CPT code 35587: Vein bypass, popliteal to tibial/peroneal2026 Medicare rate & RVUs

Medicare pays $1,212.45 for 35587 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 35587 covers

This code describes a surgical bypass using a vein graft to route blood from the popliteal artery to a tibial or peroneal artery. Vascular surgeons typically perform it in an operating room for severe lower-extremity arterial disease when restoring blood flow to the foot or leg is needed, often as a limb-salvage procedure. The operative report should identify the inflow artery, the distal target, and use of a vein graft.

Choose this code when the bypass begins at the popliteal artery and ends at a tibial or peroneal artery; a femoral origin points to a different bypass code. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% reduction. For bilateral procedures reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be available; 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.

Where 35587 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

35587 rates by state

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

How the 35587 rate is calculated

Each of 35587’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 35587

35587 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

35587 compared with similar codes

How to choose

35585Vein bypassFemoral to tibial or peroneal

Both describe a vein bypass to a tibial or peroneal artery. Use 35587 for popliteal inflow and 35585 for femoral inflow.

35571Arterial bypassPopliteal to distal artery

The inflow and outflow anatomy is similar, but 35571 describes a bypass using a graft other than vein; 35587 is for a vein graft.

35583Vein bypassIn situ, femoral to popliteal

Both are vein-graft bypasses, but 35583 runs from the femoral to the popliteal artery rather than from the popliteal artery to a tibial or peroneal artery.

Codes related to 35587

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

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