CPT code 35666: Leg bypass, femoral to tibial/peroneal2026 Medicare rate & RVUs in Oklahoma

In Oklahoma, Medicare pays $1,102.38 for 35666 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 35666 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 35666 covers

A vascular surgeon creates a bypass from a femoral artery to an anterior tibial, posterior tibial, or peroneal artery using a graft other than vein. This distal revascularization is used to route blood around obstructive disease in the leg, commonly in limb-salvage surgery for severe peripheral arterial disease. The operation is generally performed in a hospital operating room; the operative report identifies the bypass origin, distal target, and graft material.

Choose this code when the documented inflow is femoral, the outflow is one of the specified tibial or peroneal arteries, and the conduit is not vein. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. 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 Oklahoma compares for 35666

Across 109 of 109 payment localities, the facility rate for 35666 runs from $1,023.14 in Wisconsin to $1,477.67 in Alaska. Oklahoma pays $1,102.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

35666 rates by state

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

See 35666 in every payment locality

How the 35666 rate is calculated

Each of 35666’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 35666

35666 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

Codes related to 35666

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

How 35666 has changed in Oklahoma

Price 35666 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

• Lahoma
• Achille
• Ada
• Adair
• Adams
• Adamson
• Addington
• Afton

Browse all communities in Oklahoma

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