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.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Washington, DC area, Medicare pays $146.81 for 35700 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$146.81Hospital or facility

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.

We’ll open 35700 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 35700 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

35700 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$146.81
  2. Los Angeles, CA · California$133.86−$12.95
  3. Miami, FL · Florida$176.87+$30.06
  4. Chicago, IL · Illinois$171.10+$24.29
  5. Manhattan, NY · New York$159.97+$13.16
  6. Alaska · Alaska$175.69+$28.88
  7. Alabama · Alabama$124.01−$22.80

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

35700 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
35700 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 35700 in every payment locality

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

Office or facility?

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
Facility calculation for 35700 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.00× 1.0543.1620
Practice expense0.31× 1.1780.3652
Malpractice0.78× 1.1130.8681
Total RVUs4.3953
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

Open 35700 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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.

When to use modifier 80

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$146.81RVU26D
2026-07-01Not available in this setting$146.81RVU26C
2026-04-01Not available in this setting$146.81RVU26B
2026-01-01Not available in this setting$146.81RVU26A
2025-10-01Not available in this setting$156.77RVU25D
2025-07-01Not available in this setting$156.77RVU25C
2025-04-01Not available in this setting$156.77RVU25B
2025-01-01Not available in this setting$156.77RVU25A
2024-10-01Not available in this setting$160.93RVU24D
2024-07-01Not available in this setting$160.93RVU24C
2024-04-01Not available in this setting$160.93RVU24B
2024-03-09Not available in this setting$160.93RVU24AR
2024-01-01Not available in this setting$158.31RVU24A
2023-10-01Not available in this setting$165.36RVU23D
2023-07-01Not available in this setting$165.36RVU23C
2023-04-01Not available in this setting$165.36RVU23B
2023-01-01Not available in this setting$165.36RVU23A
2022-10-01Not available in this setting$172.04RVU22D
2022-07-01Not available in this setting$172.04RVU22C
2022-04-01Not available in this setting$172.04RVU22B
2022-01-01Not available in this setting$172.04RVU22A
2021-10-01Not available in this setting$172.99RVU21D
2021-07-01Not available in this setting$172.99RVU21C
2021-04-01Not available in this setting$172.99RVU21B
2021-01-01Not available in this setting$172.99RVU21A
2020-10-01Not available in this setting$178.01RVU20D
2020-07-01Not available in this setting$178.01RVU20C
2020-04-01Not available in this setting$178.01RVU20B
2020-01-01Not available in this setting$178.01RVU20A
2019-10-01Not available in this setting$175.60RVU19D
2019-07-01Not available in this setting$175.60RVU19C
2019-04-01Not available in this setting$175.60RVU19B
2019-01-01Not available in this setting$175.60RVU19A
2018-10-01Not available in this setting$176.71RVU18D
2018-07-01Not available in this setting$176.71RVU18C
2018-04-01Not available in this setting$176.71RVU18B
2018-01-01Not available in this setting$176.71RVU18AR1
2017-10-01Not available in this setting$178.05RVU17D
2017-07-01Not available in this setting$178.05RVU17C
2017-04-01Not available in this setting$178.05RVU17B
2017-01-01Not available in this setting$178.05RVU17A
2016-10-01Not available in this setting$180.37RVU16D
2016-07-01Not available in this setting$180.37RVU16C
2016-04-01Not available in this setting$180.37RVU16B
2016-01-01Not available in this setting$180.37RVU16A
2015-10-01Not available in this setting$181.04RVU15D
2015-07-01Not available in this setting$181.04RVU15C
2015-04-01Not available in this setting$180.14RVU15B
2015-01-01Not available in this setting$180.14RVU15A
2014-10-01Not available in this setting$178.79RVU14D
2014-07-01Not available in this setting$178.79RVU14C
2014-04-01Not available in this setting$178.79RVU14B
2014-01-01Not available in this setting$178.79RVU14A
2013-10-01Not available in this setting$173.50RVU13D
2013-07-01Not available in this setting$173.50RVU13C
2013-04-01Not available in this setting$173.50RVU13B
2013-01-01Not available in this setting$173.50RVU13AR

Price 35700 for an earlier date of service

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

Browse all communities in District of Columbia

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
RVUs for 35700PPRRVU2026_Oct_nonQPP.csv, line 4,408 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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