CPT code 35637: Aortoiliac bypass, aorta to one iliac artery2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $1,424.05 for 35637 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35637 nationwide

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

What 35637 covers

This code describes an open vascular bypass that routes blood from the abdominal aorta to one iliac artery using a conduit other than vein, commonly a prosthetic graft. A vascular surgeon typically performs it in a hospital operating room for significant aortoiliac occlusive disease when direct flow to the iliac circulation needs to be restored. The code is distinguished by the aortic inflow, the iliac outflow, and the non-vein conduit.

Choose the code from the operative report’s documented inflow, outflow, and conduit; a bypass to both iliac arteries or to a femoral artery has a different code. The report should support the treated vessels and graft used. This major operation has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. 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 Virginia compares for 35637

Across 109 of 109 payment localities, the facility rate for 35637 runs from $1,310.48 in Wisconsin to $1,935.44 in Miami, FL. Virginia pays $1,424.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35637 rates by state

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

See 35637 in every payment locality

How the 35637 rate is calculated

Each of 35637’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 35637

35637 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 51

Codes related to 35637

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

How 35637 has changed in Virginia

Price 35637 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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