CPT code 35556: Arterial bypass, vein graft, femoral to popliteal2026 Medicare rate & RVUs in Connecticut
Reports a lower-extremity arterial bypass using a vein conduit from the femoral artery to the popliteal artery to restore blood flow around an obstruction.
In Connecticut, Medicare pays $1,338.81 for 35556 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35556 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 35556 covers
A vascular surgeon uses a vein conduit to route blood from the femoral artery to the popliteal artery, bypassing an obstructed segment. The operation is commonly performed in a hospital operating room for lower-extremity arterial occlusive disease when revascularization is needed. A harvested saphenous vein is a familiar conduit example. This code distinguishes a vein-graft bypass from a bypass using a non-vein graft and from an in-situ vein bypass.
Select the code based on the documented conduit, bypass endpoints, and operative technique. The report should identify the femoral inflow, popliteal outflow, vein graft, and bypass performed. CMS assigns major surgery a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid 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 Connecticut compares for 35556
Across 109 of 109 payment localities, the facility rate for 35556 runs from $1,101.75 in Wisconsin to $1,609.18 in Alaska. Connecticut pays $1,338.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$1,338.81
- Los Angeles, CA · California$1,254.36−$84.45
- Washington, DC area · District of Columbia$1,364.11+$25.30
- Miami, FL · Florida$1,606.93+$268.12
- Chicago, IL · Illinois$1,555.17+$216.36
- Manhattan, NY · New York$1,474.70+$135.89
- Alaska · Alaska$1,609.18+$270.37
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,144.71 |
| ArkansasArkansas | — | $1,130.72 |
| ArizonaArizona | — | $1,224.79 |
| Bakersfield, CACalifornia | — | $1,208.27 |
| Chico, CACalifornia | — | $1,190.39 |
| El Centro, CACalifornia | — | $1,191.49 |
| Fresno, CACalifornia | — | $1,190.39 |
| Hanford, CACalifornia | — | $1,190.39 |
| Madera, CACalifornia | — | $1,190.39 |
| Merced, CACalifornia | — | $1,190.39 |
| Modesto, CACalifornia | — | $1,190.39 |
| Napa, CACalifornia | — | $1,261.93 |
| Oxnard, CACalifornia | — | $1,233.80 |
| Redding, CACalifornia | — | $1,190.39 |
| Rest of CaliforniaCalifornia | — | $1,190.39 |
| Riverside, CACalifornia | — | $1,261.35 |
| Sacramento, CACalifornia | — | $1,218.31 |
| Salinas, CACalifornia | — | $1,213.27 |
| San Diego, CACalifornia | — | $1,220.01 |
| Marin County, CACalifornia | — | $1,294.58 |
| San Francisco, CACalifornia | — | $1,287.07 |
| San Benito County, CACalifornia | — | $1,330.11 |
| Santa Clara County, CACalifornia | — | $1,299.37 |
| San Luis Obispo, CACalifornia | — | $1,197.68 |
| Santa Cruz, CACalifornia | — | $1,214.06 |
| Santa Maria, CACalifornia | — | $1,211.85 |
| Santa Rosa, CACalifornia | — | $1,224.11 |
| Stockton, CACalifornia | — | $1,190.39 |
| Vallejo, CACalifornia | — | $1,251.10 |
| Visalia, CACalifornia | — | $1,190.39 |
| Yuba City, CACalifornia | — | $1,190.39 |
| ColoradoColorado | — | $1,234.77 |
| DelawareDelaware | — | $1,241.87 |
| Fort Lauderdale, FLFlorida | — | $1,442.75 |
| Rest of FloridaFlorida | — | $1,365.64 |
| Atlanta, GAGeorgia | — | $1,311.66 |
| Rest of GeorgiaGeorgia | — | $1,286.01 |
| Hawaii, Guam, HIHawaii | — | $1,192.04 |
| IowaIowa | — | $1,114.13 |
| IdahoIdaho | — | $1,131.78 |
| East St. Louis, ILIllinois | — | $1,472.52 |
| Rest of IllinoisIllinois | — | $1,371.61 |
| Suburban Chicago, ILIllinois | — | $1,443.26 |
| IndianaIndiana | — | $1,135.85 |
| KansasKansas | — | $1,135.92 |
| KentuckyKentucky | — | $1,224.26 |
| New Orleans, LALouisiana | — | $1,281.95 |
| Rest of LouisianaLouisiana | — | $1,233.09 |
| Metropolitan Boston, MAMassachusetts | — | $1,306.20 |
| Rest of MassachusettsMassachusetts | — | $1,239.93 |
| Baltimore area, MDMaryland | — | $1,340.61 |
| Rest of MarylandMaryland | — | $1,254.50 |
| Rest of MaineMaine | — | $1,164.73 |
| Southern Maine, MEMaine | — | $1,178.77 |
| Detroit, MIMichigan | — | $1,407.63 |
| Rest of MichiganMichigan | — | $1,275.65 |
| MinnesotaMinnesota | — | $1,111.14 |
| Metropolitan Kansas City, MOMissouri | — | $1,246.45 |
| Metropolitan St. Louis, MOMissouri | — | $1,254.18 |
| Rest of MissouriMissouri | — | $1,232.72 |
| MississippiMississippi | — | $1,180.59 |
| MontanaMontana | — | $1,261.44 |
| North CarolinaNorth Carolina | — | $1,170.70 |
| North DakotaNorth Dakota | — | $1,130.54 |
| NebraskaNebraska | — | $1,111.29 |
| New HampshireNew Hampshire | — | $1,241.20 |
| Northern New JerseyNew Jersey | — | $1,358.95 |
| Rest of New JerseyNew Jersey | — | $1,333.79 |
| New MexicoNew Mexico | — | $1,292.25 |
| NevadaNevada | — | $1,225.13 |
| NYC suburbs and Long Island, NYNew York | — | $1,539.20 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,363.64 |
| Queens, NYNew York | — | $1,446.25 |
| Rest of New YorkNew York | — | $1,187.73 |
| OhioOhio | — | $1,248.89 |
| OklahomaOklahoma | — | $1,194.42 |
| Portland, OROregon | — | $1,238.05 |
| Rest of OregonOregon | — | $1,195.54 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,327.20 |
| Rest of PennsylvaniaPennsylvania | — | $1,235.81 |
| Puerto RicoPuerto Rico | — | $1,260.44 |
| Rhode IslandRhode Island | — | $1,260.16 |
| South CarolinaSouth Carolina | — | $1,215.82 |
| South DakotaSouth Dakota | — | $1,115.07 |
| TennesseeTennessee | — | $1,144.07 |
| Austin, TXTexas | — | $1,248.26 |
| Beaumont, TXTexas | — | $1,230.92 |
| Brazoria, TXTexas | — | $1,218.68 |
| Dallas, TXTexas | — | $1,237.65 |
| Fort Worth, TXTexas | — | $1,238.83 |
| Galveston, TXTexas | — | $1,229.64 |
| Houston, TXTexas | — | $1,350.81 |
| Rest of TexasTexas | — | $1,231.78 |
| UtahUtah | — | $1,229.15 |
| VirginiaVirginia | — | $1,193.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,260.44 |
| VermontVermont | — | $1,150.96 |
| Rest of WashingtonWashington | — | $1,229.36 |
| King County, WAWashington | — | $1,303.49 |
| WisconsinWisconsin | — | $1,101.75 |
| West VirginiaWest Virginia | — | $1,334.96 |
| WyomingWyoming | — | $1,204.40 |
35556 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 35556 rate is calculated
Each of 35556’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 · 35556
RVUs × geographic indexes × conversion factor
Work26.08
26.08 RVUs× 1.000 GPCI
Practice expense5.08
5.08 RVUs× 1.000 GPCI
Malpractice6.62
6.62 RVUs× 1.000 GPCI
Adjusted RVUs
37.7800
Conversion factor
$33.4009
Medicare rate
$1,261.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,357
- Code
- 35556
- Physician work
- 26.08
- Practice expense
- 5.08
- Malpractice
- 6.62
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.08 | × 1.020 | 26.6016 |
| Practice expense | 5.08 | × 1.077 | 5.4712 |
| Malpractice | 6.62 | × 1.210 | 8.0102 |
| Total RVUs | 40.0830 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1338.81
Facility: (26.08 × 1.02 + 5.08 × 1.077 + 6.62 × 1.21) × $33.4009 = $1338.81
Payment rules and modifiers for 35556
35556 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35556
Arterial bypass, vein graft, femoral to popliteal
| 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 · 35556
Arterial bypass, vein graft, femoral to popliteal
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
35556 without 50 · national facility
$1,261.89
Arterial bypass, vein graft, femoral to popliteal
35556-50 · Bilateral: 150%
$1,892.84
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 35556 has changed in Connecticut
35556 · 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 | $1,338.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,338.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,338.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,338.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,405.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,405.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,405.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,405.84 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,444.43 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,444.43 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,444.43 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,444.43 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,420.85 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,446.13 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,446.13 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,446.13 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,446.13 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,466.16 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,466.16 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,466.16 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,466.16 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,472.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,472.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,472.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,472.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,550.58 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,550.58 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,550.58 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,550.58 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,567.62 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,567.62 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,567.62 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,567.62 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,576.00 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,576.00 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,576.00 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,576.00 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,584.76 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,584.76 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,584.76 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,584.76 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,599.18 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,599.18 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,599.18 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,599.18 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,603.49 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,603.49 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,595.52 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,595.52 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,602.95 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,602.95 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,602.95 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,602.95 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,577.80 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,577.80 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,577.80 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,577.80 | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
35556 billing questions
How does this differ from an in-situ vein bypass?
This code describes a femoral-to-popliteal bypass using a vein graft. Use the in-situ bypass code when the vein remains in place and is used as the bypass conduit.
When would a non-vein bypass code be considered?
Use the corresponding non-vein graft code when the operative report documents a conduit other than vein for the femoral-to-popliteal bypass.
What documentation supports reporting this code?
Document the femoral inflow site, popliteal outflow site, vein conduit, and bypass technique. The operative report should make the route and graft material clear.
How is this handled when both legs are treated?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
What payment rules apply when other procedures are performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The 90-day global period includes related postoperative care through day 90 and the day-before preoperative visit.
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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