CPT code 35531: Visceral bypass, aortoceliac or aortomesenteric2026 Medicare rate & RVUs in Virginia
Open vein-graft bypass from the aorta to a celiac or mesenteric artery to restore blood flow in selected visceral arterial occlusive disease.
In Virginia, Medicare pays $1,671.41 for 35531 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35531 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 35531 covers
Code 35531 represents open arterial revascularization using a vein conduit from the aorta to either the celiac artery or a mesenteric artery. Vascular surgeons may use this configuration for visceral arterial occlusive disease, including chronic mesenteric ischemia, when restoring inflow to the affected territory is indicated. The operative report should identify the aortic inflow, the celiac or mesenteric outflow target, and the vein graft used; a different target vessel or conduit changes code selection.
Select the code based on the documented destination and vein conduit, with operative details supporting the graft route and anastomoses. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
How Virginia compares for 35531
Across 109 of 109 payment localities, the facility rate for 35531 runs from $1,537.28 in Wisconsin to $2,276.19 in Miami, FL. Virginia pays $1,671.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$1,671.41
- Los Angeles, CA · California$1,743.99+$72.58
- Washington, DC area · District of Columbia$1,906.22+$234.81
- Miami, FL · Florida$2,276.19+$604.78
- Chicago, IL · Illinois$2,202.61+$531.20
- Manhattan, NY · New York$2,070.58+$399.17
- Alaska · Alaska$2,271.59+$600.18
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,607.33 |
| ArkansasArkansas | — | $1,587.96 |
| ArizonaArizona | — | $1,717.98 |
| Bakersfield, CACalifornia | — | $1,683.20 |
| Chico, CACalifornia | — | $1,656.84 |
| El Centro, CACalifornia | — | $1,658.47 |
| Fresno, CACalifornia | — | $1,656.84 |
| Hanford, CACalifornia | — | $1,656.84 |
| Madera, CACalifornia | — | $1,656.84 |
| Merced, CACalifornia | — | $1,656.84 |
| Modesto, CACalifornia | — | $1,656.84 |
| Napa, CACalifornia | — | $1,744.10 |
| Oxnard, CACalifornia | — | $1,713.89 |
| Redding, CACalifornia | — | $1,656.84 |
| Rest of CaliforniaCalifornia | — | $1,656.84 |
| Riverside, CACalifornia | — | $1,761.56 |
| Sacramento, CACalifornia | — | $1,692.45 |
| Salinas, CACalifornia | — | $1,685.40 |
| San Diego, CACalifornia | — | $1,692.38 |
| Marin County, CACalifornia | — | $1,784.54 |
| San Francisco, CACalifornia | — | $1,773.44 |
| San Benito County, CACalifornia | — | $1,834.22 |
| Santa Clara County, CACalifornia | — | $1,788.86 |
| San Luis Obispo, CACalifornia | — | $1,664.16 |
| Santa Cruz, CACalifornia | — | $1,682.20 |
| Santa Maria, CACalifornia | — | $1,682.77 |
| Santa Rosa, CACalifornia | — | $1,695.88 |
| Stockton, CACalifornia | — | $1,656.84 |
| Vallejo, CACalifornia | — | $1,728.11 |
| Visalia, CACalifornia | — | $1,656.84 |
| Yuba City, CACalifornia | — | $1,656.84 |
| ColoradoColorado | — | $1,724.97 |
| ConnecticutConnecticut | — | $1,877.36 |
| DelawareDelaware | — | $1,741.61 |
| Fort Lauderdale, FLFlorida | — | $2,036.13 |
| Rest of FloridaFlorida | — | $1,926.89 |
| Atlanta, GAGeorgia | — | $1,842.39 |
| Rest of GeorgiaGeorgia | — | $1,814.51 |
| Hawaii, Guam, HIHawaii | — | $1,656.20 |
| IowaIowa | — | $1,558.99 |
| IdahoIdaho | — | $1,584.65 |
| East St. Louis, ILIllinois | — | $2,087.52 |
| Rest of IllinoisIllinois | — | $1,939.15 |
| Suburban Chicago, ILIllinois | — | $2,035.69 |
| IndianaIndiana | — | $1,590.08 |
| KansasKansas | — | $1,592.04 |
| KentuckyKentucky | — | $1,723.60 |
| New Orleans, LALouisiana | — | $1,804.58 |
| Rest of LouisianaLouisiana | — | $1,736.95 |
| Metropolitan Boston, MAMassachusetts | — | $1,819.62 |
| Rest of MassachusettsMassachusetts | — | $1,733.41 |
| Baltimore area, MDMaryland | — | $1,880.40 |
| Rest of MarylandMaryland | — | $1,758.27 |
| Rest of MaineMaine | — | $1,633.27 |
| Southern Maine, MEMaine | — | $1,648.30 |
| Detroit, MIMichigan | — | $1,988.15 |
| Rest of MichiganMichigan | — | $1,797.52 |
| MinnesotaMinnesota | — | $1,545.45 |
| Metropolitan Kansas City, MOMissouri | — | $1,752.35 |
| Metropolitan St. Louis, MOMissouri | — | $1,762.72 |
| Rest of MissouriMissouri | — | $1,738.26 |
| MississippiMississippi | — | $1,661.40 |
| MontanaMontana | — | $1,769.60 |
| North CarolinaNorth Carolina | — | $1,641.03 |
| North DakotaNorth Dakota | — | $1,576.41 |
| NebraskaNebraska | — | $1,554.16 |
| New HampshireNew Hampshire | — | $1,736.44 |
| Northern New JerseyNew Jersey | — | $1,899.93 |
| Rest of New JerseyNew Jersey | — | $1,868.52 |
| New MexicoNew Mexico | — | $1,821.70 |
| NevadaNevada | — | $1,715.92 |
| NYC suburbs and Long Island, NYNew York | — | $2,163.61 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,912.27 |
| Queens, NYNew York | — | $2,027.00 |
| Rest of New YorkNew York | — | $1,664.81 |
| OhioOhio | — | $1,758.04 |
| OklahomaOklahoma | — | $1,679.25 |
| Portland, OROregon | — | $1,725.99 |
| Rest of OregonOregon | — | $1,672.65 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,863.14 |
| Rest of PennsylvaniaPennsylvania | — | $1,738.33 |
| Puerto RicoPuerto Rico | — | $1,767.23 |
| Rhode IslandRhode Island | — | $1,764.82 |
| South CarolinaSouth Carolina | — | $1,708.35 |
| South DakotaSouth Dakota | — | $1,553.57 |
| TennesseeTennessee | — | $1,603.66 |
| Austin, TXTexas | — | $1,745.47 |
| Beaumont, TXTexas | — | $1,731.75 |
| Brazoria, TXTexas | — | $1,707.11 |
| Dallas, TXTexas | — | $1,734.69 |
| Fort Worth, TXTexas | — | $1,737.23 |
| Galveston, TXTexas | — | $1,723.12 |
| Houston, TXTexas | — | $1,901.94 |
| Rest of TexasTexas | — | $1,729.91 |
| UtahUtah | — | $1,726.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,767.23 |
| VermontVermont | — | $1,607.34 |
| Rest of WashingtonWashington | — | $1,717.84 |
| King County, WAWashington | — | $1,812.88 |
| WisconsinWisconsin | — | $1,537.28 |
| West VirginiaWest Virginia | — | $1,888.58 |
| WyomingWyoming | — | $1,685.40 |
35531 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 35531 rate is calculated
Each of 35531’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 35531
RVUs × geographic indexes × conversion factor
Work38.13
38.13 RVUs× 1.000 GPCI
Practice expense5.10
5.10 RVUs× 1.000 GPCI
Malpractice9.77
9.77 RVUs× 1.000 GPCI
Adjusted RVUs
53.0000
Conversion factor
$33.4009
Medicare rate
$1,770.25
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,349
- Code
- 35531
- Physician work
- 38.13
- Practice expense
- 5.10
- Malpractice
- 9.77
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.13 | × 1.000 | 38.1300 |
| Practice expense | 5.10 | × 0.983 | 5.0133 |
| Malpractice | 9.77 | × 0.706 | 6.8976 |
| Total RVUs | 50.0409 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$1671.41
Facility: (38.13 × 1 + 5.1 × 0.983 + 9.77 × 0.706) × $33.4009 = $1671.41
Payment rules and modifiers for 35531
35531 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35531
Visceral bypass, aortoceliac or aortomesenteric
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35531
Visceral bypass, aortoceliac or aortomesenteric
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35531 without 50 · national facility
$1,770.25
Visceral bypass, aortoceliac or aortomesenteric
35531-50 · Bilateral: 150%
$2,655.38
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 35531 has changed in Virginia
35531 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,671.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,671.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,671.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,671.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,771.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,771.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,771.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,771.03 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,818.28 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,818.28 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,818.28 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,818.28 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,788.60 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,866.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,866.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,866.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,866.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,939.39 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,939.39 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,939.39 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,939.39 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,939.96 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,939.96 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,939.96 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,939.96 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,008.63 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,008.63 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,008.63 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,008.63 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,996.25 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,996.25 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,990.04 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,990.04 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,098.05 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,098.05 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,098.05 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,098.05 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,084.81 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,084.81 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,084.81 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,084.81 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,080.61 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,080.61 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,080.61 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,080.61 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,087.22 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,087.22 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,076.83 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,076.83 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,070.64 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,070.64 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,070.64 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,070.64 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,015.61 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,015.61 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,015.61 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,015.61 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
35531 billing questions
How does 35531 differ from 35631?
35531 is for an aortoceliac or aortomesenteric bypass using a vein conduit. 35631 is the corresponding bypass category when the conduit is other than vein.
Which destination supports 35531?
The bypass must run from the aorta to the celiac artery or a mesenteric artery. The operative report should identify the actual inflow and outflow vessels.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other same-session procedures paid?
CMS pays the highest-valued procedure in full and other procedures at 50% 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-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 35531 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist