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Billing code 35560: Renal bypassMedicare rate & RVUs

Reports open bypass from the aorta to a renal artery using a vein graft to restore or preserve blood flow to the kidney.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,549.13 for 35560 nationally in a facility.

Medicare rate · 35560

Renal bypass

Swap in your local Medicare rate.

Work RVUs
33.18
Total RVUs
46.38
Global days
090

National rate · 2026

$1,549.13

Facility setting, before claim adjustments.

See every locality for 35560 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 35560 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 35560 covers

A vascular surgeon performs an open bypass from the aorta to a renal artery using a vein conduit. The operation may be selected when renal blood flow needs surgical revascularization, such as with significant renal artery obstruction or during complex aortic and renal reconstruction. The operative report should identify the aortic inflow, renal artery target, graft material, laterality, and clinical reason for the bypass.

Report 35560 when the documented route is aorta to renal artery and the graft is vein; a different inflow or target, or a non-vein conduit, may point to another code. Medicare assigns a 90-day major-surgery 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 is paid in full and others at 50%. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require 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.

Where 35560 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

35560 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,406.29
Alaska*Unavailable$1,985.98
ArizonaUnavailable$1,503.38
ArkansasUnavailable$1,389.30
AtlantaUnavailable$1,612.04
AustinUnavailable$1,528.09
BakersfieldUnavailable$1,474.25
Baltimore/Surr. CntysUnavailable$1,645.61
BeaumontUnavailable$1,514.85
BrazoriaUnavailable$1,494.13

35560 rates by state

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

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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
35560 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

How the 35560 rate is calculated

Each of 35560’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 · 35560

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 33.18Practice expense 4.70Malpractice 8.50

46.3800 adjusted RVUs×$33.4009 conversion factor=$1,549.13

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 35560

35560 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35560

Renal bypass

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35560

Renal bypass

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35560 without 50 · national facility

$1,549.13

Renal bypass

35560-50 · Bilateral: 150%

$2,323.70

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

35560 compared with similar codes

Compare codes

35560 vs 35631 vs 35535 vs 35536 vs 35531: national Medicare rates

Swap in your local Medicare rate.

  • 35560
    Renal bypass · 33.18 wRVU
    —
  • 35631
    Aortic bypass · 35.13 wRVU
    —
  • 35535
    Renal artery bypass · 37.18 wRVU
    —
  • 35536
    Arterial bypass · 32.89 wRVU
    —
  • 35531
    Visceral bypass · 38.13 wRVU
    —

How to choose

35631Aortic bypass
Both describe an aorta-to-renal bypass route. Choose 35560 for a vein graft and 35631 when the graft is not vein.
35535Renal artery bypass
35560 uses the aorta as inflow to a renal artery; 35535 uses hepatic inflow for the renal bypass.
35536Arterial bypass
35560 uses aortic inflow, while 35536 uses splenic inflow for the renal bypass.
35531Visceral bypass
35560 targets a renal artery; 35531 targets celiac or mesenteric vessels from the aorta.

Codes related to 35560

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

Codes related to 35560
CodeHow it relatesNational office range
Used instead
35631Aortic bypassAorta-to-renal bypass route using a graft other than vein.No office rate
35535Renal artery bypassRenal revascularization using hepatic rather than aortic inflow.No office rate
35536Arterial bypassRenal revascularization using splenic rather than aortic inflow.No office rate
Same family
35531Visceral bypassVein bypass from the aorta to celiac or mesenteric vessels; target differs.No office rate

35560 billing questions

How do I distinguish 35560 from a non-vein aortorenal bypass code?

Use 35560 when the operative report documents a vein graft from the aorta to a renal artery. A non-vein graft for that route is represented by 35631.

Does this code describe a hepatorenal or splenorenal bypass?

No. 35560 identifies the aorta as the inflow source; hepatorenal and splenorenal bypasses use different inflow vessels and are represented by 35535 and 35536, respectively.

What should the operative report document?

Document the aortic inflow, renal artery target, vein graft material, laterality, and indication. These details establish that the service is an aorta-to-renal vein bypass rather than another bypass route or graft type.

How does the 90-day global period affect postoperative billing?

The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those related services are included in the surgical package.

How is bilateral performance handled?

When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS facts provided.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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 35560PPRRVU2026_Oct_nonQPP.csv, line 4,360 (RVU26D)

Open CMS sourceHow we calculate rates

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