No office rate
Both use iliac inflow, but 35632 directs the graft to the celiac artery; 35633 directs it to a mesenteric artery.
On this page
CMS RVU26D · Effective 2026-10-01
35633 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1773.44
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 35633: Ilio-mesenteric bypass graft
Reports open bypass using a non-vein graft from an iliac artery to a mesenteric artery to restore blood flow in mesenteric occlusive disease.
This code describes open arterial revascularization using a graft other than vein to carry blood from an iliac artery to a mesenteric artery, commonly the superior mesenteric artery. Vascular surgeons may perform it for mesenteric arterial occlusive disease when an open bypass is selected. The operative report should establish the inflow artery, mesenteric outflow target, conduit, and indication for revascularization.
Choose this code for the iliac-to-mesenteric route; a different inflow or outflow site points to a different bypass code. Document the graft path and each bypass performed during the session. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 applies to a bilateral procedure, paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35633
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU38.13 · 71%
- Practice expense (office) RVU6.11 · 11%
- Malpractice RVU9.72 · 18%
176
Medicare services in 2024 · #4439 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.
35633 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
The outflow target decides between them: 35634 is for an iliac-to-renal bypass, while 35633 is for an iliac-to-mesenteric bypass.
No office rate
Choose based on inflow and target: 35631 uses aortic inflow for visceral artery bypass, while 35633 uses iliac inflow to a mesenteric artery.
The same code, a different location
How does Delaware compare?
35633 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 35633
Office
Unavailable
Facility
$1635.90
No comparable office rate is available.
Arkansas
Arkansas · 35633
Office
Unavailable
Facility
$1616.08
No comparable office rate is available.
Arizona
Arizona · 35633
Office
Unavailable
Facility
$1749.24
No comparable office rate is available.
Bakersfield
California · 35633
Office
Unavailable
Facility
$1719.16
No comparable office rate is available.
Chico
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
El Centro
California · 35633
Office
Unavailable
Facility
$1694.54
No comparable office rate is available.
Fresno
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Hanford-Corcoran
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Madera
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Merced
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Modesto
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Napa
California · 35633
Office
Unavailable
Facility
$1787.71
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35633
Office
Unavailable
Facility
$1752.72
No comparable office rate is available.
Redding
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Rest Of California
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35633
Office
Unavailable
Facility
$1797.10
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35633
Office
Unavailable
Facility
$1730.79
No comparable office rate is available.
Salinas
California · 35633
Office
Unavailable
Facility
$1723.60
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35633
Office
Unavailable
Facility
$1731.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35633
Office
Unavailable
Facility
$1831.34
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35633
Office
Unavailable
Facility
$1820.30
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35633
Office
Unavailable
Facility
$1881.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35633
Office
Unavailable
Facility
$1836.84
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35633
Office
Unavailable
Facility
$1701.69
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35633
Office
Unavailable
Facility
$1722.29
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35633
Office
Unavailable
Facility
$1721.21
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35633
Office
Unavailable
Facility
$1736.41
No comparable office rate is available.
Stockton
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Vallejo
California · 35633
Office
Unavailable
Facility
$1771.81
No comparable office rate is available.
Visalia
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Yuba City
California · 35633
Office
Unavailable
Facility
$1692.91
No comparable office rate is available.
Colorado
Colorado · 35633
Office
Unavailable
Facility
$1759.56
No comparable office rate is available.
Connecticut
Connecticut · 35633
Office
Unavailable
Facility
$1911.68
No comparable office rate is available.
Fort Lauderdale
Florida · 35633
Office
Unavailable
Facility
$2067.29
No comparable office rate is available.
Rest Of Florida
Florida · 35633
Office
Unavailable
Facility
$1956.64
No comparable office rate is available.
Atlanta
Georgia · 35633
Office
Unavailable
Facility
$1874.65
No comparable office rate is available.
Rest Of Georgia
Georgia · 35633
Office
Unavailable
Facility
$1842.61
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35633
Office
Unavailable
Facility
$1693.59
No comparable office rate is available.
Iowa
Iowa · 35633
Office
Unavailable
Facility
$1589.20
No comparable office rate is available.
Idaho
Idaho · 35633
Office
Unavailable
Facility
$1614.89
No comparable office rate is available.
East St. Louis
Illinois · 35633
Office
Unavailable
Facility
$2115.19
No comparable office rate is available.
Rest Of Illinois
Illinois · 35633
Office
Unavailable
Facility
$1967.34
No comparable office rate is available.
Suburban Chicago
Illinois · 35633
Office
Unavailable
Facility
$2067.37
No comparable office rate is available.
Indiana
Indiana · 35633
Office
Unavailable
Facility
$1620.54
No comparable office rate is available.
Kansas
Kansas · 35633
Office
Unavailable
Facility
$1621.69
No comparable office rate is available.
Kentucky
Kentucky · 35633
Office
Unavailable
Facility
$1752.06
No comparable office rate is available.
New Orleans
Louisiana · 35633
Office
Unavailable
Facility
$1834.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35633
Office
Unavailable
Facility
$1765.21
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35633
Office
Unavailable
Facility
$1858.41
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35633
Office
Unavailable
Facility
$1767.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35633
Office
Unavailable
Facility
$1914.53
No comparable office rate is available.
Rest Of Maryland
Maryland · 35633
Office
Unavailable
Facility
$1790.88
No comparable office rate is available.
Rest Of Maine
Maine · 35633
Office
Unavailable
Facility
$1663.27
No comparable office rate is available.
Southern Maine
Maine · 35633
Office
Unavailable
Facility
$1680.68
No comparable office rate is available.
Detroit
Michigan · 35633
Office
Unavailable
Facility
$2017.88
No comparable office rate is available.
Rest Of Michigan
Michigan · 35633
Office
Unavailable
Facility
$1826.44
No comparable office rate is available.
Minnesota
Minnesota · 35633
Office
Unavailable
Facility
$1579.67
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35633
Office
Unavailable
Facility
$1782.40
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35633
Office
Unavailable
Facility
$1793.17
No comparable office rate is available.
Rest Of Missouri
Missouri · 35633
Office
Unavailable
Facility
$1765.71
No comparable office rate is available.
Mississippi
Mississippi · 35633
Office
Unavailable
Facility
$1689.21
No comparable office rate is available.
Montana**
Montana · 35633
Office
Unavailable
Facility
$1801.66
No comparable office rate is available.
North Carolina
North Carolina · 35633
Office
Unavailable
Facility
$1671.44
No comparable office rate is available.
North Dakota**
North Dakota · 35633
Office
Unavailable
Facility
$1609.47
No comparable office rate is available.
Nebraska
Nebraska · 35633
Office
Unavailable
Facility
$1584.66
No comparable office rate is available.
New Hampshire
New Hampshire · 35633
Office
Unavailable
Facility
$1770.10
No comparable office rate is available.
Northern Nj
New Jersey · 35633
Office
Unavailable
Facility
$1937.28
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35633
Office
Unavailable
Facility
$1903.52
No comparable office rate is available.
New Mexico
New Mexico · 35633
Office
Unavailable
Facility
$1850.63
No comparable office rate is available.
Nevada**
Nevada · 35633
Office
Unavailable
Facility
$1748.30
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35633
Office
Unavailable
Facility
$2200.62
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35633
Office
Unavailable
Facility
$1947.19
No comparable office rate is available.
Queens
New York · 35633
Office
Unavailable
Facility
$2064.46
No comparable office rate is available.
Rest Of New York
New York · 35633
Office
Unavailable
Facility
$1695.69
No comparable office rate is available.
Ohio
Ohio · 35633
Office
Unavailable
Facility
$1787.15
No comparable office rate is available.
Oklahoma
Oklahoma · 35633
Office
Unavailable
Facility
$1708.08
No comparable office rate is available.
Portland
Oregon · 35633
Office
Unavailable
Facility
$1762.23
No comparable office rate is available.
Rest Of Oregon
Oregon · 35633
Office
Unavailable
Facility
$1705.07
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35633
Office
Unavailable
Facility
$1896.26
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35633
Office
Unavailable
Facility
$1767.72
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35633
Office
Unavailable
Facility
$1799.69
No comparable office rate is available.
Rhode Island
Rhode Island · 35633
Office
Unavailable
Facility
$1798.18
No comparable office rate is available.
South Carolina
South Carolina · 35633
Office
Unavailable
Facility
$1738.10
No comparable office rate is available.
South Dakota**
South Dakota · 35633
Office
Unavailable
Facility
$1586.74
No comparable office rate is available.
Tennessee
Tennessee · 35633
Office
Unavailable
Facility
$1633.43
No comparable office rate is available.
Austin
Texas · 35633
Office
Unavailable
Facility
$1779.69
No comparable office rate is available.
Beaumont
Texas · 35633
Office
Unavailable
Facility
$1760.89
No comparable office rate is available.
Brazoria
Texas · 35633
Office
Unavailable
Facility
$1739.24
No comparable office rate is available.
Dallas
Texas · 35633
Office
Unavailable
Facility
$1766.86
No comparable office rate is available.
Fort Worth
Texas · 35633
Office
Unavailable
Facility
$1769.04
No comparable office rate is available.
Galveston
Texas · 35633
Office
Unavailable
Facility
$1755.23
No comparable office rate is available.
Houston
Texas · 35633
Office
Unavailable
Facility
$1933.14
No comparable office rate is available.
Rest Of Texas
Texas · 35633
Office
Unavailable
Facility
$1760.41
No comparable office rate is available.
Utah
Utah · 35633
Office
Unavailable
Facility
$1756.95
No comparable office rate is available.
Virginia
Virginia · 35633
Office
Unavailable
Facility
$1703.39
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35633
Office
Unavailable
Facility
$1799.69
No comparable office rate is available.
Vermont
Vermont · 35633
Office
Unavailable
Facility
$1639.89
No comparable office rate is available.
Rest Of Washington
Washington · 35633
Office
Unavailable
Facility
$1752.09
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35633
Office
Unavailable
Facility
$1852.91
No comparable office rate is available.
Wisconsin
Wisconsin · 35633
Office
Unavailable
Facility
$1569.08
No comparable office rate is available.
West Virginia
West Virginia · 35633
Office
Unavailable
Facility
$1915.51
No comparable office rate is available.
Wyoming**
Wyoming · 35633
Office
Unavailable
Facility
$1717.90
No comparable office rate is available.
See how rates vary across the country
35633 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 35633 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1950.78
$1773.44 × 110% = $1950.78
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 35633 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,381
- Code
- 35633
- Physician work
- 38.13
- Practice expense
- 6.11
- Malpractice
- 9.72
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.13 | × 1.005 | 38.3207 |
| Practice expense | 6.11 | × 0.988 | 6.0367 |
| Malpractice | 9.72 | × 0.899 | 8.7383 |
| Total RVUs | 53.0956 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1773.44
Open 35633 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 38.13 | 1.005 |
| Practice expense | 6.11 | 0.988 |
| Malpractice | 9.72 | 0.899 |
(38.13 × 1.005 + 6.11 × 0.988 + 9.72 × 0.899) × $33.4009 = $1773.44
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
35633 · 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 | $1773.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $1773.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $1773.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $1773.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $1866.41 | RVU25D |
| 2025-07-01 | Not available in this setting | $1866.41 | RVU25C |
| 2025-04-01 | Not available in this setting | $1866.41 | RVU25B |
| 2025-01-01 | Not available in this setting | $1866.41 | RVU25A |
35633 billing questions
How is this code distinguished from 35632?
Use 35633 when the graft runs from an iliac artery to a mesenteric artery. Code 35632 describes an iliac-to-celiac bypass.
When would 35631 be a better fit?
Code 35631 is for an aortic inflow route to the specified visceral arteries. This code is for an iliac inflow to a mesenteric artery.
What operative details support reporting 35633?
The operative report should identify the iliac inflow, mesenteric outflow, graft conduit, and the bypass performed. These details distinguish the service from bypasses to other targets.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery 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 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.
4,37835626,,Bpg aor-subcla/innom/carotid,A,,28.41,8.89,NA,8.89,,7.05,44.35,44.35,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37935631,,Bpg aor-celiac-msn-renal,A,,35.13,6.06,NA,6.06,,8.93,50.12,50.12,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38035632,,Bpg ilio-celiac,A,,35.23,4.88,NA,4.88,,9.01,49.12,49.12,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38135633,,Bpg ilio-mesenteric,A,,38.13,6.11,NA,6.11,,9.72,53.96,53.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38235634,,Bpg iliorenal,A,,34.45,4.82,NA,4.82,,8.81,48.08,48.08,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38335636,,Bpg splenorenal,A,,30.96,4.53,NA,4.53,,7.92,43.41,43.41,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38435637,,Bpg aortoiliac,A,,32.22,4.67,NA,4.67,,8.25,45.14,45.14,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503