CPT code 35585: Vein bypass, femoral to tibial or peroneal2026 Medicare rate & RVUs in Utah
Reports a vein bypass from the femoral artery to a tibial or peroneal artery to route blood around a distal lower-extremity arterial obstruction.
In Utah, Medicare pays $1,469.47 for 35585 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35585 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 35585 covers
A vascular surgeon creates a bypass from the femoral artery to a tibial or peroneal artery using a vein conduit, directing blood around an obstructed or severely diseased segment. The operation is generally performed in a hospital operating room for lower-extremity arterial disease when a distal target is needed to restore flow. The operative report should identify the inflow artery, the specific tibial or peroneal outflow artery, and the vein used as the bypass conduit.
Select this code when the bypass begins at the femoral artery, reaches a tibial or peroneal artery, and uses vein; a different origin, target, or conduit may point to a neighboring bypass code. Documentation should establish the bypass route, target vessel, conduit, and laterality. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures reported with modifier 50, CMS pays at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. 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 Utah compares for 35585
Across 109 of 109 payment localities, the facility rate for 35585 runs from $1,313.97 in Wisconsin to $1,927.28 in Miami, FL. Utah pays $1,469.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$1,469.47
- Los Angeles, CA · California$1,494.71+$25.24
- Washington, DC area · District of Columbia$1,628.36+$158.89
- Miami, FL · Florida$1,927.28+$457.81
- Chicago, IL · Illinois$1,864.98+$395.51
- Manhattan, NY · New York$1,763.26+$293.79
- Alaska · Alaska$1,925.96+$456.49
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,368.04 |
| ArkansasArkansas | — | $1,351.35 |
| ArizonaArizona | — | $1,463.54 |
| Bakersfield, CACalifornia | — | $1,440.60 |
| Chico, CACalifornia | — | $1,418.84 |
| El Centro, CACalifornia | — | $1,420.19 |
| Fresno, CACalifornia | — | $1,418.84 |
| Hanford, CACalifornia | — | $1,418.84 |
| Madera, CACalifornia | — | $1,418.84 |
| Merced, CACalifornia | — | $1,418.84 |
| Modesto, CACalifornia | — | $1,418.84 |
| Napa, CACalifornia | — | $1,500.92 |
| Oxnard, CACalifornia | — | $1,469.79 |
| Redding, CACalifornia | — | $1,418.84 |
| Rest of CaliforniaCalifornia | — | $1,418.84 |
| Riverside, CACalifornia | — | $1,505.23 |
| Sacramento, CACalifornia | — | $1,451.28 |
| Salinas, CACalifornia | — | $1,445.27 |
| San Diego, CACalifornia | — | $1,452.69 |
| Marin County, CACalifornia | — | $1,538.49 |
| San Francisco, CACalifornia | — | $1,529.34 |
| San Benito County, CACalifornia | — | $1,580.95 |
| Santa Clara County, CACalifornia | — | $1,543.53 |
| San Luis Obispo, CACalifornia | — | $1,426.81 |
| Santa Cruz, CACalifornia | — | $1,445.11 |
| Santa Maria, CACalifornia | — | $1,443.41 |
| Santa Rosa, CACalifornia | — | $1,457.01 |
| Stockton, CACalifornia | — | $1,418.84 |
| Vallejo, CACalifornia | — | $1,487.72 |
| Visalia, CACalifornia | — | $1,418.84 |
| Yuba City, CACalifornia | — | $1,418.84 |
| ColoradoColorado | — | $1,473.60 |
| ConnecticutConnecticut | — | $1,599.93 |
| DelawareDelaware | — | $1,483.90 |
| Fort Lauderdale, FLFlorida | — | $1,727.98 |
| Rest of FloridaFlorida | — | $1,635.31 |
| Atlanta, GAGeorgia | — | $1,568.29 |
| Rest of GeorgiaGeorgia | — | $1,539.72 |
| Hawaii, Guam, HIHawaii | — | $1,420.11 |
| IowaIowa | — | $1,329.96 |
| IdahoIdaho | — | $1,351.35 |
| East St. Louis, ILIllinois | — | $1,766.20 |
| Rest of IllinoisIllinois | — | $1,643.49 |
| Suburban Chicago, ILIllinois | — | $1,728.26 |
| IndianaIndiana | — | $1,356.14 |
| KansasKansas | — | $1,356.73 |
| KentuckyKentucky | — | $1,464.59 |
| New Orleans, LALouisiana | — | $1,533.73 |
| Rest of LouisianaLouisiana | — | $1,475.43 |
| Metropolitan Boston, MAMassachusetts | — | $1,557.59 |
| Rest of MassachusettsMassachusetts | — | $1,480.08 |
| Baltimore area, MDMaryland | — | $1,602.24 |
| Rest of MarylandMaryland | — | $1,498.73 |
| Rest of MaineMaine | — | $1,391.46 |
| Southern Maine, MEMaine | — | $1,407.04 |
| Detroit, MIMichigan | — | $1,686.24 |
| Rest of MichiganMichigan | — | $1,526.65 |
| MinnesotaMinnesota | — | $1,323.90 |
| Metropolitan Kansas City, MOMissouri | — | $1,490.55 |
| Metropolitan St. Louis, MOMissouri | — | $1,499.69 |
| Rest of MissouriMissouri | — | $1,475.47 |
| MississippiMississippi | — | $1,412.02 |
| MontanaMontana | — | $1,507.51 |
| North CarolinaNorth Carolina | — | $1,398.45 |
| North DakotaNorth Dakota | — | $1,348.14 |
| NebraskaNebraska | — | $1,326.33 |
| New HampshireNew Hampshire | — | $1,482.00 |
| Northern New JerseyNew Jersey | — | $1,622.39 |
| Rest of New JerseyNew Jersey | — | $1,593.36 |
| New MexicoNew Mexico | — | $1,546.78 |
| NevadaNevada | — | $1,463.28 |
| NYC suburbs and Long Island, NYNew York | — | $1,841.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,629.60 |
| Queens, NYNew York | — | $1,728.20 |
| Rest of New YorkNew York | — | $1,418.83 |
| OhioOhio | — | $1,494.08 |
| OklahomaOklahoma | — | $1,428.18 |
| Portland, OROregon | — | $1,476.56 |
| Rest of OregonOregon | — | $1,427.35 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,586.57 |
| Rest of PennsylvaniaPennsylvania | — | $1,478.04 |
| Puerto RicoPuerto Rico | — | $1,506.05 |
| Rhode IslandRhode Island | — | $1,505.11 |
| South CarolinaSouth Carolina | — | $1,453.58 |
| South DakotaSouth Dakota | — | $1,329.29 |
| TennesseeTennessee | — | $1,366.54 |
| Austin, TXTexas | — | $1,490.22 |
| Beaumont, TXTexas | — | $1,472.25 |
| Brazoria, TXTexas | — | $1,455.58 |
| Dallas, TXTexas | — | $1,478.56 |
| Fort Worth, TXTexas | — | $1,480.21 |
| Galveston, TXTexas | — | $1,468.88 |
| Houston, TXTexas | — | $1,616.40 |
| Rest of TexasTexas | — | $1,472.48 |
| VirginiaVirginia | — | $1,425.75 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,506.05 |
| VermontVermont | — | $1,373.21 |
| Rest of WashingtonWashington | — | $1,467.23 |
| King County, WAWashington | — | $1,553.54 |
| WisconsinWisconsin | — | $1,313.97 |
| West VirginiaWest Virginia | — | $1,599.80 |
| WyomingWyoming | — | $1,438.06 |
35585 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 35585 rate is calculated
Each of 35585’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 · 35585
RVUs × geographic indexes × conversion factor
Work31.54
31.54 RVUs× 1.000 GPCI
Practice expense5.55
5.55 RVUs× 1.000 GPCI
Malpractice8.06
8.06 RVUs× 1.000 GPCI
Adjusted RVUs
45.1500
Conversion factor
$33.4009
Medicare rate
$1,508.05
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
4,368
- Code
- 35585
- Physician work
- 31.54
- Practice expense
- 5.55
- Malpractice
- 8.06
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.54 | × 1.000 | 31.5400 |
| Practice expense | 5.55 | × 0.940 | 5.2170 |
| Malpractice | 8.06 | × 0.898 | 7.2379 |
| Total RVUs | 43.9949 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1469.47
Facility: (31.54 × 1 + 5.55 × 0.94 + 8.06 × 0.898) × $33.4009 = $1469.47
Payment rules and modifiers for 35585
35585 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35585
Vein bypass, femoral to tibial or peroneal
| 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 · 35585
Vein bypass, femoral 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35585 without 50 · national facility
$1,508.05
Vein bypass, femoral to tibial or peroneal
35585-50 · Bilateral: 150%
$2,262.08
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 35585 has changed in Utah
35585 · 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 | $1,469.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,469.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,469.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,469.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,544.80 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,544.80 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,544.80 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,544.80 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,588.18 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,588.18 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,588.18 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,588.18 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,562.26 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,592.18 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,592.18 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,592.18 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,592.18 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,613.65 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,613.65 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,613.65 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,613.65 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,621.15 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,621.15 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,621.15 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,621.15 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,728.34 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,728.34 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,728.34 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,728.34 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,767.88 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,767.88 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,767.88 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,767.88 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,776.19 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,776.19 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,776.19 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,776.19 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,786.72 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,786.72 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,786.72 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,786.72 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,801.55 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,801.55 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,801.55 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,801.55 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,807.90 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,807.90 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,798.90 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,798.90 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,790.68 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,790.68 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,790.68 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,790.68 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,747.71 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,747.71 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,747.71 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,747.71 | RVU13AR |
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
35585 billing questions
How is this code distinguished from 35583?
Both use a vein conduit, but 35583 is for a femoral-to-popliteal bypass. Use this code when the distal target is a tibial or peroneal artery.
How is this code distinguished from 35587?
35587 describes a vein bypass from the popliteal artery to a tibial or peroneal artery. This code requires the bypass to originate at the femoral artery.
Does the bypass conduit have to be vein?
Yes. This code describes a femoral-to-tibial or peroneal bypass using vein; a comparable route using a non-vein graft is represented by a different code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is a bilateral procedure reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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
Fee sheets
Put 35585 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet