CPT code 35700: Bypass reoperation, add-on service2026 Medicare rate & RVUs in Washington, DC area
Additional reporting for repeat surgery involving a previously placed bypass graft, submitted with the primary operation when reoperative work is performed.
In Washington, DC area, Medicare pays $146.81 for 35700 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 35700 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 35700 covers
Code 35700 captures the added work of operating again on a previously placed bypass graft. Vascular surgeons report it when a new operation requires reentry into a prior bypass-graft operative field; it is not the primary code for the definitive procedure. The operative record should identify the existing graft, explain why another operation was needed, and describe the reoperative work performed. The service is associated with operative treatment of bypass-graft problems, not a routine office encounter.
Report 35700 only with the CPT code for the primary operation; it cannot stand alone. Select that primary code for the actual procedure performed, such as an appropriate lower-extremity bypass operation, and report 35700 when the record supports reoperation on the graft. CMS treats it as an add-on code paid within the primary procedure's global period. The operative report should connect the prior graft, the repeat operative work, and the definitive service represented by the primary code.
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 Washington, DC area compares for 35700
Across 109 of 109 payment localities, the facility rate for 35700 runs from $118.15 in Wisconsin to $176.87 in Miami, FL. Washington, DC area pays $146.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$146.81
- Los Angeles, CA · California$133.86−$12.95
- Miami, FL · Florida$176.87+$30.06
- Chicago, IL · Illinois$171.10+$24.29
- Manhattan, NY · New York$159.97+$13.16
- Alaska · Alaska$175.69+$28.88
- Alabama · Alabama$124.01−$22.80
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $122.51 |
| ArizonaArizona | — | $132.54 |
| Bakersfield, CACalifornia | — | $129.32 |
| Chico, CACalifornia | — | $127.22 |
| El Centro, CACalifornia | — | $127.35 |
| Fresno, CACalifornia | — | $127.22 |
| Hanford, CACalifornia | — | $127.22 |
| Madera, CACalifornia | — | $127.22 |
| Merced, CACalifornia | — | $127.22 |
| Modesto, CACalifornia | — | $127.22 |
| Napa, CACalifornia | — | $133.40 |
| Oxnard, CACalifornia | — | $131.48 |
| Redding, CACalifornia | — | $127.22 |
| Rest of CaliforniaCalifornia | — | $127.22 |
| Riverside, CACalifornia | — | $135.58 |
| Sacramento, CACalifornia | — | $129.82 |
| Salinas, CACalifornia | — | $129.27 |
| San Diego, CACalifornia | — | $129.71 |
| Marin County, CACalifornia | — | $136.28 |
| San Francisco, CACalifornia | — | $135.39 |
| San Benito County, CACalifornia | — | $140.12 |
| Santa Clara County, CACalifornia | — | $136.50 |
| San Luis Obispo, CACalifornia | — | $127.66 |
| Santa Cruz, CACalifornia | — | $128.85 |
| Santa Maria, CACalifornia | — | $129.05 |
| Santa Rosa, CACalifornia | — | $129.89 |
| Stockton, CACalifornia | — | $127.22 |
| Vallejo, CACalifornia | — | $132.12 |
| Visalia, CACalifornia | — | $127.22 |
| Yuba City, CACalifornia | — | $127.22 |
| ColoradoColorado | — | $132.77 |
| ConnecticutConnecticut | — | $144.88 |
| DelawareDelaware | — | $134.36 |
| Fort Lauderdale, FLFlorida | — | $157.79 |
| Rest of FloridaFlorida | — | $149.26 |
| Atlanta, GAGeorgia | — | $142.31 |
| Rest of GeorgiaGeorgia | — | $140.49 |
| Hawaii, Guam, HIHawaii | — | $127.06 |
| IowaIowa | — | $120.02 |
| IdahoIdaho | — | $122.05 |
| East St. Louis, ILIllinois | — | $162.20 |
| Rest of IllinoisIllinois | — | $150.38 |
| Suburban Chicago, ILIllinois | — | $157.70 |
| IndianaIndiana | — | $122.46 |
| KansasKansas | — | $122.69 |
| KentuckyKentucky | — | $133.25 |
| New Orleans, LALouisiana | — | $139.54 |
| Rest of LouisianaLouisiana | — | $134.32 |
| Metropolitan Boston, MAMassachusetts | — | $139.86 |
| Rest of MassachusettsMassachusetts | — | $133.47 |
| Baltimore area, MDMaryland | — | $145.14 |
| Rest of MarylandMaryland | — | $135.60 |
| Rest of MaineMaine | — | $125.93 |
| Southern Maine, MEMaine | — | $126.90 |
| Detroit, MIMichigan | — | $154.12 |
| Rest of MichiganMichigan | — | $139.07 |
| MinnesotaMinnesota | — | $118.57 |
| Metropolitan Kansas City, MOMissouri | — | $135.38 |
| Metropolitan St. Louis, MOMissouri | — | $136.16 |
| Rest of MissouriMissouri | — | $134.50 |
| MississippiMississippi | — | $128.37 |
| MontanaMontana | — | $136.56 |
| North CarolinaNorth Carolina | — | $126.51 |
| North DakotaNorth Dakota | — | $121.13 |
| NebraskaNebraska | — | $119.61 |
| New HampshireNew Hampshire | — | $133.78 |
| Northern New JerseyNew Jersey | — | $146.35 |
| Rest of New JerseyNew Jersey | — | $144.10 |
| New MexicoNew Mexico | — | $140.99 |
| NevadaNevada | — | $132.27 |
| NYC suburbs and Long Island, NYNew York | — | $167.31 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $147.57 |
| Queens, NYNew York | — | $156.42 |
| Rest of New YorkNew York | — | $128.35 |
| OhioOhio | — | $135.92 |
| OklahomaOklahoma | — | $129.69 |
| Portland, OROregon | — | $132.69 |
| Rest of OregonOregon | — | $128.83 |
| Metropolitan Philadelphia, PAPennsylvania | — | $143.87 |
| Rest of PennsylvaniaPennsylvania | — | $134.33 |
| Puerto RicoPuerto Rico | — | $136.33 |
| Rhode IslandRhode Island | — | $136.04 |
| South CarolinaSouth Carolina | — | $131.91 |
| South DakotaSouth Dakota | — | $119.31 |
| TennesseeTennessee | — | $123.61 |
| Austin, TXTexas | — | $134.44 |
| Beaumont, TXTexas | — | $133.83 |
| Brazoria, TXTexas | — | $131.59 |
| Dallas, TXTexas | — | $133.77 |
| Fort Worth, TXTexas | — | $134.01 |
| Galveston, TXTexas | — | $132.86 |
| Houston, TXTexas | — | $147.13 |
| Rest of TexasTexas | — | $133.55 |
| UtahUtah | — | $133.33 |
| VirginiaVirginia | — | $128.77 |
| Virgin Islands, VIUnited States Virgin Islands | — | $136.33 |
| VermontVermont | — | $123.64 |
| Rest of WashingtonWashington | — | $132.23 |
| King County, WAWashington | — | $139.20 |
| WisconsinWisconsin | — | $118.15 |
| West VirginiaWest Virginia | — | $146.48 |
| WyomingWyoming | — | $129.84 |
35700 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 35700 rate is calculated
Each of 35700’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 · 35700
RVUs × geographic indexes × conversion factor
Work3.00
3.00 RVUs× 1.000 GPCI
Practice expense0.31
0.31 RVUs× 1.000 GPCI
Malpractice0.78
0.78 RVUs× 1.000 GPCI
Adjusted RVUs
4.0900
Conversion factor
$33.4009
Medicare rate
$136.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,408
- Code
- 35700
- Physician work
- 3.00
- Practice expense
- 0.31
- Malpractice
- 0.78
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.00 | × 1.054 | 3.1620 |
| Practice expense | 0.31 | × 1.178 | 0.3652 |
| Malpractice | 0.78 | × 1.113 | 0.8681 |
| Total RVUs | 4.3953 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$146.81
Facility: (3 × 1.054 + 0.31 × 1.178 + 0.78 × 1.113) × $33.4009 = $146.81
Payment rules and modifiers for 35700
The CMS indicators that decide how 35700 is paid alongside other services.
CMS payment indicators · 35700
Bypass reoperation, add-on service
| 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) | 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
35700 without 80 · national facility
$136.61
Bypass reoperation, add-on service
35700-80 · Assistant: 16%
$21.86
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 35700 has changed in Washington, DC area
35700 · 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 | $146.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $146.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $146.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $146.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $156.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $156.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $156.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $156.77 | RVU25A |
| 2024-10-01 | Not available in this setting | $160.93 | RVU24D |
| 2024-07-01 | Not available in this setting | $160.93 | RVU24C |
| 2024-04-01 | Not available in this setting | $160.93 | RVU24B |
| 2024-03-09 | Not available in this setting | $160.93 | RVU24AR |
| 2024-01-01 | Not available in this setting | $158.31 | RVU24A |
| 2023-10-01 | Not available in this setting | $165.36 | RVU23D |
| 2023-07-01 | Not available in this setting | $165.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $165.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $165.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $172.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $172.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $172.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $172.04 | RVU22A |
| 2021-10-01 | Not available in this setting | $172.99 | RVU21D |
| 2021-07-01 | Not available in this setting | $172.99 | RVU21C |
| 2021-04-01 | Not available in this setting | $172.99 | RVU21B |
| 2021-01-01 | Not available in this setting | $172.99 | RVU21A |
| 2020-10-01 | Not available in this setting | $178.01 | RVU20D |
| 2020-07-01 | Not available in this setting | $178.01 | RVU20C |
| 2020-04-01 | Not available in this setting | $178.01 | RVU20B |
| 2020-01-01 | Not available in this setting | $178.01 | RVU20A |
| 2019-10-01 | Not available in this setting | $175.60 | RVU19D |
| 2019-07-01 | Not available in this setting | $175.60 | RVU19C |
| 2019-04-01 | Not available in this setting | $175.60 | RVU19B |
| 2019-01-01 | Not available in this setting | $175.60 | RVU19A |
| 2018-10-01 | Not available in this setting | $176.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $176.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $176.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $176.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $178.05 | RVU17D |
| 2017-07-01 | Not available in this setting | $178.05 | RVU17C |
| 2017-04-01 | Not available in this setting | $178.05 | RVU17B |
| 2017-01-01 | Not available in this setting | $178.05 | RVU17A |
| 2016-10-01 | Not available in this setting | $180.37 | RVU16D |
| 2016-07-01 | Not available in this setting | $180.37 | RVU16C |
| 2016-04-01 | Not available in this setting | $180.37 | RVU16B |
| 2016-01-01 | Not available in this setting | $180.37 | RVU16A |
| 2015-10-01 | Not available in this setting | $181.04 | RVU15D |
| 2015-07-01 | Not available in this setting | $181.04 | RVU15C |
| 2015-04-01 | Not available in this setting | $180.14 | RVU15B |
| 2015-01-01 | Not available in this setting | $180.14 | RVU15A |
| 2014-10-01 | Not available in this setting | $178.79 | RVU14D |
| 2014-07-01 | Not available in this setting | $178.79 | RVU14C |
| 2014-04-01 | Not available in this setting | $178.79 | RVU14B |
| 2014-01-01 | Not available in this setting | $178.79 | RVU14A |
| 2013-10-01 | Not available in this setting | $173.50 | RVU13D |
| 2013-07-01 | Not available in this setting | $173.50 | RVU13C |
| 2013-04-01 | Not available in this setting | $173.50 | RVU13B |
| 2013-01-01 | Not available in this setting | $173.50 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
35700 billing questions
Can 35700 be reported by itself?
No. It is an add-on code and must be submitted with the primary procedure performed during the reoperation.
How do I choose the primary procedure?
Code the definitive operation actually performed. For example, 35556 or 35656 may represent a femoral-popliteal bypass, depending on the graft used and the procedure performed.
How is 35700 different from 35703?
Code 35703 describes exploration of a lower-extremity artery that is not followed by surgical repair. Code 35700 is add-on reporting for reoperation involving a bypass graft.
Is 35700 the code for graft thrombectomy?
No. Codes 35875 and 35876 describe thrombectomy of an arterial or venous graft, without or with graft revision, respectively. Choose codes based on the work performed.
What documentation supports 35700?
Document the existing bypass graft, the reason for returning to the operative field, the reoperative work performed, and the primary procedure completed.
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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