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

Reports an autogenous-vein arterial bypass joining a tibial artery to another tibial or peroneal artery for distal lower-extremity revascularization.

CMS RVU26DEffective Oct 1, 2026One payment locality42 Medicare services in 2024

In Utah, Medicare pays $1,307.01 for 35570 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,307.01Hospital or facility

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.

We’ll open 35570 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 35570 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Utah 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. Utah pays $1,307.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

35570 in Utah vs other payment areas
  1. Utah · this page$1,307.01
  2. Los Angeles, CA · California$1,325.07+$18.06
  3. Washington, DC area · District of Columbia$1,445.85+$138.84
  4. Miami, FL · Florida$1,718.58+$411.57
  5. Chicago, IL · Illinois$1,662.99+$355.98
  6. Manhattan, NY · New York$1,567.98+$260.97
  7. Alaska · Alaska$1,715.80+$408.79

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

35570 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,216.64
ArkansasArkansas—$1,201.87
ArizonaArizona—$1,301.10
Bakersfield, CACalifornia—$1,277.91
Chico, CACalifornia—$1,258.26
El Centro, CACalifornia—$1,259.48
Fresno, CACalifornia—$1,258.26
Hanford, CACalifornia—$1,258.26

35570 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
35570 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 35570

RVUs × geographic indexes × conversion factor

Office or facility?

Work28.42

28.42 RVUs× 1.000 GPCI

Practice expense4.44

4.44 RVUs× 1.000 GPCI

Malpractice7.28

7.28 RVUs× 1.000 GPCI

Adjusted RVUs

40.1400

Conversion factor

$33.4009

Medicare rate

$1,340.71

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,364

Code
35570
Physician work
28.42
Practice expense
4.44
Malpractice
7.28

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 35570 in Utah
ComponentRVULocality factorAdjusted
Physician work28.42× 1.00028.4200
Practice expense4.44× 0.9404.1736
Malpractice7.28× 0.8986.5374
Total RVUs39.1310
Conversion factor× 33.4009

Facility rate, Utah$1307.01

Facility: (28.42 × 1 + 4.44 × 0.94 + 7.28 × 0.898) × $33.4009 = $1307.01

Open 35570 in the RVU calculator

Payment rules and modifiers for 35570

35570 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35570

Arterial bypass, tibial-to-tibial or peroneal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35570

Arterial bypass, tibial-to-tibial or peroneal

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35570 without 50 · national facility

$1,340.71

Arterial bypass, tibial-to-tibial or peroneal

35570-50 · Bilateral: 150%

$2,011.07

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).

When to use modifier 50

How 35570 has changed in Utah

35570 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,307.01RVU26D
2026-07-01Not available in this setting$1,307.01RVU26C
2026-04-01Not available in this setting$1,307.01RVU26B
2026-01-01Not available in this setting$1,307.01RVU26A
2025-10-01Not available in this setting$1,368.03RVU25D
2025-07-01Not available in this setting$1,368.03RVU25C
2025-04-01Not available in this setting$1,368.03RVU25B
2025-01-01Not available in this setting$1,368.03RVU25A
2024-10-01Not available in this setting$1,405.34RVU24D
2024-07-01Not available in this setting$1,405.34RVU24C
2024-04-01Not available in this setting$1,405.34RVU24B
2024-03-09Not available in this setting$1,405.34RVU24AR
2024-01-01Not available in this setting$1,382.40RVU24A
2023-10-01Not available in this setting$1,406.26RVU23D
2023-07-01Not available in this setting$1,406.26RVU23C
2023-04-01Not available in this setting$1,406.26RVU23B
2023-01-01Not available in this setting$1,406.26RVU23A
2022-10-01Not available in this setting$1,424.06RVU22D
2022-07-01Not available in this setting$1,424.06RVU22C
2022-04-01Not available in this setting$1,424.06RVU22B
2022-01-01Not available in this setting$1,424.06RVU22A
2021-10-01Not available in this setting$1,425.28RVU21D
2021-07-01Not available in this setting$1,425.28RVU21C
2021-04-01Not available in this setting$1,425.28RVU21B
2021-01-01Not available in this setting$1,425.28RVU21A
2020-10-01Not available in this setting$1,521.63RVU20D
2020-07-01Not available in this setting$1,521.63RVU20C
2020-04-01Not available in this setting$1,521.63RVU20B
2020-01-01Not available in this setting$1,521.63RVU20A
2019-10-01Not available in this setting$1,594.67RVU19D
2019-07-01Not available in this setting$1,594.67RVU19C
2019-04-01Not available in this setting$1,594.67RVU19B
2019-01-01Not available in this setting$1,594.67RVU19A
2018-10-01Not available in this setting$1,609.69RVU18D
2018-07-01Not available in this setting$1,609.69RVU18C
2018-04-01Not available in this setting$1,609.69RVU18B
2018-01-01Not available in this setting$1,609.69RVU18AR1
2017-10-01Not available in this setting$1,606.48RVU17D
2017-07-01Not available in this setting$1,606.48RVU17C
2017-04-01Not available in this setting$1,606.48RVU17B
2017-01-01Not available in this setting$1,606.48RVU17A
2016-10-01Not available in this setting$1,629.62RVU16D
2016-07-01Not available in this setting$1,629.62RVU16C
2016-04-01Not available in this setting$1,629.62RVU16B
2016-01-01Not available in this setting$1,629.62RVU16A
2015-10-01Not available in this setting$1,634.49RVU15D
2015-07-01Not available in this setting$1,634.49RVU15C
2015-04-01Not available in this setting$1,626.35RVU15B
2015-01-01Not available in this setting$1,626.35RVU15A
2014-10-01Not available in this setting$1,436.90RVU14D
2014-07-01Not available in this setting$1,436.90RVU14C
2014-04-01Not available in this setting$1,436.90RVU14B
2014-01-01Not available in this setting$1,436.90RVU14A
2013-10-01Not available in this setting$1,399.73RVU13D
2013-07-01Not available in this setting$1,399.73RVU13C
2013-04-01Not available in this setting$1,399.73RVU13B
2013-01-01Not available in this setting$1,399.73RVU13AR

Price 35570 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

35570 billing questions

How is 35570 distinguished from 35566 or 35571?

Use the bypass origin and target arteries. This code is for tibial-to-tibial or tibial-to-peroneal bypass; 35566 has femoral inflow, while 35571 has popliteal inflow.

Does this code describe an in-situ vein bypass?

No. Code 35570 describes a tibial-origin bypass using a vein conduit. Code 35585 describes an in-situ vein bypass from the femoral artery to a tibial or peroneal artery.

Can vein harvest be reported separately?

When an upper-extremity vein is harvested for a lower-extremity bypass, code 35500 may be reported as an add-on when its requirements are met. Document the harvest site and work performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How does CMS handle bilateral reporting and multiple procedures?

Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures at 50%.

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
RVUs for 35570PPRRVU2026_Oct_nonQPP.csv, line 4,364 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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