CPT code 35583: Vein bypass, in situ, femoral to popliteal2026 Medicare rate & RVUs in Colorado
Reports an in-situ autologous vein bypass from the femoral artery to the popliteal artery for lower-extremity arterial disease.
In Colorado, Medicare pays $1,273.17 for 35583 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35583 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 35583 covers
A vascular surgeon uses this procedure to bypass an obstructed or severely diseased artery in the leg, routing blood from the femoral artery to the popliteal artery through the patient’s vein left in its native position. The great saphenous vein is a typical conduit. The surgeon prepares the vein for arterial flow, including disrupting its valves and addressing side branches, and connects it to the arterial inflow and popliteal outflow. These bypasses are generally performed in a hospital operating room for limb ischemia or other significant lower-extremity arterial insufficiency.
Select this code when the operative report documents an in-situ vein conduit and a popliteal target; a bypass using a harvested, repositioned vein or a different conduit follows a different code pathway. Documentation should identify the conduit, bypass endpoints, and in-situ technique. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 payment for a bilateral procedure is 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 Colorado compares for 35583
Across 109 of 109 payment localities, the facility rate for 35583 runs from $1,135.66 in Wisconsin to $1,661.47 in Alaska. Colorado pays $1,273.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$1,273.17
- Los Angeles, CA · California$1,292.44+$19.27
- Washington, DC area · District of Columbia$1,406.68+$133.51
- Miami, FL · Florida$1,660.73+$387.56
- Chicago, IL · Illinois$1,607.16+$333.99
- Manhattan, NY · New York$1,521.89+$248.72
- Alaska · Alaska$1,661.47+$388.30
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,181.09 |
| ArkansasArkansas | — | $1,166.66 |
| ArizonaArizona | — | $1,263.62 |
| Bakersfield, CACalifornia | — | $1,245.29 |
| Chico, CACalifornia | — | $1,226.68 |
| El Centro, CACalifornia | — | $1,227.83 |
| Fresno, CACalifornia | — | $1,226.68 |
| Hanford, CACalifornia | — | $1,226.68 |
| Madera, CACalifornia | — | $1,226.68 |
| Merced, CACalifornia | — | $1,226.68 |
| Modesto, CACalifornia | — | $1,226.68 |
| Napa, CACalifornia | — | $1,299.11 |
| Oxnard, CACalifornia | — | $1,271.09 |
| Redding, CACalifornia | — | $1,226.68 |
| Rest of CaliforniaCalifornia | — | $1,226.68 |
| Riverside, CACalifornia | — | $1,300.54 |
| Sacramento, CACalifornia | — | $1,255.11 |
| Salinas, CACalifornia | — | $1,249.92 |
| San Diego, CACalifornia | — | $1,256.61 |
| Marin County, CACalifornia | — | $1,332.21 |
| San Francisco, CACalifornia | — | $1,324.39 |
| San Benito County, CACalifornia | — | $1,368.87 |
| Santa Clara County, CACalifornia | — | $1,336.88 |
| San Luis Obispo, CACalifornia | — | $1,233.90 |
| Santa Cruz, CACalifornia | — | $1,250.29 |
| Santa Maria, CACalifornia | — | $1,248.38 |
| Santa Rosa, CACalifornia | — | $1,260.61 |
| Stockton, CACalifornia | — | $1,226.68 |
| Vallejo, CACalifornia | — | $1,287.83 |
| Visalia, CACalifornia | — | $1,226.68 |
| Yuba City, CACalifornia | — | $1,226.68 |
| ConnecticutConnecticut | — | $1,381.31 |
| DelawareDelaware | — | $1,281.23 |
| Fort Lauderdale, FLFlorida | — | $1,490.10 |
| Rest of FloridaFlorida | — | $1,410.33 |
| Atlanta, GAGeorgia | — | $1,353.62 |
| Rest of GeorgiaGeorgia | — | $1,328.01 |
| Hawaii, Guam, HIHawaii | — | $1,228.10 |
| IowaIowa | — | $1,148.92 |
| IdahoIdaho | — | $1,167.25 |
| East St. Louis, ILIllinois | — | $1,521.88 |
| Rest of IllinoisIllinois | — | $1,416.91 |
| Suburban Chicago, ILIllinois | — | $1,490.49 |
| IndianaIndiana | — | $1,171.41 |
| KansasKansas | — | $1,171.69 |
| KentuckyKentucky | — | $1,263.76 |
| New Orleans, LALouisiana | — | $1,323.35 |
| Rest of LouisianaLouisiana | — | $1,272.98 |
| Metropolitan Boston, MAMassachusetts | — | $1,346.30 |
| Rest of MassachusettsMassachusetts | — | $1,278.62 |
| Baltimore area, MDMaryland | — | $1,383.23 |
| Rest of MarylandMaryland | — | $1,294.15 |
| Rest of MaineMaine | — | $1,201.54 |
| Southern Maine, MEMaine | — | $1,215.54 |
| Detroit, MIMichigan | — | $1,453.96 |
| Rest of MichiganMichigan | — | $1,317.04 |
| MinnesotaMinnesota | — | $1,144.83 |
| Metropolitan Kansas City, MOMissouri | — | $1,286.43 |
| Metropolitan St. Louis, MOMissouri | — | $1,294.36 |
| Rest of MissouriMissouri | — | $1,272.80 |
| MississippiMississippi | — | $1,218.55 |
| MontanaMontana | — | $1,301.51 |
| North CarolinaNorth Carolina | — | $1,207.63 |
| North DakotaNorth Dakota | — | $1,165.27 |
| NebraskaNebraska | — | $1,145.89 |
| New HampshireNew Hampshire | — | $1,280.09 |
| Northern New JerseyNew Jersey | — | $1,401.44 |
| Rest of New JerseyNew Jersey | — | $1,375.90 |
| New MexicoNew Mexico | — | $1,334.28 |
| NevadaNevada | — | $1,263.70 |
| NYC suburbs and Long Island, NYNew York | — | $1,588.79 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,406.93 |
| Queens, NYNew York | — | $1,492.11 |
| Rest of New YorkNew York | — | $1,225.22 |
| OhioOhio | — | $1,289.19 |
| OklahomaOklahoma | — | $1,232.67 |
| Portland, OROregon | — | $1,276.16 |
| Rest of OregonOregon | — | $1,232.95 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,369.54 |
| Rest of PennsylvaniaPennsylvania | — | $1,275.53 |
| Puerto RicoPuerto Rico | — | $1,300.36 |
| Rhode IslandRhode Island | — | $1,299.83 |
| South CarolinaSouth Carolina | — | $1,254.68 |
| South DakotaSouth Dakota | — | $1,149.16 |
| TennesseeTennessee | — | $1,180.13 |
| Austin, TXTexas | — | $1,287.28 |
| Beaumont, TXTexas | — | $1,270.51 |
| Brazoria, TXTexas | — | $1,257.06 |
| Dallas, TXTexas | — | $1,276.75 |
| Fort Worth, TXTexas | — | $1,278.06 |
| Galveston, TXTexas | — | $1,268.44 |
| Houston, TXTexas | — | $1,394.55 |
| Rest of TexasTexas | — | $1,271.08 |
| UtahUtah | — | $1,268.41 |
| VirginiaVirginia | — | $1,231.45 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,300.36 |
| VermontVermont | — | $1,186.60 |
| Rest of WashingtonWashington | — | $1,267.62 |
| King County, WAWashington | — | $1,343.18 |
| WisconsinWisconsin | — | $1,135.66 |
| West VirginiaWest Virginia | — | $1,379.15 |
| WyomingWyoming | — | $1,242.13 |
35583 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 35583 rate is calculated
Each of 35583’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 · 35583
RVUs × geographic indexes × conversion factor
Work27.06
27.06 RVUs× 1.000 GPCI
Practice expense5.03
5.03 RVUs× 1.000 GPCI
Malpractice6.89
6.89 RVUs× 1.000 GPCI
Adjusted RVUs
38.9800
Conversion factor
$33.4009
Medicare rate
$1,301.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,367
- Code
- 35583
- Physician work
- 27.06
- Practice expense
- 5.03
- Malpractice
- 6.89
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.06 | × 1.012 | 27.3847 |
| Practice expense | 5.03 | × 1.064 | 5.3519 |
| Malpractice | 6.89 | × 0.781 | 5.3811 |
| Total RVUs | 38.1177 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1273.17
Facility: (27.06 × 1.012 + 5.03 × 1.064 + 6.89 × 0.781) × $33.4009 = $1273.17
Payment rules and modifiers for 35583
35583 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35583
Vein bypass, in situ, 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 · 35583
Vein bypass, in situ, 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
35583 without 50 · national facility
$1,301.97
Vein bypass, in situ, femoral to popliteal
35583-50 · Bilateral: 150%
$1,952.96
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 35583 has changed in Colorado
35583 · 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 | $1,273.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,273.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,273.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,273.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,348.14 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,348.14 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,348.14 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,348.14 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,384.93 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,384.93 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,384.93 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,384.93 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,362.33 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,397.71 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,397.71 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,397.71 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,397.71 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,417.62 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,417.62 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,417.62 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,417.62 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,423.85 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,423.85 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,423.85 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,423.85 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,502.06 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,502.06 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,502.06 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,502.06 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,522.50 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,522.50 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,522.50 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,522.50 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,531.44 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,531.44 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,531.44 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,531.44 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,544.45 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,544.45 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,544.45 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,544.45 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,561.44 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,561.44 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,561.44 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,561.44 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,571.57 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,571.57 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,563.75 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,563.75 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,538.87 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,538.87 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,538.87 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,538.87 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,483.98 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,483.98 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,483.98 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,483.98 | RVU13AR |
Where the Colorado rate applies
Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.
- Acres Green
- Aetna Estates
- Aguilar
- Air Force Academy
- Akron
- Alamosa
- Alamosa East
- Allenspark
35583 billing questions
How is this different from 35556?
This code is for an in-situ vein bypass to the popliteal artery. Code 35556 is the related femoral-popliteal vein bypass option when the operative technique is not in situ.
What documentation supports the in-situ technique?
The operative report should identify the vein conduit as remaining in its native position and describe the femoral inflow, popliteal outflow, and preparation of the vein for arterial flow.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is this code handled with other procedures in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple-procedure reduction.
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.
How is a bilateral procedure paid?
When the bilateral procedure is reported with modifier 50, CMS payment is 150%.
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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