CPT code 35656: Arterial bypass, femoral to popliteal, non-vein2026 Medicare rate & RVUs in Arkansas
Reports a lower-extremity arterial bypass using a non-vein graft to route blood from a femoral artery to a popliteal artery around obstructive disease.
In Arkansas, Medicare pays $870.67 for 35656 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35656 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 35656 covers
A vascular surgeon creates a route from a femoral artery to a popliteal artery using a graft other than vein, commonly a prosthetic conduit, to bypass an obstructed arterial segment. The operation is generally performed in a hospital operating room for lower-extremity arterial disease when revascularization is needed. The operative report should identify the inflow and popliteal target, the non-vein conduit, the side treated, and the bypass performed.
Choose this code for the femoral-to-popliteal route with a non-vein graft; a vein conduit or a more distal tibial or peroneal target points to a different code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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 Arkansas compares for 35656
Across 109 of 109 payment localities, the facility rate for 35656 runs from $849.07 in Wisconsin to $1,238.11 in Alaska. Arkansas pays $870.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$870.67
- Los Angeles, CA · California$967.28+$96.61
- Washington, DC area · District of Columbia$1,051.30+$180.63
- Miami, FL · Florida$1,236.46+$365.79
- Chicago, IL · Illinois$1,196.61+$325.94
- Manhattan, NY · New York$1,135.89+$265.22
- Alaska · Alaska$1,238.11+$367.44
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $881.48 |
| ArizonaArizona | — | $943.37 |
| Bakersfield, CACalifornia | — | $931.47 |
| Chico, CACalifornia | — | $917.78 |
| El Centro, CACalifornia | — | $918.62 |
| Fresno, CACalifornia | — | $917.78 |
| Hanford, CACalifornia | — | $917.78 |
| Madera, CACalifornia | — | $917.78 |
| Merced, CACalifornia | — | $917.78 |
| Modesto, CACalifornia | — | $917.78 |
| Napa, CACalifornia | — | $973.88 |
| Oxnard, CACalifornia | — | $951.53 |
| Redding, CACalifornia | — | $917.78 |
| Rest of CaliforniaCalifornia | — | $917.78 |
| Riverside, CACalifornia | — | $972.12 |
| Sacramento, CACalifornia | — | $939.55 |
| Salinas, CACalifornia | — | $935.67 |
| San Diego, CACalifornia | — | $941.05 |
| Marin County, CACalifornia | — | $999.42 |
| San Francisco, CACalifornia | — | $993.67 |
| San Benito County, CACalifornia | — | $1,026.81 |
| Santa Clara County, CACalifornia | — | $1,003.27 |
| San Luis Obispo, CACalifornia | — | $923.62 |
| Santa Cruz, CACalifornia | — | $936.62 |
| Santa Maria, CACalifornia | — | $934.62 |
| Santa Rosa, CACalifornia | — | $944.39 |
| Stockton, CACalifornia | — | $917.78 |
| Vallejo, CACalifornia | — | $965.58 |
| Visalia, CACalifornia | — | $917.78 |
| Yuba City, CACalifornia | — | $917.78 |
| ColoradoColorado | — | $951.58 |
| ConnecticutConnecticut | — | $1,031.33 |
| DelawareDelaware | — | $956.56 |
| Fort Lauderdale, FLFlorida | — | $1,110.56 |
| Rest of FloridaFlorida | — | $1,051.16 |
| Atlanta, GAGeorgia | — | $1,010.18 |
| Rest of GeorgiaGeorgia | — | $989.80 |
| Hawaii, Guam, HIHawaii | — | $919.30 |
| IowaIowa | — | $858.30 |
| IdahoIdaho | — | $871.85 |
| East St. Louis, ILIllinois | — | $1,132.80 |
| Rest of IllinoisIllinois | — | $1,055.48 |
| Suburban Chicago, ILIllinois | — | $1,111.04 |
| IndianaIndiana | — | $875.00 |
| KansasKansas | — | $874.92 |
| KentuckyKentucky | — | $942.48 |
| New Orleans, LALouisiana | — | $986.98 |
| Rest of LouisianaLouisiana | — | $949.22 |
| Metropolitan Boston, MAMassachusetts | — | $1,007.05 |
| Rest of MassachusettsMassachusetts | — | $955.46 |
| Baltimore area, MDMaryland | — | $1,032.69 |
| Rest of MarylandMaryland | — | $966.38 |
| Rest of MaineMaine | — | $897.08 |
| Southern Maine, MEMaine | — | $908.26 |
| Detroit, MIMichigan | — | $1,083.38 |
| Rest of MichiganMichigan | — | $981.98 |
| MinnesotaMinnesota | — | $856.69 |
| Metropolitan Kansas City, MOMissouri | — | $959.78 |
| Metropolitan St. Louis, MOMissouri | — | $965.78 |
| Rest of MissouriMissouri | — | $948.80 |
| MississippiMississippi | — | $908.87 |
| MontanaMontana | — | $971.63 |
| North CarolinaNorth Carolina | — | $901.73 |
| North DakotaNorth Dakota | — | $871.38 |
| NebraskaNebraska | — | $856.17 |
| New HampshireNew Hampshire | — | $956.37 |
| Northern New JerseyNew Jersey | — | $1,047.23 |
| Rest of New JerseyNew Jersey | — | $1,027.57 |
| New MexicoNew Mexico | — | $994.72 |
| NevadaNevada | — | $943.82 |
| NYC suburbs and Long Island, NYNew York | — | $1,185.45 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,050.44 |
| Queens, NYNew York | — | $1,114.22 |
| Rest of New YorkNew York | — | $914.87 |
| OhioOhio | — | $961.49 |
| OklahomaOklahoma | — | $919.66 |
| Portland, OROregon | — | $954.37 |
| Rest of OregonOregon | — | $921.13 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,022.22 |
| Rest of PennsylvaniaPennsylvania | — | $951.51 |
| Puerto RicoPuerto Rico | — | $970.92 |
| Rhode IslandRhode Island | — | $970.83 |
| South CarolinaSouth Carolina | — | $936.23 |
| South DakotaSouth Dakota | — | $859.52 |
| TennesseeTennessee | — | $881.19 |
| Austin, TXTexas | — | $961.88 |
| Beaumont, TXTexas | — | $947.71 |
| Brazoria, TXTexas | — | $938.82 |
| Dallas, TXTexas | — | $953.38 |
| Fort Worth, TXTexas | — | $954.22 |
| Galveston, TXTexas | — | $947.22 |
| Houston, TXTexas | — | $1,040.02 |
| Rest of TexasTexas | — | $948.61 |
| UtahUtah | — | $946.54 |
| VirginiaVirginia | — | $919.87 |
| Virgin Islands, VIUnited States Virgin Islands | — | $970.92 |
| VermontVermont | — | $886.95 |
| Rest of WashingtonWashington | — | $947.37 |
| King County, WAWashington | — | $1,005.17 |
| WisconsinWisconsin | — | $849.07 |
| West VirginiaWest Virginia | — | $1,027.14 |
| WyomingWyoming | — | $927.94 |
35656 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 35656 rate is calculated
Each of 35656’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 · 35656
RVUs × geographic indexes × conversion factor
Work19.96
19.96 RVUs× 1.000 GPCI
Practice expense4.07
4.07 RVUs× 1.000 GPCI
Malpractice5.07
5.07 RVUs× 1.000 GPCI
Adjusted RVUs
29.1000
Conversion factor
$33.4009
Medicare rate
$971.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,392
- Code
- 35656
- Physician work
- 19.96
- Practice expense
- 4.07
- Malpractice
- 5.07
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.96 | × 1.000 | 19.9600 |
| Practice expense | 4.07 | × 0.859 | 3.4961 |
| Malpractice | 5.07 | × 0.515 | 2.6111 |
| Total RVUs | 26.0672 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$870.67
Facility: (19.96 × 1 + 4.07 × 0.859 + 5.07 × 0.515) × $33.4009 = $870.67
Payment rules and modifiers for 35656
35656 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35656
Arterial bypass, femoral to popliteal, non-vein
| 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 · 35656
Arterial bypass, femoral to popliteal, non-vein
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
35656 without 50 · national facility
$971.97
Arterial bypass, femoral to popliteal, non-vein
35656-50 · Bilateral: 150%
$1,457.96
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 35656 has changed in Arkansas
35656 · 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 | $870.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $870.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $870.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $870.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $910.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $910.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $910.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $910.54 | RVU25A |
| 2024-10-01 | Not available in this setting | $936.46 | RVU24D |
| 2024-07-01 | Not available in this setting | $936.46 | RVU24C |
| 2024-04-01 | Not available in this setting | $936.46 | RVU24B |
| 2024-03-09 | Not available in this setting | $936.46 | RVU24AR |
| 2024-01-01 | Not available in this setting | $921.17 | RVU24A |
| 2023-10-01 | Not available in this setting | $948.02 | RVU23D |
| 2023-07-01 | Not available in this setting | $948.02 | RVU23C |
| 2023-04-01 | Not available in this setting | $948.02 | RVU23B |
| 2023-01-01 | Not available in this setting | $948.02 | RVU23A |
| 2022-10-01 | Not available in this setting | $966.27 | RVU22D |
| 2022-07-01 | Not available in this setting | $966.27 | RVU22C |
| 2022-04-01 | Not available in this setting | $966.27 | RVU22B |
| 2022-01-01 | Not available in this setting | $966.27 | RVU22A |
| 2021-10-01 | Not available in this setting | $972.41 | RVU21D |
| 2021-07-01 | Not available in this setting | $972.41 | RVU21C |
| 2021-04-01 | Not available in this setting | $972.41 | RVU21B |
| 2021-01-01 | Not available in this setting | $972.41 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,018.86 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,018.86 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,018.86 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,018.86 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,029.40 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,029.40 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,029.40 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,029.40 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,035.18 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,035.18 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,035.18 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,035.18 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,036.12 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,036.12 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,036.12 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,036.12 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,040.14 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,040.14 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,040.14 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,040.14 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,042.72 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,042.72 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,037.53 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,037.53 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,037.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,037.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,037.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,037.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,009.00 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,009.00 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,009.00 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,009.00 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
35656 billing questions
How does this differ from 35556?
Both describe a femoral-to-popliteal bypass, but 35656 is for a non-vein graft. Use 35556 when the bypass uses a vein graft.
Does the distal target determine whether this code applies?
Yes. The target must be a popliteal artery. A bypass extending to an anterior tibial, posterior tibial, or peroneal artery is represented by a different code.
What documentation supports reporting 35656?
The operative report should establish the femoral inflow, popliteal outflow, use of a non-vein graft, and the side or sides treated.
How is bilateral surgery handled?
CMS lists bilateral reporting with modifier 50, paid at 150%. The operative documentation should support bypasses on both sides.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.
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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