35606 Bpg carotid-subclavian
Also known as: carotid-subclavian bypass, carotid-to-subclavian bypass, carotid-subclavian transposition
Arterial bypass graft from carotid artery to subclavian artery for cerebrovascular insufficiency or proximal subclavian disease. Restores blood flow to upper extremity and vertebral territory.
In Plain Language
neck and shoulder artery bypass; connecting carotid artery to subclavian artery
Clinical Context
Used for subclavian steal syndrome, subclavian artery occlusion with arm claudication, or vertebral artery insufficiency. Alternative when transposition or endovascular treatment is not feasible.
RVU Breakdown
| Work RVU | 21.90 |
| Total RVU | 21.90 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 21.90, this code ranks in the 85th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35606?
CPT 35606 (Bpg carotid-subclavian) is a Surgery code. Arterial bypass graft from carotid artery to subclavian artery for cerebrovascular insufficiency or proximal subclavian disease. Restores blood flow to upper extremity and vertebral territory.
What is the wRVU value for CPT 35606?
The work RVU for CPT 35606 is 21.90. This code is primarily used by Vascular Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 35606 used?
Used for subclavian steal syndrome, subclavian artery occlusion with arm claudication, or vertebral artery insufficiency. Alternative when transposition or endovascular treatment is not feasible.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.