CPT code 35558: Arterial bypass, femoral-femoral, vein graft2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,024.00 for 35558 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35558 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 35558 covers

A vascular surgeon creates a bypass between the femoral arteries using a vein conduit, routing blood from the better-perfused side to the opposite leg. The operation is generally performed in a hospital operating room for selected patients with lower-extremity ischemia from aortoiliac or iliac occlusive disease. The operative report should identify the donor and recipient arteries, the vein conduit, and the bypass configuration; a prosthetic graft is coded differently.

Report 35558 for the femoral-to-femoral route when a vein graft is used, not for a prosthetic fem-fem bypass. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery payment may be made; 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 North Carolina compares for 35558

Across 109 of 109 payment localities, the facility rate for 35558 runs from $965.21 in Wisconsin to $1,405.06 in Alaska. North Carolina pays $1,024.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35558 rates by state

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

See 35558 in every payment locality

How the 35558 rate is calculated

Each of 35558’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 35558

35558 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 35558

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

How 35558 has changed in North Carolina

Price 35558 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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