CPT code 35571: Arterial bypass, popliteal to distal artery2026 Medicare rate & RVUs in Delaware
Reports a vein-graft bypass from the popliteal artery to a tibial, peroneal, or other distal artery to restore lower-extremity blood flow.
In Delaware, Medicare pays $1,181.21 for 35571 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35571 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 35571 covers
A vascular surgeon uses a vein graft to route blood from the popliteal artery around an obstructed segment to a tibial, peroneal, or other distal artery. The operation is used for lower-extremity arterial occlusive disease when revascularization to a distal target is needed, such as in a patient with limb-threatening ischemia. It is typically performed in a hospital operating room.
Report the bypass when the operative record supports a popliteal inflow artery, a distal arterial outflow target, and a vein-graft technique. 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% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 Delaware compares for 35571
Across 109 of 109 payment localities, the facility rate for 35571 runs from $1,046.62 in Wisconsin to $1,532.17 in Miami, FL. Delaware pays $1,181.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,181.21
- Los Angeles, CA · California$1,191.68+$10.47
- Washington, DC area · District of Columbia$1,297.23+$116.02
- Miami, FL · Florida$1,532.17+$350.96
- Chicago, IL · Illinois$1,482.56+$301.35
- Manhattan, NY · New York$1,403.67+$222.46
- Alaska · Alaska$1,530.59+$349.38
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,088.51 |
| ArkansasArkansas | — | $1,075.15 |
| ArizonaArizona | — | $1,164.93 |
| Bakersfield, CACalifornia | — | $1,148.07 |
| Chico, CACalifornia | — | $1,130.87 |
| El Centro, CACalifornia | — | $1,131.94 |
| Fresno, CACalifornia | — | $1,130.87 |
| Hanford, CACalifornia | — | $1,130.87 |
| Madera, CACalifornia | — | $1,130.87 |
| Merced, CACalifornia | — | $1,130.87 |
| Modesto, CACalifornia | — | $1,130.87 |
| Napa, CACalifornia | — | $1,197.92 |
| Oxnard, CACalifornia | — | $1,172.00 |
| Redding, CACalifornia | — | $1,130.87 |
| Rest of CaliforniaCalifornia | — | $1,130.87 |
| Riverside, CACalifornia | — | $1,199.15 |
| Sacramento, CACalifornia | — | $1,157.16 |
| Salinas, CACalifornia | — | $1,152.37 |
| San Diego, CACalifornia | — | $1,158.62 |
| Marin County, CACalifornia | — | $1,228.50 |
| San Francisco, CACalifornia | — | $1,221.26 |
| San Benito County, CACalifornia | — | $1,262.36 |
| Santa Clara County, CACalifornia | — | $1,232.78 |
| San Luis Obispo, CACalifornia | — | $1,137.61 |
| Santa Cruz, CACalifornia | — | $1,152.84 |
| Santa Maria, CACalifornia | — | $1,150.98 |
| Santa Rosa, CACalifornia | — | $1,162.35 |
| Stockton, CACalifornia | — | $1,130.87 |
| Vallejo, CACalifornia | — | $1,187.49 |
| Visalia, CACalifornia | — | $1,130.87 |
| Yuba City, CACalifornia | — | $1,130.87 |
| ColoradoColorado | — | $1,173.83 |
| ConnecticutConnecticut | — | $1,273.79 |
| Fort Lauderdale, FLFlorida | — | $1,374.38 |
| Rest of FloridaFlorida | — | $1,300.56 |
| Atlanta, GAGeorgia | — | $1,248.19 |
| Rest of GeorgiaGeorgia | — | $1,224.36 |
| Hawaii, Guam, HIHawaii | — | $1,132.32 |
| IowaIowa | — | $1,058.82 |
| IdahoIdaho | — | $1,075.77 |
| East St. Louis, ILIllinois | — | $1,403.64 |
| Rest of IllinoisIllinois | — | $1,306.59 |
| Suburban Chicago, ILIllinois | — | $1,374.73 |
| IndianaIndiana | — | $1,079.63 |
| KansasKansas | — | $1,079.86 |
| KentuckyKentucky | — | $1,164.96 |
| New Orleans, LALouisiana | — | $1,220.12 |
| Rest of LouisianaLouisiana | — | $1,173.48 |
| Metropolitan Boston, MAMassachusetts | — | $1,241.49 |
| Rest of MassachusettsMassachusetts | — | $1,178.84 |
| Baltimore area, MDMaryland | — | $1,275.59 |
| Rest of MarylandMaryland | — | $1,193.17 |
| Rest of MaineMaine | — | $1,107.47 |
| Southern Maine, MEMaine | — | $1,120.51 |
| Detroit, MIMichigan | — | $1,340.90 |
| Rest of MichiganMichigan | — | $1,214.25 |
| MinnesotaMinnesota | — | $1,055.19 |
| Metropolitan Kansas City, MOMissouri | — | $1,185.98 |
| Metropolitan St. Louis, MOMissouri | — | $1,193.33 |
| Rest of MissouriMissouri | — | $1,173.28 |
| MississippiMississippi | — | $1,123.12 |
| MontanaMontana | — | $1,200.00 |
| North CarolinaNorth Carolina | — | $1,113.13 |
| North DakotaNorth Dakota | — | $1,074.05 |
| NebraskaNebraska | — | $1,056.03 |
| New HampshireNew Hampshire | — | $1,180.26 |
| Northern New JerseyNew Jersey | — | $1,292.31 |
| Rest of New JerseyNew Jersey | — | $1,268.72 |
| New MexicoNew Mexico | — | $1,230.19 |
| NevadaNevada | — | $1,165.05 |
| NYC suburbs and Long Island, NYNew York | — | $1,465.56 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,297.39 |
| Queens, NYNew York | — | $1,376.17 |
| Rest of New YorkNew York | — | $1,129.41 |
| OhioOhio | — | $1,188.50 |
| OklahomaOklahoma | — | $1,136.22 |
| Portland, OROregon | — | $1,176.65 |
| Rest of OregonOregon | — | $1,136.61 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,262.87 |
| Rest of PennsylvaniaPennsylvania | — | $1,175.88 |
| Puerto RicoPuerto Rico | — | $1,198.96 |
| Rhode IslandRhode Island | — | $1,198.41 |
| South CarolinaSouth Carolina | — | $1,156.61 |
| South DakotaSouth Dakota | — | $1,059.15 |
| TennesseeTennessee | — | $1,087.66 |
| Austin, TXTexas | — | $1,186.92 |
| Beaumont, TXTexas | — | $1,171.22 |
| Brazoria, TXTexas | — | $1,158.86 |
| Dallas, TXTexas | — | $1,177.07 |
| Fort Worth, TXTexas | — | $1,178.27 |
| Galveston, TXTexas | — | $1,169.38 |
| Houston, TXTexas | — | $1,285.98 |
| Rest of TexasTexas | — | $1,171.80 |
| UtahUtah | — | $1,169.33 |
| VirginiaVirginia | — | $1,135.21 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,198.96 |
| VermontVermont | — | $1,093.76 |
| Rest of WashingtonWashington | — | $1,168.68 |
| King County, WAWashington | — | $1,238.60 |
| WisconsinWisconsin | — | $1,046.62 |
| West VirginiaWest Virginia | — | $1,271.61 |
| WyomingWyoming | — | $1,145.11 |
35571 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 35571 rate is calculated
Each of 35571’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 · 35571
RVUs × geographic indexes × conversion factor
Work24.88
24.88 RVUs× 1.000 GPCI
Practice expense4.69
4.69 RVUs× 1.000 GPCI
Malpractice6.37
6.37 RVUs× 1.000 GPCI
Adjusted RVUs
35.9400
Conversion factor
$33.4009
Medicare rate
$1,200.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,365
- Code
- 35571
- Physician work
- 24.88
- Practice expense
- 4.69
- Malpractice
- 6.37
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.88 | × 1.005 | 25.0044 |
| Practice expense | 4.69 | × 0.988 | 4.6337 |
| Malpractice | 6.37 | × 0.899 | 5.7266 |
| Total RVUs | 35.3648 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1181.21
Facility: (24.88 × 1.005 + 4.69 × 0.988 + 6.37 × 0.899) × $33.4009 = $1181.21
Payment rules and modifiers for 35571
35571 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35571
Arterial bypass, popliteal to distal artery
| 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 · 35571
Arterial bypass, popliteal to distal artery
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
35571 without 50 · national facility
$1,200.43
Arterial bypass, popliteal to distal artery
35571-50 · Bilateral: 150%
$1,800.65
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 35571 has changed in Delaware
35571 · 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 | $1,181.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,181.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,181.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,181.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,249.66 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,249.66 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,249.66 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,249.66 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,284.28 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,284.28 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,284.28 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,284.28 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,263.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,303.05 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,303.05 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,303.05 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,303.05 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,338.17 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,338.17 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,338.17 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,338.17 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,340.30 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,340.30 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,340.30 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,340.30 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,407.09 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,407.09 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,407.09 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,407.09 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,418.37 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,418.37 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,418.37 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,418.37 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,426.98 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,426.98 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,426.98 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,426.98 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,435.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,435.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,435.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,435.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,450.24 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,450.24 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,450.24 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,450.24 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,454.46 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,454.46 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,447.22 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,447.22 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,414.96 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,414.96 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,414.96 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,414.96 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,349.37 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,349.37 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,349.37 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,349.37 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
35571 billing questions
How is this code distinguished from 35566?
This code describes a bypass originating at the popliteal artery. Code 35566 describes a bypass originating at the femoral artery and extending to a tibial, peroneal, or related distal target.
When is 35587 a better fit?
Use 35587 when the procedure is an in-situ vein bypass from the popliteal artery to a tibial, peroneal, or other distal vessel. This code describes a vein-graft bypass that is not reported as an in-situ bypass.
What operative details support reporting this code?
The operative report should identify the popliteal inflow, the distal outflow artery, and the vein-graft bypass technique. It should also describe the bypass performed and the treated arterial disease.
How is bilateral surgery handled?
CMS lists bilateral reporting with modifier 50 at 150%. The global period is 90 days, including the day-before preoperative visit and related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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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