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Billing code 35682: Composite bypassMedicare rate & RVUs

Reports a composite arterial bypass conduit assembled from two vein segments, in addition to the primary bypass procedure describing the route.

CMS RVU26DEffective Oct 1, 2026109 payment localities84 Medicare services in 2024

Medicare pays $315.30 for 35682 nationally in a facility.

Medicare rate · 35682

Composite bypass

Swap in your local Medicare rate.

Work RVUs
7.01
Total RVUs
9.44
Global days
ZZZ

National rate · 2026

$315.30

Facility setting, before claim adjustments.

See every locality for 35682 → · 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 35682 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 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.

Where 35682 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

35682 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$286.79
Alaska*Unavailable$407.09
ArizonaUnavailable$306.07
ArkansasUnavailable$283.41
AtlantaUnavailable$328.30
AustinUnavailable$310.25
BakersfieldUnavailable$298.59
Baltimore/Surr. CntysUnavailable$334.73
BeaumontUnavailable$309.13
BrazoriaUnavailable$303.90

35682 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
35682 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 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

Swap in your local Medicare rate.

Work 7.01Practice expense 0.65Malpractice 1.78

9.4400 adjusted RVUs×$33.4009 conversion factor=$315.30

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

Payment rules and modifiers for 35682

The CMS indicators that decide how 35682 is paid alongside other services.

CMS payment indicators · 35682

Composite bypass

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)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

35682 compared with similar codes

Compare codes

35682 vs 35681 vs 35683 vs 35656: national Medicare rates

Swap in your local Medicare rate.

  • 35682
    Composite bypass · 7.01 wRVU
    —
  • 35681
    Composite bypass graft · 1.56 wRVU
    —
  • 35683
    Composite bypass graft · 8.28 wRVU
    —
  • 35656
    Arterial bypass · 19.96 wRVU
    —

How to choose

35681Composite bypass graft
Choose 35681 when the composite conduit combines prosthetic material and vein. Choose 35682 when it is constructed from two vein segments.
35683Composite bypass graft
Both describe composite vein bypass construction; 35682 is for two vein segments, while 35683 is for three or more.
35656Arterial bypass
35656 describes the femoral-popliteal bypass route. 35682 describes the two-segment composite vein conduit and is reported with a primary bypass procedure.

Codes related to 35682

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

Codes related to 35682
CodeHow it relatesNational office range
Same family
35681Composite bypass graftComposite bypass sibling for a conduit made with prosthetic material and vein.No office rate
35683Composite bypass graftComposite bypass sibling for three or more vein segments.No office rate
Add-on codes
35656Arterial bypassFemoral-popliteal bypass route that may be reported as the primary procedure.No office rate
35666Leg bypassFemoral-to-distal-leg bypass route that may be reported as the primary procedure.No office rate

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
RVUs for 35682PPRRVU2026_Oct_nonQPP.csv, line 4,399 (RVU26D)

Open CMS sourceHow we calculate rates

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