CPT code 35683: Composite bypass graft, three or more segments2026 Medicare rate & RVUs in Mississippi
Report this add-on when an arterial bypass uses a composite graft constructed from three or more segments, alongside the primary bypass procedure.
In Mississippi, Medicare pays $347.62 for 35683 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35683 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 35683 covers
This add-on describes the graft construction used during an arterial bypass when the composite graft comprises three or more segments. A vascular surgeon typically performs the bypass in an operating room, using the graft to route blood around an obstructed or diseased artery. The primary bypass code identifies the bypass procedure and its anatomic route; this code identifies the qualifying composite graft configuration.
Report it only with a primary bypass procedure, not as a stand-alone service. The operative report should support the bypass performed and document the graft construction, including the number of segments used. For example, a femoral-to-popliteal or femoral-to-tibial bypass may have a composite graft configuration; select the primary code for the documented route and use this add-on when the graft has three or more segments. CMS pays it within the primary procedure's global period.
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 Mississippi compares for 35683
Across 109 of 109 payment localities, the facility rate for 35683 runs from $319.38 in Wisconsin to $477.74 in Miami, FL. Mississippi pays $347.62. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$347.62
- Los Angeles, CA · California$360.77+$13.15
- Washington, DC area · District of Columbia$395.90+$48.28
- Miami, FL · Florida$477.74+$130.12
- Chicago, IL · Illinois$462.39+$114.77
- Manhattan, NY · New York$431.65+$84.03
- Alaska · Alaska$477.15+$129.53
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $335.74 |
| ArkansasArkansas | — | $331.79 |
| ArizonaArizona | — | $358.25 |
| Bakersfield, CACalifornia | — | $348.89 |
| Chico, CACalifornia | — | $343.20 |
| El Centro, CACalifornia | — | $343.55 |
| Fresno, CACalifornia | — | $343.20 |
| Hanford, CACalifornia | — | $343.20 |
| Madera, CACalifornia | — | $343.20 |
| Merced, CACalifornia | — | $343.20 |
| Modesto, CACalifornia | — | $343.20 |
| Napa, CACalifornia | — | $358.84 |
| Oxnard, CACalifornia | — | $354.27 |
| Redding, CACalifornia | — | $343.20 |
| Rest of CaliforniaCalifornia | — | $343.20 |
| Riverside, CACalifornia | — | $365.81 |
| Sacramento, CACalifornia | — | $349.93 |
| Salinas, CACalifornia | — | $348.46 |
| San Diego, CACalifornia | — | $349.42 |
| Marin County, CACalifornia | — | $366.26 |
| San Francisco, CACalifornia | — | $363.87 |
| San Benito County, CACalifornia | — | $376.54 |
| Santa Clara County, CACalifornia | — | $366.75 |
| San Luis Obispo, CACalifornia | — | $344.14 |
| Santa Cruz, CACalifornia | — | $346.93 |
| Santa Maria, CACalifornia | — | $347.78 |
| Santa Rosa, CACalifornia | — | $349.70 |
| Stockton, CACalifornia | — | $343.20 |
| Vallejo, CACalifornia | — | $355.39 |
| Visalia, CACalifornia | — | $343.20 |
| Yuba City, CACalifornia | — | $343.20 |
| ColoradoColorado | — | $358.38 |
| ConnecticutConnecticut | — | $391.11 |
| DelawareDelaware | — | $363.08 |
| Fort Lauderdale, FLFlorida | — | $426.31 |
| Rest of FloridaFlorida | — | $403.56 |
| Atlanta, GAGeorgia | — | $384.43 |
| Rest of GeorgiaGeorgia | — | $380.23 |
| Hawaii, Guam, HIHawaii | — | $342.43 |
| IowaIowa | — | $324.71 |
| IdahoIdaho | — | $330.18 |
| East St. Louis, ILIllinois | — | $438.78 |
| Rest of IllinoisIllinois | — | $406.84 |
| Suburban Chicago, ILIllinois | — | $426.02 |
| IndianaIndiana | — | $331.25 |
| KansasKansas | — | $332.01 |
| KentuckyKentucky | — | $360.64 |
| New Orleans, LALouisiana | — | $377.36 |
| Rest of LouisianaLouisiana | — | $363.58 |
| Metropolitan Boston, MAMassachusetts | — | $376.94 |
| Rest of MassachusettsMassachusetts | — | $360.37 |
| Baltimore area, MDMaryland | — | $391.82 |
| Rest of MarylandMaryland | — | $366.33 |
| Rest of MaineMaine | — | $340.68 |
| Southern Maine, MEMaine | — | $342.88 |
| Detroit, MIMichigan | — | $416.65 |
| Rest of MichiganMichigan | — | $376.25 |
| MinnesotaMinnesota | — | $320.10 |
| Metropolitan Kansas City, MOMissouri | — | $366.11 |
| Metropolitan St. Louis, MOMissouri | — | $368.16 |
| Rest of MissouriMissouri | — | $364.21 |
| MontanaMontana | — | $368.94 |
| North CarolinaNorth Carolina | — | $342.16 |
| North DakotaNorth Dakota | — | $327.22 |
| NebraskaNebraska | — | $323.55 |
| New HampshireNew Hampshire | — | $361.17 |
| Northern New JerseyNew Jersey | — | $394.82 |
| Rest of New JerseyNew Jersey | — | $389.01 |
| New MexicoNew Mexico | — | $381.42 |
| NevadaNevada | — | $357.33 |
| NYC suburbs and Long Island, NYNew York | — | $451.34 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $398.42 |
| Queens, NYNew York | — | $421.94 |
| Rest of New YorkNew York | — | $347.05 |
| OhioOhio | — | $367.73 |
| OklahomaOklahoma | — | $351.01 |
| Portland, OROregon | — | $357.91 |
| Rest of OregonOregon | — | $348.06 |
| Metropolitan Philadelphia, PAPennsylvania | — | $388.56 |
| Rest of PennsylvaniaPennsylvania | — | $363.40 |
| Puerto RicoPuerto Rico | — | $368.27 |
| Rhode IslandRhode Island | — | $367.45 |
| South CarolinaSouth Carolina | — | $356.83 |
| South DakotaSouth Dakota | — | $322.28 |
| TennesseeTennessee | — | $334.44 |
| Austin, TXTexas | — | $362.88 |
| Beaumont, TXTexas | — | $362.09 |
| Brazoria, TXTexas | — | $355.59 |
| Dallas, TXTexas | — | $361.47 |
| Fort Worth, TXTexas | — | $362.17 |
| Galveston, TXTexas | — | $359.02 |
| Houston, TXTexas | — | $397.64 |
| Rest of TexasTexas | — | $361.12 |
| UtahUtah | — | $360.57 |
| VirginiaVirginia | — | $347.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $368.27 |
| VermontVermont | — | $334.04 |
| Rest of WashingtonWashington | — | $357.00 |
| King County, WAWashington | — | $375.01 |
| WisconsinWisconsin | — | $319.38 |
| West VirginiaWest Virginia | — | $396.57 |
| WyomingWyoming | — | $350.76 |
35683 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 35683 rate is calculated
Each of 35683’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 · 35683
RVUs × geographic indexes × conversion factor
Work8.28
8.28 RVUs× 1.000 GPCI
Practice expense0.66
0.66 RVUs× 1.000 GPCI
Malpractice2.11
2.11 RVUs× 1.000 GPCI
Adjusted RVUs
11.0500
Conversion factor
$33.4009
Medicare rate
$369.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,400
- Code
- 35683
- Physician work
- 8.28
- Practice expense
- 0.66
- Malpractice
- 2.11
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.28 | × 1.000 | 8.2800 |
| Practice expense | 0.66 | × 0.861 | 0.5683 |
| Malpractice | 2.11 | × 0.739 | 1.5593 |
| Total RVUs | 10.4076 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$347.62
Facility: (8.28 × 1 + 0.66 × 0.861 + 2.11 × 0.739) × $33.4009 = $347.62
Payment rules and modifiers for 35683
The CMS indicators that decide how 35683 is paid alongside other services.
CMS payment indicators · 35683
Composite bypass graft, three or more 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 35683 has changed in Mississippi
35683 · 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 | $347.62 | RVU26D |
| 2026-07-01 | Not available in this setting | $347.62 | RVU26C |
| 2026-04-01 | Not available in this setting | $347.62 | RVU26B |
| 2026-01-01 | Not available in this setting | $347.62 | RVU26A |
| 2025-10-01 | Not available in this setting | $364.79 | RVU25D |
| 2025-07-01 | Not available in this setting | $364.79 | RVU25C |
| 2025-04-01 | Not available in this setting | $364.79 | RVU25B |
| 2025-01-01 | Not available in this setting | $364.79 | RVU25A |
| 2024-10-01 | Not available in this setting | $373.99 | RVU24D |
| 2024-07-01 | Not available in this setting | $373.99 | RVU24C |
| 2024-04-01 | Not available in this setting | $373.99 | RVU24B |
| 2024-03-09 | Not available in this setting | $373.99 | RVU24AR |
| 2024-01-01 | Not available in this setting | $367.89 | RVU24A |
| 2023-10-01 | Not available in this setting | $376.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $376.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $376.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $376.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $382.84 | RVU22D |
| 2022-07-01 | Not available in this setting | $382.84 | RVU22C |
| 2022-04-01 | Not available in this setting | $382.84 | RVU22B |
| 2022-01-01 | Not available in this setting | $382.84 | RVU22A |
| 2021-10-01 | Not available in this setting | $383.61 | RVU21D |
| 2021-07-01 | Not available in this setting | $383.61 | RVU21C |
| 2021-04-01 | Not available in this setting | $383.61 | RVU21B |
| 2021-01-01 | Not available in this setting | $383.61 | RVU21A |
| 2020-10-01 | Not available in this setting | $387.01 | RVU20D |
| 2020-07-01 | Not available in this setting | $387.01 | RVU20C |
| 2020-04-01 | Not available in this setting | $387.01 | RVU20B |
| 2020-01-01 | Not available in this setting | $387.01 | RVU20A |
| 2019-10-01 | Not available in this setting | $375.56 | RVU19D |
| 2019-07-01 | Not available in this setting | $375.56 | RVU19C |
| 2019-04-01 | Not available in this setting | $375.56 | RVU19B |
| 2019-01-01 | Not available in this setting | $375.56 | RVU19A |
| 2018-10-01 | Not available in this setting | $377.38 | RVU18D |
| 2018-07-01 | Not available in this setting | $377.38 | RVU18C |
| 2018-04-01 | Not available in this setting | $377.38 | RVU18B |
| 2018-01-01 | Not available in this setting | $377.38 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $387.72 | RVU17D |
| 2017-07-01 | Not available in this setting | $387.72 | RVU17C |
| 2017-04-01 | Not available in this setting | $387.72 | RVU17B |
| 2017-01-01 | Not available in this setting | $387.72 | RVU17A |
| 2016-10-01 | Not available in this setting | $401.44 | RVU16D |
| 2016-07-01 | Not available in this setting | $401.44 | RVU16C |
| 2016-04-01 | Not available in this setting | $401.44 | RVU16B |
| 2016-01-01 | Not available in this setting | $401.44 | RVU16A |
| 2015-10-01 | Not available in this setting | $401.20 | RVU15D |
| 2015-07-01 | Not available in this setting | $401.20 | RVU15C |
| 2015-04-01 | Not available in this setting | $399.20 | RVU15B |
| 2015-01-01 | Not available in this setting | $399.20 | RVU15A |
| 2014-10-01 | Not available in this setting | $406.92 | RVU14D |
| 2014-07-01 | Not available in this setting | $406.92 | RVU14C |
| 2014-04-01 | Not available in this setting | $406.92 | RVU14B |
| 2014-01-01 | Not available in this setting | $406.92 | RVU14A |
| 2013-10-01 | Not available in this setting | $400.74 | RVU13D |
| 2013-07-01 | Not available in this setting | $400.74 | RVU13C |
| 2013-04-01 | Not available in this setting | $400.74 | RVU13B |
| 2013-01-01 | Not available in this setting | $400.74 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
35683 billing questions
Can 35683 be billed by itself?
No. It is an add-on code and must be reported with a primary bypass procedure.
How is 35683 different from 35682?
35683 is the composite graft category for three or more segments; 35682 describes a composite graft using two veins.
What should the operative report document?
Document the bypass route and the graft construction, including the number of segments supporting selection of the three-or-more-segment category.
Is this code reported once for each graft segment?
It identifies the three-or-more-segment composite graft category; it is not a per-segment code.
Which code identifies the bypass route?
The primary bypass code identifies the route, such as femoral-to-popliteal or femoral-to-tibial. Report 35683 as the add-on when the graft configuration meets its segment criterion.
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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