CPT code 35540: Aortic bypass, autogenous vein conduit2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $2,385.03 for 35540 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35540 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 35540 covers

A vascular surgeon creates a route from the aorta to the right and left femoral arteries using the patient’s own vein as the graft. The operation is used to restore lower-extremity blood flow in selected patients with extensive aortoiliac occlusive disease. It is performed in an operating room, generally in a hospital facility; the specific vein source and graft configuration depend on the operative plan.

Report this code when the documented bypass has an aortic inflow, two femoral outflows, and an autogenous vein conduit. The operative report should identify the graft material and the bypass endpoints. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. The bifemoral targets are represented by this single code; modifier 50 is not added merely because the graft reaches both sides. Assistant-at-surgery payment is restricted, 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 Washington, DC area compares for 35540

Across 109 of 109 payment localities, the facility rate for 35540 runs from $1,923.18 in Wisconsin to $2,854.30 in Miami, FL. Washington, DC area pays $2,385.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35540 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 35540 in every payment locality

How the 35540 rate is calculated

Each of 35540’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.

Payment rules and modifiers for 35540

35540 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 35540

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 35540 has changed in Washington, DC area

Price 35540 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates