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

Reports a vein-graft bypass from the popliteal artery to a tibial or peroneal artery, commonly performed to restore blood flow to an ischemic leg.

CMS RVU26DEffective Oct 1, 2026One payment locality74 Medicare services in 2024

In Colorado, Medicare pays $1,183.95 for 35587 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,183.95Hospital or facility

Check a contract rate as a % of Medicare · 35587 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 35587 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 35587 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 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.

How Colorado compares for 35587

Across 109 of 109 payment localities, the facility rate for 35587 runs from $1,055.60 in Wisconsin to $1,551.72 in Miami, FL. Colorado pays $1,183.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

35587 in Colorado vs other payment areas
  1. Colorado · this page$1,183.95
  2. Los Angeles, CA · California$1,199.95+$16.00
  3. Washington, DC area · District of Columbia$1,308.27+$124.32
  4. Miami, FL · Florida$1,551.72+$367.77
  5. Chicago, IL · Illinois$1,501.58+$317.63
  6. Manhattan, NY · New York$1,417.72+$233.77
  7. Alaska · Alaska$1,550.38+$366.43

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

Every other payment area

35587 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,100.17
ArkansasArkansas—$1,086.80
ArizonaArizona—$1,176.68
Bakersfield, CACalifornia—$1,156.92
Chico, CACalifornia—$1,139.29
El Centro, CACalifornia—$1,140.38
Fresno, CACalifornia—$1,139.29
Hanford, CACalifornia—$1,139.29

35587 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
35587 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 35587 in every payment locality

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.

How the rate is built · 35587

RVUs × geographic indexes × conversion factor

Office or facility?

Work25.55

25.55 RVUs× 1.000 GPCI

Practice expense4.22

4.22 RVUs× 1.000 GPCI

Malpractice6.53

6.53 RVUs× 1.000 GPCI

Adjusted RVUs

36.3000

Conversion factor

$33.4009

Medicare rate

$1,212.45

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

4,369

Code
35587
Physician work
25.55
Practice expense
4.22
Malpractice
6.53

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Facility calculation for 35587 in Colorado
ComponentRVULocality factorAdjusted
Physician work25.55× 1.01225.8566
Practice expense4.22× 1.0644.4901
Malpractice6.53× 0.7815.0999
Total RVUs35.4466
Conversion factor× 33.4009

Facility rate, Colorado$1183.95

Facility: (25.55 × 1.012 + 4.22 × 1.064 + 6.53 × 0.781) × $33.4009 = $1183.95

Open 35587 in the RVU calculator

Payment rules and modifiers for 35587

35587 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35587

Vein bypass, popliteal to tibial/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 · 35587

Vein bypass, popliteal to tibial/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

35587 without 50 · national facility

$1,212.45

Vein bypass, popliteal to tibial/peroneal

35587-50 · Bilateral: 150%

$1,818.68

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 35587 has changed in Colorado

35587 · 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$1,183.95RVU26D
2026-07-01Not available in this setting$1,183.95RVU26C
2026-04-01Not available in this setting$1,183.95RVU26B
2026-01-01Not available in this setting$1,183.95RVU26A
2025-10-01Not available in this setting$1,247.77RVU25D
2025-07-01Not available in this setting$1,247.77RVU25C
2025-04-01Not available in this setting$1,247.77RVU25B
2025-01-01Not available in this setting$1,247.77RVU25A
2024-10-01Not available in this setting$1,280.38RVU24D
2024-07-01Not available in this setting$1,280.38RVU24C
2024-04-01Not available in this setting$1,280.38RVU24B
2024-03-09Not available in this setting$1,280.38RVU24AR
2024-01-01Not available in this setting$1,259.49RVU24A
2023-10-01Not available in this setting$1,322.52RVU23D
2023-07-01Not available in this setting$1,322.52RVU23C
2023-04-01Not available in this setting$1,322.52RVU23B
2023-01-01Not available in this setting$1,322.52RVU23A
2022-10-01Not available in this setting$1,332.43RVU22D
2022-07-01Not available in this setting$1,332.43RVU22C
2022-04-01Not available in this setting$1,332.43RVU22B
2022-01-01Not available in this setting$1,332.43RVU22A
2021-10-01Not available in this setting$1,338.68RVU21D
2021-07-01Not available in this setting$1,338.68RVU21C
2021-04-01Not available in this setting$1,338.68RVU21B
2021-01-01Not available in this setting$1,338.68RVU21A
2020-10-01Not available in this setting$1,417.86RVU20D
2020-07-01Not available in this setting$1,417.86RVU20C
2020-04-01Not available in this setting$1,417.86RVU20B
2020-01-01Not available in this setting$1,417.86RVU20A
2019-10-01Not available in this setting$1,437.68RVU19D
2019-07-01Not available in this setting$1,437.68RVU19C
2019-04-01Not available in this setting$1,437.68RVU19B
2019-01-01Not available in this setting$1,437.68RVU19A
2018-10-01Not available in this setting$1,448.92RVU18D
2018-07-01Not available in this setting$1,448.92RVU18C
2018-04-01Not available in this setting$1,448.92RVU18B
2018-01-01Not available in this setting$1,448.92RVU18AR1
2017-10-01Not available in this setting$1,460.87RVU17D
2017-07-01Not available in this setting$1,460.87RVU17C
2017-04-01Not available in this setting$1,460.87RVU17B
2017-01-01Not available in this setting$1,460.87RVU17A
2016-10-01Not available in this setting$1,472.62RVU16D
2016-07-01Not available in this setting$1,472.62RVU16C
2016-04-01Not available in this setting$1,472.62RVU16B
2016-01-01Not available in this setting$1,472.62RVU16A
2015-10-01Not available in this setting$1,484.75RVU15D
2015-07-01Not available in this setting$1,484.75RVU15C
2015-04-01Not available in this setting$1,477.37RVU15B
2015-01-01Not available in this setting$1,477.37RVU15A
2014-10-01Not available in this setting$1,456.55RVU14D
2014-07-01Not available in this setting$1,456.55RVU14C
2014-04-01Not available in this setting$1,456.55RVU14B
2014-01-01Not available in this setting$1,456.55RVU14A
2013-10-01Not available in this setting$1,403.99RVU13D
2013-07-01Not available in this setting$1,403.99RVU13C
2013-04-01Not available in this setting$1,403.99RVU13B
2013-01-01Not available in this setting$1,403.99RVU13AR

Price 35587 for an earlier date of service

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

Browse all communities in Colorado

35587 billing questions

How is 35587 distinguished from 35585?

Check the bypass inflow artery. 35587 is for a popliteal origin; 35585 is for a femoral origin, with a tibial or peroneal outflow.

Does the bypass need to use a vein graft?

Yes. The operative documentation should support use of a vein graft as well as the popliteal inflow and tibial or peroneal target.

What documentation supports reporting this code?

Document the indication, the inflow and outflow arteries, and the conduit used. The operative report should make clear that the bypass runs from the popliteal artery to a tibial or peroneal artery.

How is bilateral surgery handled?

CMS pays bilateral procedures reported with modifier 50 at 150%. The record should support a bypass on each side.

Are assistant and co-surgeon services payable?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted for this code.

What postoperative care is included?

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

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 35587PPRRVU2026_Oct_nonQPP.csv, line 4,369 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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