CPT code 35539: Aortic bypass, single femoral target, vein conduit2026 Medicare rate & RVUs in Wisconsin
Reports an aorta-to-one-femoral-artery bypass using a vein conduit, typically to restore lower-extremity blood flow in aortoiliac occlusive disease.
In Wisconsin, Medicare pays $1,726.47 for 35539 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35539 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 35539 covers
A vascular surgeon routes a vein graft from the aorta to a femoral artery to bypass obstructed inflow and improve blood supply to one lower extremity. The operation is generally performed in a hospital operating room for significant aortoiliac occlusive disease, such as ischemia associated with rest pain or tissue loss. The operative report should establish the aortic origin, the single femoral outflow target, and use of a vein conduit.
Select this code when the documented reconstruction has one femoral target; an aortic reconstruction with two femoral outflows is distinguished by code 35540. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. CMS lists bilateral reporting with modifier 50 at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires 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 Wisconsin compares for 35539
Across 109 of 109 payment localities, the facility rate for 35539 runs from $1,726.47 in Wisconsin to $2,558.53 in Miami, FL. Wisconsin pays $1,726.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wisconsin · this page$1,726.47
- Los Angeles, CA · California$1,957.77+$231.30
- Washington, DC area · District of Columbia$2,140.64+$414.17
- Miami, FL · Florida$2,558.53+$832.06
- Chicago, IL · Illinois$2,475.90+$749.43
- Manhattan, NY · New York$2,326.00+$599.53
- Alaska · Alaska$2,553.84+$827.37
Other areas in Wisconsin first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,806.04 |
| ArkansasArkansas | — | $1,784.34 |
| ArizonaArizona | — | $1,930.02 |
| Bakersfield, CACalifornia | — | $1,889.90 |
| Chico, CACalifornia | — | $1,860.18 |
| El Centro, CACalifornia | — | $1,862.02 |
| Fresno, CACalifornia | — | $1,860.18 |
| Hanford, CACalifornia | — | $1,860.18 |
| Madera, CACalifornia | — | $1,860.18 |
| Merced, CACalifornia | — | $1,860.18 |
| Modesto, CACalifornia | — | $1,860.18 |
| Napa, CACalifornia | — | $1,956.89 |
| Oxnard, CACalifornia | — | $1,923.83 |
| Redding, CACalifornia | — | $1,860.18 |
| Rest of CaliforniaCalifornia | — | $1,860.18 |
| Riverside, CACalifornia | — | $1,978.19 |
| Sacramento, CACalifornia | — | $1,899.83 |
| Salinas, CACalifornia | — | $1,891.91 |
| San Diego, CACalifornia | — | $1,899.50 |
| Marin County, CACalifornia | — | $2,001.81 |
| San Francisco, CACalifornia | — | $1,989.30 |
| San Benito County, CACalifornia | — | $2,057.57 |
| Santa Clara County, CACalifornia | — | $2,006.46 |
| San Luis Obispo, CACalifornia | — | $1,868.11 |
| Santa Cruz, CACalifornia | — | $1,887.86 |
| Santa Maria, CACalifornia | — | $1,888.89 |
| Santa Rosa, CACalifornia | — | $1,903.19 |
| Stockton, CACalifornia | — | $1,860.18 |
| Vallejo, CACalifornia | — | $1,938.87 |
| Visalia, CACalifornia | — | $1,860.18 |
| Yuba City, CACalifornia | — | $1,860.18 |
| ColoradoColorado | — | $1,937.19 |
| ConnecticutConnecticut | — | $2,108.84 |
| DelawareDelaware | — | $1,956.52 |
| Fort Lauderdale, FLFlorida | — | $2,288.22 |
| Rest of FloridaFlorida | — | $2,165.55 |
| Atlanta, GAGeorgia | — | $2,069.87 |
| Rest of GeorgiaGeorgia | — | $2,039.38 |
| Hawaii, Guam, HIHawaii | — | $1,859.13 |
| IowaIowa | — | $1,751.27 |
| IdahoIdaho | — | $1,780.14 |
| East St. Louis, ILIllinois | — | $2,346.83 |
| Rest of IllinoisIllinois | — | $2,179.69 |
| Suburban Chicago, ILIllinois | — | $2,287.62 |
| IndianaIndiana | — | $1,786.21 |
| KansasKansas | — | $1,788.59 |
| KentuckyKentucky | — | $1,936.97 |
| New Orleans, LALouisiana | — | $2,027.82 |
| Rest of LouisianaLouisiana | — | $1,952.04 |
| Metropolitan Boston, MAMassachusetts | — | $2,042.91 |
| Rest of MassachusettsMassachusetts | — | $1,946.79 |
| Baltimore area, MDMaryland | — | $2,112.29 |
| Rest of MarylandMaryland | — | $1,975.11 |
| Rest of MaineMaine | — | $1,834.93 |
| Southern Maine, MEMaine | — | $1,851.33 |
| Detroit, MIMichigan | — | $2,234.51 |
| Rest of MichiganMichigan | — | $2,020.09 |
| MinnesotaMinnesota | — | $1,735.14 |
| Metropolitan Kansas City, MOMissouri | — | $1,968.98 |
| Metropolitan St. Louis, MOMissouri | — | $1,980.58 |
| Rest of MissouriMissouri | — | $1,953.68 |
| MississippiMississippi | — | $1,867.08 |
| MontanaMontana | — | $1,987.95 |
| North CarolinaNorth Carolina | — | $1,843.58 |
| North DakotaNorth Dakota | — | $1,770.25 |
| NebraskaNebraska | — | $1,745.76 |
| New HampshireNew Hampshire | — | $1,950.28 |
| Northern New JerseyNew Jersey | — | $2,133.70 |
| Rest of New JerseyNew Jersey | — | $2,098.79 |
| New MexicoNew Mexico | — | $2,047.30 |
| NevadaNevada | — | $1,927.46 |
| NYC suburbs and Long Island, NYNew York | — | $2,430.63 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,148.08 |
| Queens, NYNew York | — | $2,276.73 |
| Rest of New YorkNew York | — | $1,870.25 |
| OhioOhio | — | $1,975.59 |
| OklahomaOklahoma | — | $1,886.95 |
| Portland, OROregon | — | $1,938.00 |
| Rest of OregonOregon | — | $1,878.73 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,093.08 |
| Rest of PennsylvaniaPennsylvania | — | $1,953.35 |
| Puerto RicoPuerto Rico | — | $1,985.20 |
| Rhode IslandRhode Island | — | $1,982.35 |
| South CarolinaSouth Carolina | — | $1,919.52 |
| South DakotaSouth Dakota | — | $1,744.51 |
| TennesseeTennessee | — | $1,801.65 |
| Austin, TXTexas | — | $1,960.33 |
| Beaumont, TXTexas | — | $1,945.99 |
| Brazoria, TXTexas | — | $1,917.62 |
| Dallas, TXTexas | — | $1,948.66 |
| Fort Worth, TXTexas | — | $1,951.60 |
| Galveston, TXTexas | — | $1,935.64 |
| Houston, TXTexas | — | $2,137.16 |
| Rest of TexasTexas | — | $1,943.62 |
| UtahUtah | — | $1,940.12 |
| VirginiaVirginia | — | $1,877.44 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,985.20 |
| VermontVermont | — | $1,805.18 |
| Rest of WashingtonWashington | — | $1,929.25 |
| King County, WAWashington | — | $2,035.07 |
| West VirginiaWest Virginia | — | $2,123.03 |
| WyomingWyoming | — | $1,893.08 |
35539 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 35539 rate is calculated
Each of 35539’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 · 35539
RVUs × geographic indexes × conversion factor
Work43.01
43.01 RVUs× 1.000 GPCI
Practice expense5.52
5.52 RVUs× 1.000 GPCI
Malpractice11.01
11.01 RVUs× 1.000 GPCI
Adjusted RVUs
59.5400
Conversion factor
$33.4009
Medicare rate
$1,988.69
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Wisconsin inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,355
- Code
- 35539
- Physician work
- 43.01
- Practice expense
- 5.52
- Malpractice
- 11.01
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 43.01 | × 1.000 | 43.0100 |
| Practice expense | 5.52 | × 0.958 | 5.2882 |
| Malpractice | 11.01 | × 0.308 | 3.3911 |
| Total RVUs | 51.6892 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$1726.47
Facility: (43.01 × 1 + 5.52 × 0.958 + 11.01 × 0.308) × $33.4009 = $1726.47
Payment rules and modifiers for 35539
35539 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35539
Aortic bypass, single femoral target, vein conduit
| 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 · 35539
Aortic bypass, single femoral target, vein conduit
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
35539 without 50 · national facility
$1,988.69
Aortic bypass, single femoral target, vein conduit
35539-50 · Bilateral: 150%
$2,983.04
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 35539 has changed in Wisconsin
35539 · 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 | $1,726.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,726.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,726.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,726.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,829.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,829.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,829.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,829.73 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,876.33 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,876.33 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,876.33 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,876.33 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,845.70 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,899.21 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,899.21 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,899.21 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,899.21 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,933.63 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,933.63 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,933.63 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,933.63 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,941.01 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,941.01 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,941.01 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,941.01 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,024.14 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,024.14 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,024.14 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,024.14 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,029.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,029.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,023.52 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,023.52 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,040.34 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,040.34 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,040.34 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,040.34 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,121.32 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,121.32 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,121.32 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,121.32 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,156.71 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,156.71 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,156.71 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,156.71 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,159.19 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,159.19 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,148.45 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,148.45 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,167.53 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,167.53 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,167.53 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,167.53 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,113.87 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Wisconsin rate applies
Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.
- Abbotsford
- Abrams
- Adams
- Adell
- Albany
- Algoma
- Allens Grove
- Allenton
35539 billing questions
How does 35539 differ from 35540?
35539 describes a vein bypass from the aorta to one femoral artery. Use 35540 for an aortic reconstruction with right and left femoral outflows.
What operative details support 35539?
The operative report should identify the aortic inflow, the single femoral artery receiving flow, and the vein conduit. It should also document the indication for the reconstruction.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the major-surgery global period.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50% when they are performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; CMS does not permit team surgery.
When is modifier 50 relevant?
CMS lists bilateral reporting with modifier 50 at 150%. For an aortic reconstruction with two femoral outflows, compare the documented operation with the specific sibling code 35540.
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
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