No office rate
Choose 35685 for patch angioplasty performed to support graft patency; 35686 describes a distal arteriovenous fistula used for that purpose.
On this page
CMS RVU26D · Effective 2026-10-01
35685 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$175.76
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 35685: Bypass patency patch angioplasty
An add-on for a bypass operation when a patch angioplasty is performed to support graft patency, such as with a profunda outflow repair.
This add-on represents patch angioplasty performed as an adjunct to an arterial bypass to improve or maintain graft outflow and patency. A vascular surgeon may use it when the artery at the bypass outflow requires enlargement; profundaplasty is a typical example. The patch is part of the open operation, not a separate later procedure. It is generally encountered in facility-based vascular surgery, including lower-extremity revascularization for significant arterial disease.
Report 35685 only with the primary bypass procedure when the operative note supports a distinct patch angioplasty for graft patency. Documentation should identify the bypass, the artery treated, and the patch work performed; a routine anastomosis alone does not establish this service. This is an add-on code, not a standalone bypass code. Medicare pays it within the primary procedure's global period, so it is reported with that primary procedure rather than as an independent service.
CMS billing rules for 35685
- 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 RVU3.94 · 74%
- Practice expense (office) RVU0.39 · 7%
- Malpractice RVU1.02 · 19%
363
Medicare services in 2024 · #3818 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.
35685 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
35656 describes the femoral-popliteal bypass itself. 35685 is an add-on for a separate patch angioplasty performed to support patency during the bypass operation.
No office rate
35666 describes a femoral bypass to a distal leg artery; it is the primary bypass procedure, while 35685 reports an accompanying patency patch when performed.
The same code, a different location
How does Delaware compare?
35685 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 · 35685
Office
Unavailable
Facility
$162.28
No comparable office rate is available.
Arkansas
Arkansas · 35685
Office
Unavailable
Facility
$160.33
No comparable office rate is available.
Arizona
Arizona · 35685
Office
Unavailable
Facility
$173.39
No comparable office rate is available.
Bakersfield
California · 35685
Office
Unavailable
Facility
$169.12
No comparable office rate is available.
Chico
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
El Centro
California · 35685
Office
Unavailable
Facility
$166.54
No comparable office rate is available.
Fresno
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Hanford-Corcoran
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Madera
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Merced
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Modesto
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Napa
California · 35685
Office
Unavailable
Facility
$174.37
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35685
Office
Unavailable
Facility
$171.91
No comparable office rate is available.
Redding
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Rest Of California
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35685
Office
Unavailable
Facility
$177.31
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35685
Office
Unavailable
Facility
$169.75
No comparable office rate is available.
Salinas
California · 35685
Office
Unavailable
Facility
$169.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35685
Office
Unavailable
Facility
$169.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35685
Office
Unavailable
Facility
$178.11
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35685
Office
Unavailable
Facility
$176.95
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35685
Office
Unavailable
Facility
$183.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35685
Office
Unavailable
Facility
$178.38
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35685
Office
Unavailable
Facility
$166.93
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35685
Office
Unavailable
Facility
$168.45
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35685
Office
Unavailable
Facility
$168.73
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35685
Office
Unavailable
Facility
$169.80
No comparable office rate is available.
Stockton
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Vallejo
California · 35685
Office
Unavailable
Facility
$172.70
No comparable office rate is available.
Visalia
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Yuba City
California · 35685
Office
Unavailable
Facility
$166.37
No comparable office rate is available.
Colorado
Colorado · 35685
Office
Unavailable
Facility
$173.65
No comparable office rate is available.
Connecticut
Connecticut · 35685
Office
Unavailable
Facility
$189.48
No comparable office rate is available.
Fort Lauderdale
Florida · 35685
Office
Unavailable
Facility
$206.39
No comparable office rate is available.
Rest Of Florida
Florida · 35685
Office
Unavailable
Facility
$195.26
No comparable office rate is available.
Atlanta
Georgia · 35685
Office
Unavailable
Facility
$186.15
No comparable office rate is available.
Rest Of Georgia
Georgia · 35685
Office
Unavailable
Facility
$183.83
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35685
Office
Unavailable
Facility
$166.14
No comparable office rate is available.
Iowa
Iowa · 35685
Office
Unavailable
Facility
$157.04
No comparable office rate is available.
Idaho
Idaho · 35685
Office
Unavailable
Facility
$159.70
No comparable office rate is available.
East St. Louis
Illinois · 35685
Office
Unavailable
Facility
$212.20
No comparable office rate is available.
Rest Of Illinois
Illinois · 35685
Office
Unavailable
Facility
$196.74
No comparable office rate is available.
Suburban Chicago
Illinois · 35685
Office
Unavailable
Facility
$206.27
No comparable office rate is available.
Indiana
Indiana · 35685
Office
Unavailable
Facility
$160.23
No comparable office rate is available.
Kansas
Kansas · 35685
Office
Unavailable
Facility
$160.55
No comparable office rate is available.
Kentucky
Kentucky · 35685
Office
Unavailable
Facility
$174.35
No comparable office rate is available.
New Orleans
Louisiana · 35685
Office
Unavailable
Facility
$182.56
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35685
Office
Unavailable
Facility
$175.77
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35685
Office
Unavailable
Facility
$182.87
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35685
Office
Unavailable
Facility
$174.57
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35685
Office
Unavailable
Facility
$189.83
No comparable office rate is available.
Rest Of Maryland
Maryland · 35685
Office
Unavailable
Facility
$177.37
No comparable office rate is available.
Rest Of Maine
Maine · 35685
Office
Unavailable
Facility
$164.77
No comparable office rate is available.
Southern Maine
Maine · 35685
Office
Unavailable
Facility
$166.01
No comparable office rate is available.
Detroit
Michigan · 35685
Office
Unavailable
Facility
$201.61
No comparable office rate is available.
Rest Of Michigan
Michigan · 35685
Office
Unavailable
Facility
$181.96
No comparable office rate is available.
Minnesota
Minnesota · 35685
Office
Unavailable
Facility
$155.09
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35685
Office
Unavailable
Facility
$177.12
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35685
Office
Unavailable
Facility
$178.14
No comparable office rate is available.
Rest Of Missouri
Missouri · 35685
Office
Unavailable
Facility
$176.01
No comparable office rate is available.
Mississippi
Mississippi · 35685
Office
Unavailable
Facility
$167.99
No comparable office rate is available.
Montana**
Montana · 35685
Office
Unavailable
Facility
$178.63
No comparable office rate is available.
North Carolina
North Carolina · 35685
Office
Unavailable
Facility
$165.52
No comparable office rate is available.
North Dakota**
North Dakota · 35685
Office
Unavailable
Facility
$158.46
No comparable office rate is available.
Nebraska
Nebraska · 35685
Office
Unavailable
Facility
$156.50
No comparable office rate is available.
New Hampshire
New Hampshire · 35685
Office
Unavailable
Facility
$174.97
No comparable office rate is available.
Northern Nj
New Jersey · 35685
Office
Unavailable
Facility
$191.39
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35685
Office
Unavailable
Facility
$188.46
No comparable office rate is available.
New Mexico
New Mexico · 35685
Office
Unavailable
Facility
$184.46
No comparable office rate is available.
Nevada**
Nevada · 35685
Office
Unavailable
Facility
$173.02
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35685
Office
Unavailable
Facility
$218.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35685
Office
Unavailable
Facility
$193.01
No comparable office rate is available.
Queens
New York · 35685
Office
Unavailable
Facility
$204.55
No comparable office rate is available.
Rest Of New York
New York · 35685
Office
Unavailable
Facility
$167.93
No comparable office rate is available.
Ohio
Ohio · 35685
Office
Unavailable
Facility
$177.83
No comparable office rate is available.
Oklahoma
Oklahoma · 35685
Office
Unavailable
Facility
$169.70
No comparable office rate is available.
Portland
Oregon · 35685
Office
Unavailable
Facility
$173.52
No comparable office rate is available.
Rest Of Oregon
Oregon · 35685
Office
Unavailable
Facility
$168.52
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35685
Office
Unavailable
Facility
$188.17
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35685
Office
Unavailable
Facility
$175.75
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35685
Office
Unavailable
Facility
$178.33
No comparable office rate is available.
Rhode Island
Rhode Island · 35685
Office
Unavailable
Facility
$177.95
No comparable office rate is available.
South Carolina
South Carolina · 35685
Office
Unavailable
Facility
$172.59
No comparable office rate is available.
South Dakota**
South Dakota · 35685
Office
Unavailable
Facility
$156.07
No comparable office rate is available.
Tennessee
Tennessee · 35685
Office
Unavailable
Facility
$161.74
No comparable office rate is available.
Austin
Texas · 35685
Office
Unavailable
Facility
$175.83
No comparable office rate is available.
Beaumont
Texas · 35685
Office
Unavailable
Facility
$175.10
No comparable office rate is available.
Brazoria
Texas · 35685
Office
Unavailable
Facility
$172.14
No comparable office rate is available.
Dallas
Texas · 35685
Office
Unavailable
Facility
$174.99
No comparable office rate is available.
Fort Worth
Texas · 35685
Office
Unavailable
Facility
$175.30
No comparable office rate is available.
Galveston
Texas · 35685
Office
Unavailable
Facility
$173.80
No comparable office rate is available.
Houston
Texas · 35685
Office
Unavailable
Facility
$192.47
No comparable office rate is available.
Rest Of Texas
Texas · 35685
Office
Unavailable
Facility
$174.73
No comparable office rate is available.
Utah
Utah · 35685
Office
Unavailable
Facility
$174.44
No comparable office rate is available.
Virginia
Virginia · 35685
Office
Unavailable
Facility
$168.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35685
Office
Unavailable
Facility
$178.33
No comparable office rate is available.
Vermont
Vermont · 35685
Office
Unavailable
Facility
$161.73
No comparable office rate is available.
Rest Of Washington
Washington · 35685
Office
Unavailable
Facility
$172.95
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35685
Office
Unavailable
Facility
$182.00
No comparable office rate is available.
Wisconsin
Wisconsin · 35685
Office
Unavailable
Facility
$154.57
No comparable office rate is available.
West Virginia
West Virginia · 35685
Office
Unavailable
Facility
$191.67
No comparable office rate is available.
Wyoming**
Wyoming · 35685
Office
Unavailable
Facility
$169.84
No comparable office rate is available.
See how rates vary across the country
35685 · 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 35685 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$193.34
$175.76 × 110% = $193.34
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 35685 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,401
- Code
- 35685
- Physician work
- 3.94
- Practice expense
- 0.39
- Malpractice
- 1.02
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.94 | × 1.005 | 3.9597 |
| Practice expense | 0.39 | × 0.988 | 0.3853 |
| Malpractice | 1.02 | × 0.899 | 0.9170 |
| Total RVUs | 5.2620 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$175.76
Open 35685 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.94 | 1.005 |
| Practice expense | 0.39 | 0.988 |
| Malpractice | 1.02 | 0.899 |
(3.94 × 1.005 + 0.39 × 0.988 + 1.02 × 0.899) × $33.4009 = $175.76
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
35685 · 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 | $175.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $175.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $175.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $175.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $186.62 | RVU25D |
| 2025-07-01 | Not available in this setting | $186.62 | RVU25C |
| 2025-04-01 | Not available in this setting | $186.62 | RVU25B |
| 2025-01-01 | Not available in this setting | $186.62 | RVU25A |
35685 billing questions
When should 35685 be reported with a bypass?
Report it when the surgeon performs a patch angioplasty as an adjunct to the bypass to support graft patency. The operative note should describe the artery patched and the additional patch work.
Can 35685 be billed by itself?
No. It is an add-on code and must be reported with a primary bypass procedure.
How is 35685 different from 35686?
35685 represents a patch angioplasty for graft patency. 35686 represents a distal arteriovenous fistula used to support bypass patency, a different adjunct technique.
Is a patch included in the primary bypass code?
A routine bypass anastomosis does not support separate reporting of 35685. Report the add-on when documentation shows the distinct patch angioplasty performed for graft patency.
What documentation supports 35685?
The operative report should identify the bypass and the artery receiving the patch, and describe the patch angioplasty as an adjunct to maintain or improve graft patency.
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.
4,39835681,,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
4,40335691,,Art trnsposj vertbrl carotid,A,,17.95,3.31,NA,3.31,,4.58,25.84,25.84,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,40435693,,Art trnsposj subclavian,A,,15.34,3.73,NA,3.73,,3.91,22.98,22.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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