CPT code 35570: Arterial bypass, tibial-to-tibial or peroneal2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,445.85 for 35570 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35570 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 35570 covers

This operation uses a vein conduit to bypass obstructive disease between a tibial artery and another tibial artery or the peroneal artery. A vascular surgeon typically performs it in an operating room for severe lower-extremity ischemia when revascularization must reach below the knee. The defining anatomy is tibial-level inflow and a tibial or peroneal outflow target, rather than femoral or popliteal inflow. The conduit is vein, commonly the patient’s own vein.

Select the code from the documented bypass origin, distal target, and conduit. The operative report should identify the arteries joined, the vein conduit, laterality, and bypass performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same 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 services 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 Washington, DC area compares for 35570

Across 109 of 109 payment localities, the facility rate for 35570 runs from $1,166.22 in Wisconsin to $1,718.58 in Miami, FL. Washington, DC area pays $1,445.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35570 rates by state

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

See 35570 in every payment locality

How the 35570 rate is calculated

Each of 35570’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 35570

35570 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 35570

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

How 35570 has changed in Washington, DC area

Price 35570 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