $1,327.02 non-facility ($1,327.02 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.

Does the work RVU change between office and facility?

No. Work RVU (28.36) and malpractice RVU stay fixed; only practice expense changes (4.11 office vs 4.11 facility). That is the entire office-vs-facility payment gap.