No office rate
Choose 35681 when the composite conduit combines prosthetic material and vein. Choose 35682 when it is constructed from two vein segments.
On this page
CMS RVU26D · Effective 2026-10-01
35682 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$309.13
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular surgery
About 35682: Composite arterial bypass with two vein segments
Reports a composite arterial bypass conduit assembled from two vein segments, in addition to the primary bypass procedure describing the route.
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.
CMS billing rules for 35682
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU7.01 · 74%
- Practice expense (office) RVU0.65 · 7%
- Malpractice RVU1.78 · 19%
84
Medicare services in 2024 · #5006 by national volume
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.
35682 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
Both describe composite vein bypass construction; 35682 is for two vein segments, while 35683 is for three or more.
No office rate
35656 describes the femoral-popliteal bypass route. 35682 describes the two-segment composite vein conduit and is reported with a primary bypass procedure.
The same code, a different location
How does Beaumont compare?
35682 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 35682
Office
Unavailable
Facility
$308.43
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 35682
Office
Unavailable
Facility
$308.90
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35682
Office
Unavailable
Facility
$338.53
No comparable office rate is available.
Miami
Florida · 35682
Office
Unavailable
Facility
$407.10
No comparable office rate is available.
Chicago
Illinois · 35682
Office
Unavailable
Facility
$394.04
No comparable office rate is available.
Manhattan
New York · 35682
Office
Unavailable
Facility
$368.65
No comparable office rate is available.
Alaska*
Alaska · 35682
Office
Unavailable
Facility
$407.09
No comparable office rate is available.
Alabama
Alabama · 35682
Office
Unavailable
Facility
$286.79
No comparable office rate is available.
Arkansas
Arkansas · 35682
Office
Unavailable
Facility
$283.41
No comparable office rate is available.
Arizona
Arizona · 35682
Office
Unavailable
Facility
$306.07
No comparable office rate is available.
Bakersfield
California · 35682
Office
Unavailable
Facility
$298.59
No comparable office rate is available.
Chico
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
El Centro
California · 35682
Office
Unavailable
Facility
$294.08
No comparable office rate is available.
Fresno
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Hanford-Corcoran
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Madera
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Merced
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Modesto
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Napa
California · 35682
Office
Unavailable
Facility
$307.71
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35682
Office
Unavailable
Facility
$303.40
No comparable office rate is available.
Redding
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Rest Of California
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35682
Office
Unavailable
Facility
$312.86
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35682
Office
Unavailable
Facility
$299.69
No comparable office rate is available.
Salinas
California · 35682
Office
Unavailable
Facility
$298.43
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35682
Office
Unavailable
Facility
$299.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35682
Office
Unavailable
Facility
$314.28
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35682
Office
Unavailable
Facility
$312.26
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35682
Office
Unavailable
Facility
$323.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35682
Office
Unavailable
Facility
$314.81
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35682
Office
Unavailable
Facility
$294.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35682
Office
Unavailable
Facility
$297.30
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35682
Office
Unavailable
Facility
$297.88
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35682
Office
Unavailable
Facility
$299.69
No comparable office rate is available.
Stockton
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Vallejo
California · 35682
Office
Unavailable
Facility
$304.79
No comparable office rate is available.
Visalia
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Yuba City
California · 35682
Office
Unavailable
Facility
$293.78
No comparable office rate is available.
Colorado
Colorado · 35682
Office
Unavailable
Facility
$306.48
No comparable office rate is available.
Connecticut
Connecticut · 35682
Office
Unavailable
Facility
$334.14
No comparable office rate is available.
Delaware
Delaware · 35682
Office
Unavailable
Facility
$310.21
No comparable office rate is available.
Fort Lauderdale
Florida · 35682
Office
Unavailable
Facility
$363.63
No comparable office rate is available.
Rest Of Florida
Florida · 35682
Office
Unavailable
Facility
$344.25
No comparable office rate is available.
Atlanta
Georgia · 35682
Office
Unavailable
Facility
$328.30
No comparable office rate is available.
Rest Of Georgia
Georgia · 35682
Office
Unavailable
Facility
$324.37
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35682
Office
Unavailable
Facility
$293.25
No comparable office rate is available.
Iowa
Iowa · 35682
Office
Unavailable
Facility
$277.61
No comparable office rate is available.
Idaho
Idaho · 35682
Office
Unavailable
Facility
$282.24
No comparable office rate is available.
East St. Louis
Illinois · 35682
Office
Unavailable
Facility
$373.85
No comparable office rate is available.
Rest Of Illinois
Illinois · 35682
Office
Unavailable
Facility
$346.89
No comparable office rate is available.
Suburban Chicago
Illinois · 35682
Office
Unavailable
Facility
$363.43
No comparable office rate is available.
Indiana
Indiana · 35682
Office
Unavailable
Facility
$283.16
No comparable office rate is available.
Kansas
Kansas · 35682
Office
Unavailable
Facility
$283.73
No comparable office rate is available.
Kentucky
Kentucky · 35682
Office
Unavailable
Facility
$307.84
No comparable office rate is available.
New Orleans
Louisiana · 35682
Office
Unavailable
Facility
$322.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35682
Office
Unavailable
Facility
$310.31
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35682
Office
Unavailable
Facility
$322.58
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35682
Office
Unavailable
Facility
$308.13
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35682
Office
Unavailable
Facility
$334.73
No comparable office rate is available.
Rest Of Maryland
Maryland · 35682
Office
Unavailable
Facility
$313.03
No comparable office rate is available.
Rest Of Maine
Maine · 35682
Office
Unavailable
Facility
$291.09
No comparable office rate is available.
Southern Maine
Maine · 35682
Office
Unavailable
Facility
$293.17
No comparable office rate is available.
Detroit
Michigan · 35682
Office
Unavailable
Facility
$355.33
No comparable office rate is available.
Rest Of Michigan
Michigan · 35682
Office
Unavailable
Facility
$321.09
No comparable office rate is available.
Minnesota
Minnesota · 35682
Office
Unavailable
Facility
$274.08
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35682
Office
Unavailable
Facility
$312.61
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35682
Office
Unavailable
Facility
$314.38
No comparable office rate is available.
Rest Of Missouri
Missouri · 35682
Office
Unavailable
Facility
$310.76
No comparable office rate is available.
Mississippi
Mississippi · 35682
Office
Unavailable
Facility
$296.77
No comparable office rate is available.
Montana**
Montana · 35682
Office
Unavailable
Facility
$315.19
No comparable office rate is available.
North Carolina
North Carolina · 35682
Office
Unavailable
Facility
$292.39
No comparable office rate is available.
North Dakota**
North Dakota · 35682
Office
Unavailable
Facility
$279.99
No comparable office rate is available.
Nebraska
Nebraska · 35682
Office
Unavailable
Facility
$276.65
No comparable office rate is available.
New Hampshire
New Hampshire · 35682
Office
Unavailable
Facility
$308.76
No comparable office rate is available.
Northern Nj
New Jersey · 35682
Office
Unavailable
Facility
$337.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35682
Office
Unavailable
Facility
$332.43
No comparable office rate is available.
New Mexico
New Mexico · 35682
Office
Unavailable
Facility
$325.45
No comparable office rate is available.
Nevada**
Nevada · 35682
Office
Unavailable
Facility
$305.40
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35682
Office
Unavailable
Facility
$385.34
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35682
Office
Unavailable
Facility
$340.39
No comparable office rate is available.
Queens
New York · 35682
Office
Unavailable
Facility
$360.52
No comparable office rate is available.
Rest Of New York
New York · 35682
Office
Unavailable
Facility
$296.56
No comparable office rate is available.
Ohio
Ohio · 35682
Office
Unavailable
Facility
$313.89
No comparable office rate is available.
Oklahoma
Oklahoma · 35682
Office
Unavailable
Facility
$299.72
No comparable office rate is available.
Portland
Oregon · 35682
Office
Unavailable
Facility
$306.24
No comparable office rate is available.
Rest Of Oregon
Oregon · 35682
Office
Unavailable
Facility
$297.56
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35682
Office
Unavailable
Facility
$331.88
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35682
Office
Unavailable
Facility
$310.25
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35682
Office
Unavailable
Facility
$314.65
No comparable office rate is available.
Rhode Island
Rhode Island · 35682
Office
Unavailable
Facility
$314.05
No comparable office rate is available.
South Carolina
South Carolina · 35682
Office
Unavailable
Facility
$304.74
No comparable office rate is available.
South Dakota**
South Dakota · 35682
Office
Unavailable
Facility
$275.83
No comparable office rate is available.
Tennessee
Tennessee · 35682
Office
Unavailable
Facility
$285.80
No comparable office rate is available.
Utah
Utah · 35682
Office
Unavailable
Facility
$307.94
No comparable office rate is available.
Virginia
Virginia · 35682
Office
Unavailable
Facility
$297.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35682
Office
Unavailable
Facility
$314.65
No comparable office rate is available.
Vermont
Vermont · 35682
Office
Unavailable
Facility
$285.72
No comparable office rate is available.
Rest Of Washington
Washington · 35682
Office
Unavailable
Facility
$305.29
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35682
Office
Unavailable
Facility
$321.06
No comparable office rate is available.
Wisconsin
Wisconsin · 35682
Office
Unavailable
Facility
$273.25
No comparable office rate is available.
West Virginia
West Virginia · 35682
Office
Unavailable
Facility
$338.08
No comparable office rate is available.
Wyoming**
Wyoming · 35682
Office
Unavailable
Facility
$299.85
No comparable office rate is available.
See how rates vary across the country
35682 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 35682 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$340.04
$309.13 × 110% = $340.04
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 35682 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
4,399
- Code
- 35682
- Physician work
- 7.01
- Practice expense
- 0.65
- Malpractice
- 1.78
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.01 | × 1.000 | 7.0100 |
| Practice expense | 0.65 | × 0.910 | 0.5915 |
| Malpractice | 1.78 | × 0.929 | 1.6536 |
| Total RVUs | 9.2551 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$309.13
Open 35682 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.01 | 1 |
| Practice expense | 0.65 | 0.91 |
| Malpractice | 1.78 | 0.929 |
(7.01 × 1 + 0.65 × 0.91 + 1.78 × 0.929) × $33.4009 = $309.13
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
35682 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $309.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $309.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $309.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $309.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $325.08 | RVU25D |
| 2025-07-01 | Not available in this setting | $325.08 | RVU25C |
| 2025-04-01 | Not available in this setting | $325.08 | RVU25B |
| 2025-01-01 | Not available in this setting | $325.08 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,39635666,,Bpg fem-ant tib pst tib/prnl,A,,23.07,6.00,NA,6.00,,5.89,34.96,34.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39735671,,Bpg pop-tibl/-prnl artery,A,,20.25,5.39,NA,5.39,,5.16,30.80,30.80,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39835681,,Composite byp grft pros&vein,A,,1.56,0.19,NA,0.19,,0.40,2.15,2.15,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39935682,,Composite byp grft 2 veins,A,,7.01,0.65,NA,0.65,,1.78,9.44,9.44,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40035683,,Composite byp grft 3/> segmt,A,,8.28,0.66,NA,0.66,,2.11,11.05,11.05,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40135685,,Bypass graft patency/patch,A,,3.94,0.39,NA,0.39,,1.02,5.35,5.35,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40235686,,Bypass graft/av fist patency,A,,3.26,0.26,NA,0.26,,0.83,4.35,4.35,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871