CPT code 35682: Composite bypass, two vein segments2026 Medicare rate & RVUs in New Mexico
Reports a composite arterial bypass conduit assembled from two vein segments, in addition to the primary bypass procedure describing the route.
In New Mexico, Medicare pays $325.45 for 35682 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35682 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 35682 covers
A vascular surgeon uses this add-on when a single arterial bypass conduit is assembled from two vein segments. The primary bypass code identifies the artery-to-artery route, such as a femoral-to-popliteal or femoral-to-distal-leg bypass; this code identifies the two-segment vein construction. It may be relevant when a suitable length of vein is not available as one continuous segment. The work is part of an operative revascularization, commonly for arterial occlusive disease.
Report 35682 with the primary bypass procedure for the route, not by itself. The operative report should support that the bypass used a composite conduit made from exactly two vein segments and identify the bypass route and conduit used. CMS treats this as an add-on code and pays it within the primary procedure's global period. Select the related composite-graft code according to the conduit composition and number of vein segments, rather than treating this as a general code for vein-graft bypasses.
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 New Mexico compares for 35682
Across 109 of 109 payment localities, the facility rate for 35682 runs from $273.25 in Wisconsin to $407.10 in Miami, FL. New Mexico pays $325.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$325.45
- Los Angeles, CA · California$308.90−$16.55
- Washington, DC area · District of Columbia$338.53+$13.08
- Miami, FL · Florida$407.10+$81.65
- Chicago, IL · Illinois$394.04+$68.59
- Manhattan, NY · New York$368.65+$43.20
- Alaska · Alaska$407.09+$81.64
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $286.79 |
| ArkansasArkansas | — | $283.41 |
| ArizonaArizona | — | $306.07 |
| Bakersfield, CACalifornia | — | $298.59 |
| Chico, CACalifornia | — | $293.78 |
| El Centro, CACalifornia | — | $294.08 |
| Fresno, CACalifornia | — | $293.78 |
| Hanford, CACalifornia | — | $293.78 |
| Madera, CACalifornia | — | $293.78 |
| Merced, CACalifornia | — | $293.78 |
| Modesto, CACalifornia | — | $293.78 |
| Napa, CACalifornia | — | $307.71 |
| Oxnard, CACalifornia | — | $303.40 |
| Redding, CACalifornia | — | $293.78 |
| Rest of CaliforniaCalifornia | — | $293.78 |
| Riverside, CACalifornia | — | $312.86 |
| Sacramento, CACalifornia | — | $299.69 |
| Salinas, CACalifornia | — | $298.43 |
| San Diego, CACalifornia | — | $299.35 |
| Marin County, CACalifornia | — | $314.28 |
| San Francisco, CACalifornia | — | $312.26 |
| San Benito County, CACalifornia | — | $323.07 |
| Santa Clara County, CACalifornia | — | $314.81 |
| San Luis Obispo, CACalifornia | — | $294.72 |
| Santa Cruz, CACalifornia | — | $297.30 |
| Santa Maria, CACalifornia | — | $297.88 |
| Santa Rosa, CACalifornia | — | $299.69 |
| Stockton, CACalifornia | — | $293.78 |
| Vallejo, CACalifornia | — | $304.79 |
| Visalia, CACalifornia | — | $293.78 |
| Yuba City, CACalifornia | — | $293.78 |
| ColoradoColorado | — | $306.48 |
| ConnecticutConnecticut | — | $334.14 |
| DelawareDelaware | — | $310.21 |
| Fort Lauderdale, FLFlorida | — | $363.63 |
| Rest of FloridaFlorida | — | $344.25 |
| Atlanta, GAGeorgia | — | $328.30 |
| Rest of GeorgiaGeorgia | — | $324.37 |
| Hawaii, Guam, HIHawaii | — | $293.25 |
| IowaIowa | — | $277.61 |
| IdahoIdaho | — | $282.24 |
| East St. Louis, ILIllinois | — | $373.85 |
| Rest of IllinoisIllinois | — | $346.89 |
| Suburban Chicago, ILIllinois | — | $363.43 |
| IndianaIndiana | — | $283.16 |
| KansasKansas | — | $283.73 |
| KentuckyKentucky | — | $307.84 |
| New Orleans, LALouisiana | — | $322.11 |
| Rest of LouisianaLouisiana | — | $310.31 |
| Metropolitan Boston, MAMassachusetts | — | $322.58 |
| Rest of MassachusettsMassachusetts | — | $308.13 |
| Baltimore area, MDMaryland | — | $334.73 |
| Rest of MarylandMaryland | — | $313.03 |
| Rest of MaineMaine | — | $291.09 |
| Southern Maine, MEMaine | — | $293.17 |
| Detroit, MIMichigan | — | $355.33 |
| Rest of MichiganMichigan | — | $321.09 |
| MinnesotaMinnesota | — | $274.08 |
| Metropolitan Kansas City, MOMissouri | — | $312.61 |
| Metropolitan St. Louis, MOMissouri | — | $314.38 |
| Rest of MissouriMissouri | — | $310.76 |
| MississippiMississippi | — | $296.77 |
| MontanaMontana | — | $315.19 |
| North CarolinaNorth Carolina | — | $292.39 |
| North DakotaNorth Dakota | — | $279.99 |
| NebraskaNebraska | — | $276.65 |
| New HampshireNew Hampshire | — | $308.76 |
| Northern New JerseyNew Jersey | — | $337.57 |
| Rest of New JerseyNew Jersey | — | $332.43 |
| NevadaNevada | — | $305.40 |
| NYC suburbs and Long Island, NYNew York | — | $385.34 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $340.39 |
| Queens, NYNew York | — | $360.52 |
| Rest of New YorkNew York | — | $296.56 |
| OhioOhio | — | $313.89 |
| OklahomaOklahoma | — | $299.72 |
| Portland, OROregon | — | $306.24 |
| Rest of OregonOregon | — | $297.56 |
| Metropolitan Philadelphia, PAPennsylvania | — | $331.88 |
| Rest of PennsylvaniaPennsylvania | — | $310.25 |
| Puerto RicoPuerto Rico | — | $314.65 |
| Rhode IslandRhode Island | — | $314.05 |
| South CarolinaSouth Carolina | — | $304.74 |
| South DakotaSouth Dakota | — | $275.83 |
| TennesseeTennessee | — | $285.80 |
| Austin, TXTexas | — | $310.25 |
| Beaumont, TXTexas | — | $309.13 |
| Brazoria, TXTexas | — | $303.90 |
| Dallas, TXTexas | — | $308.88 |
| Fort Worth, TXTexas | — | $309.44 |
| Galveston, TXTexas | — | $306.80 |
| Houston, TXTexas | — | $339.38 |
| Rest of TexasTexas | — | $308.43 |
| UtahUtah | — | $307.94 |
| VirginiaVirginia | — | $297.46 |
| Virgin Islands, VIUnited States Virgin Islands | — | $314.65 |
| VermontVermont | — | $285.72 |
| Rest of WashingtonWashington | — | $305.29 |
| King County, WAWashington | — | $321.06 |
| WisconsinWisconsin | — | $273.25 |
| West VirginiaWest Virginia | — | $338.08 |
| WyomingWyoming | — | $299.85 |
35682 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 35682 rate is calculated
Each of 35682’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 · 35682
RVUs × geographic indexes × conversion factor
Work7.01
7.01 RVUs× 1.000 GPCI
Practice expense0.65
0.65 RVUs× 1.000 GPCI
Malpractice1.78
1.78 RVUs× 1.000 GPCI
Adjusted RVUs
9.4400
Conversion factor
$33.4009
Medicare rate
$315.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,399
- Code
- 35682
- Physician work
- 7.01
- Practice expense
- 0.65
- Malpractice
- 1.78
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.01 | × 1.000 | 7.0100 |
| Practice expense | 0.65 | × 0.917 | 0.5961 |
| Malpractice | 1.78 | × 1.201 | 2.1378 |
| Total RVUs | 9.7438 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$325.45
Facility: (7.01 × 1 + 0.65 × 0.917 + 1.78 × 1.201) × $33.4009 = $325.45
Payment rules and modifiers for 35682
The CMS indicators that decide how 35682 is paid alongside other services.
CMS payment indicators · 35682
Composite bypass, two vein segments
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 35682 has changed in New Mexico
35682 · 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 | $325.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $325.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $325.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $325.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $338.32 | RVU25D |
| 2025-07-01 | Not available in this setting | $338.32 | RVU25C |
| 2025-04-01 | Not available in this setting | $338.32 | RVU25B |
| 2025-01-01 | Not available in this setting | $338.32 | RVU25A |
| 2024-10-01 | Not available in this setting | $348.68 | RVU24D |
| 2024-07-01 | Not available in this setting | $348.68 | RVU24C |
| 2024-04-01 | Not available in this setting | $348.68 | RVU24B |
| 2024-03-09 | Not available in this setting | $348.68 | RVU24AR |
| 2024-01-01 | Not available in this setting | $342.99 | RVU24A |
| 2023-10-01 | Not available in this setting | $352.53 | RVU23D |
| 2023-07-01 | Not available in this setting | $352.53 | RVU23C |
| 2023-04-01 | Not available in this setting | $352.53 | RVU23B |
| 2023-01-01 | Not available in this setting | $352.53 | RVU23A |
| 2022-10-01 | Not available in this setting | $363.12 | RVU22D |
| 2022-07-01 | Not available in this setting | $363.12 | RVU22C |
| 2022-04-01 | Not available in this setting | $363.12 | RVU22B |
| 2022-01-01 | Not available in this setting | $363.12 | RVU22A |
| 2021-10-01 | Not available in this setting | $363.88 | RVU21D |
| 2021-07-01 | Not available in this setting | $363.88 | RVU21C |
| 2021-04-01 | Not available in this setting | $363.88 | RVU21B |
| 2021-01-01 | Not available in this setting | $363.88 | RVU21A |
| 2020-10-01 | Not available in this setting | $379.41 | RVU20D |
| 2020-07-01 | Not available in this setting | $379.41 | RVU20C |
| 2020-04-01 | Not available in this setting | $379.41 | RVU20B |
| 2020-01-01 | Not available in this setting | $379.41 | RVU20A |
| 2019-10-01 | Not available in this setting | $378.73 | RVU19D |
| 2019-07-01 | Not available in this setting | $378.73 | RVU19C |
| 2019-04-01 | Not available in this setting | $378.73 | RVU19B |
| 2019-01-01 | Not available in this setting | $378.73 | RVU19A |
| 2018-10-01 | Not available in this setting | $380.63 | RVU18D |
| 2018-07-01 | Not available in this setting | $380.63 | RVU18C |
| 2018-04-01 | Not available in this setting | $380.63 | RVU18B |
| 2018-01-01 | Not available in this setting | $380.63 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $379.65 | RVU17D |
| 2017-07-01 | Not available in this setting | $379.65 | RVU17C |
| 2017-04-01 | Not available in this setting | $379.65 | RVU17B |
| 2017-01-01 | Not available in this setting | $379.65 | RVU17A |
| 2016-10-01 | Not available in this setting | $379.57 | RVU16D |
| 2016-07-01 | Not available in this setting | $379.57 | RVU16C |
| 2016-04-01 | Not available in this setting | $379.57 | RVU16B |
| 2016-01-01 | Not available in this setting | $379.57 | RVU16A |
| 2015-10-01 | Not available in this setting | $381.36 | RVU15D |
| 2015-07-01 | Not available in this setting | $381.36 | RVU15C |
| 2015-04-01 | Not available in this setting | $379.46 | RVU15B |
| 2015-01-01 | Not available in this setting | $379.46 | RVU15A |
| 2014-10-01 | Not available in this setting | $376.24 | RVU14D |
| 2014-07-01 | Not available in this setting | $376.24 | RVU14C |
| 2014-04-01 | Not available in this setting | $376.24 | RVU14B |
| 2014-01-01 | Not available in this setting | $376.24 | RVU14A |
| 2013-10-01 | Not available in this setting | $361.08 | RVU13D |
| 2013-07-01 | Not available in this setting | $361.08 | RVU13C |
| 2013-04-01 | Not available in this setting | $361.08 | RVU13B |
| 2013-01-01 | Not available in this setting | $361.08 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
35682 billing questions
When should 35682 be selected instead of 35683?
Use 35682 when the composite bypass conduit uses two vein segments. The related code 35683 is for three or more segments.
Can 35682 be reported without a primary bypass code?
No. It is an add-on code and must be reported with the primary procedure that describes the bypass route.
What documentation supports reporting 35682?
The operative report should identify the bypass route and document that the composite conduit was constructed from two vein segments.
Is 35682 reported once for each vein segment?
The code identifies a composite conduit made from two vein segments; it is not a per-segment code.
How does 35682 differ from 35681?
35682 describes a composite conduit made from two vein segments. 35681 is the related option for a composite conduit using prosthetic material and vein.
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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