No office rate
Both address a femoral-to-popliteal vein bypass, but this code identifies an in-situ conduit. Choose 35556 when the documented bypass technique is not in situ.
On this page
CMS RVU26D · Effective 2026-10-01
35583 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1226.68
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 35583: In-situ femoral-popliteal vein bypass
Reports an in-situ autologous vein bypass from the femoral artery to the popliteal artery for lower-extremity arterial disease.
A vascular surgeon uses this procedure to bypass an obstructed or severely diseased artery in the leg, routing blood from the femoral artery to the popliteal artery through the patient’s vein left in its native position. The great saphenous vein is a typical conduit. The surgeon prepares the vein for arterial flow, including disrupting its valves and addressing side branches, and connects it to the arterial inflow and popliteal outflow. These bypasses are generally performed in a hospital operating room for limb ischemia or other significant lower-extremity arterial insufficiency.
Select this code when the operative report documents an in-situ vein conduit and a popliteal target; a bypass using a harvested, repositioned vein or a different conduit follows a different code pathway. Documentation should identify the conduit, bypass endpoints, and in-situ technique. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 payment for a bilateral procedure is 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35583
- 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 RVU27.06 · 69%
- Practice expense (office) RVU5.03 · 13%
- Malpractice RVU6.89 · 18%
555
Medicare services in 2024 · #3464 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.
35583 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Both describe in-situ vein bypasses, but 35585 has tibial or peroneal outflow rather than a popliteal target.
No office rate
This code describes an in-situ vein bypass; 35656 is the femoral-popliteal bypass pathway for a conduit other than vein.
The same code, a different location
How does Merced compare?
35583 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 35583
Office
Unavailable
Facility
$1226.68
No comparable office rate is available.
Modesto
California · 35583
Office
Unavailable
Facility
$1226.68
No comparable office rate is available.
Napa
California · 35583
Office
Unavailable
Facility
$1299.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35583
Office
Unavailable
Facility
$1271.09
No comparable office rate is available.
Redding
California · 35583
Office
Unavailable
Facility
$1226.68
No comparable office rate is available.
Rest Of California
California · 35583
Office
Unavailable
Facility
$1226.68
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35583
Office
Unavailable
Facility
$1300.54
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35583
Office
Unavailable
Facility
$1255.11
No comparable office rate is available.
Salinas
California · 35583
Office
Unavailable
Facility
$1249.92
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35583
Office
Unavailable
Facility
$1256.61
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35583
Office
Unavailable
Facility
$1332.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35583
Office
Unavailable
Facility
$1324.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35583
Office
Unavailable
Facility
$1368.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35583
Office
Unavailable
Facility
$1336.88
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35583
Office
Unavailable
Facility
$1233.90
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35583
Office
Unavailable
Facility
$1250.29
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35583
Office
Unavailable
Facility
$1248.38
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35583
Office
Unavailable
Facility
$1260.61
No comparable office rate is available.
Stockton
California · 35583
Office
Unavailable
Facility
$1226.68
No comparable office rate is available.
Vallejo
California · 35583
Office
Unavailable
Facility
$1287.83
No comparable office rate is available.
Visalia
California · 35583
Office
Unavailable
Facility
$1226.68
No comparable office rate is available.
Yuba City
California · 35583
Office
Unavailable
Facility
$1226.68
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35583
Office
Unavailable
Facility
$1406.68
No comparable office rate is available.
Miami
Florida · 35583
Office
Unavailable
Facility
$1660.73
No comparable office rate is available.
Chicago
Illinois · 35583
Office
Unavailable
Facility
$1607.16
No comparable office rate is available.
Manhattan
New York · 35583
Office
Unavailable
Facility
$1521.89
No comparable office rate is available.
Alaska*
Alaska · 35583
Office
Unavailable
Facility
$1661.47
No comparable office rate is available.
Alabama
Alabama · 35583
Office
Unavailable
Facility
$1181.09
No comparable office rate is available.
Arkansas
Arkansas · 35583
Office
Unavailable
Facility
$1166.66
No comparable office rate is available.
Arizona
Arizona · 35583
Office
Unavailable
Facility
$1263.62
No comparable office rate is available.
Colorado
Colorado · 35583
Office
Unavailable
Facility
$1273.17
No comparable office rate is available.
Connecticut
Connecticut · 35583
Office
Unavailable
Facility
$1381.31
No comparable office rate is available.
Delaware
Delaware · 35583
Office
Unavailable
Facility
$1281.23
No comparable office rate is available.
Fort Lauderdale
Florida · 35583
Office
Unavailable
Facility
$1490.10
No comparable office rate is available.
Rest Of Florida
Florida · 35583
Office
Unavailable
Facility
$1410.33
No comparable office rate is available.
Atlanta
Georgia · 35583
Office
Unavailable
Facility
$1353.62
No comparable office rate is available.
Rest Of Georgia
Georgia · 35583
Office
Unavailable
Facility
$1328.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35583
Office
Unavailable
Facility
$1228.10
No comparable office rate is available.
Iowa
Iowa · 35583
Office
Unavailable
Facility
$1148.92
No comparable office rate is available.
Idaho
Idaho · 35583
Office
Unavailable
Facility
$1167.25
No comparable office rate is available.
East St. Louis
Illinois · 35583
Office
Unavailable
Facility
$1521.88
No comparable office rate is available.
Rest Of Illinois
Illinois · 35583
Office
Unavailable
Facility
$1416.91
No comparable office rate is available.
Suburban Chicago
Illinois · 35583
Office
Unavailable
Facility
$1490.49
No comparable office rate is available.
Indiana
Indiana · 35583
Office
Unavailable
Facility
$1171.41
No comparable office rate is available.
Kansas
Kansas · 35583
Office
Unavailable
Facility
$1171.69
No comparable office rate is available.
Kentucky
Kentucky · 35583
Office
Unavailable
Facility
$1263.76
No comparable office rate is available.
New Orleans
Louisiana · 35583
Office
Unavailable
Facility
$1323.35
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35583
Office
Unavailable
Facility
$1272.98
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35583
Office
Unavailable
Facility
$1346.30
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35583
Office
Unavailable
Facility
$1278.62
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35583
Office
Unavailable
Facility
$1383.23
No comparable office rate is available.
Rest Of Maryland
Maryland · 35583
Office
Unavailable
Facility
$1294.15
No comparable office rate is available.
Rest Of Maine
Maine · 35583
Office
Unavailable
Facility
$1201.54
No comparable office rate is available.
Southern Maine
Maine · 35583
Office
Unavailable
Facility
$1215.54
No comparable office rate is available.
Detroit
Michigan · 35583
Office
Unavailable
Facility
$1453.96
No comparable office rate is available.
Rest Of Michigan
Michigan · 35583
Office
Unavailable
Facility
$1317.04
No comparable office rate is available.
Minnesota
Minnesota · 35583
Office
Unavailable
Facility
$1144.83
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35583
Office
Unavailable
Facility
$1286.43
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35583
Office
Unavailable
Facility
$1294.36
No comparable office rate is available.
Rest Of Missouri
Missouri · 35583
Office
Unavailable
Facility
$1272.80
No comparable office rate is available.
Mississippi
Mississippi · 35583
Office
Unavailable
Facility
$1218.55
No comparable office rate is available.
Montana**
Montana · 35583
Office
Unavailable
Facility
$1301.51
No comparable office rate is available.
North Carolina
North Carolina · 35583
Office
Unavailable
Facility
$1207.63
No comparable office rate is available.
North Dakota**
North Dakota · 35583
Office
Unavailable
Facility
$1165.27
No comparable office rate is available.
Nebraska
Nebraska · 35583
Office
Unavailable
Facility
$1145.89
No comparable office rate is available.
New Hampshire
New Hampshire · 35583
Office
Unavailable
Facility
$1280.09
No comparable office rate is available.
Northern Nj
New Jersey · 35583
Office
Unavailable
Facility
$1401.44
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35583
Office
Unavailable
Facility
$1375.90
No comparable office rate is available.
New Mexico
New Mexico · 35583
Office
Unavailable
Facility
$1334.28
No comparable office rate is available.
Nevada**
Nevada · 35583
Office
Unavailable
Facility
$1263.70
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35583
Office
Unavailable
Facility
$1588.79
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35583
Office
Unavailable
Facility
$1406.93
No comparable office rate is available.
Queens
New York · 35583
Office
Unavailable
Facility
$1492.11
No comparable office rate is available.
Rest Of New York
New York · 35583
Office
Unavailable
Facility
$1225.22
No comparable office rate is available.
Ohio
Ohio · 35583
Office
Unavailable
Facility
$1289.19
No comparable office rate is available.
Oklahoma
Oklahoma · 35583
Office
Unavailable
Facility
$1232.67
No comparable office rate is available.
Portland
Oregon · 35583
Office
Unavailable
Facility
$1276.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 35583
Office
Unavailable
Facility
$1232.95
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35583
Office
Unavailable
Facility
$1369.54
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35583
Office
Unavailable
Facility
$1275.53
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35583
Office
Unavailable
Facility
$1300.36
No comparable office rate is available.
Rhode Island
Rhode Island · 35583
Office
Unavailable
Facility
$1299.83
No comparable office rate is available.
South Carolina
South Carolina · 35583
Office
Unavailable
Facility
$1254.68
No comparable office rate is available.
South Dakota**
South Dakota · 35583
Office
Unavailable
Facility
$1149.16
No comparable office rate is available.
Tennessee
Tennessee · 35583
Office
Unavailable
Facility
$1180.13
No comparable office rate is available.
Austin
Texas · 35583
Office
Unavailable
Facility
$1287.28
No comparable office rate is available.
Beaumont
Texas · 35583
Office
Unavailable
Facility
$1270.51
No comparable office rate is available.
Brazoria
Texas · 35583
Office
Unavailable
Facility
$1257.06
No comparable office rate is available.
Dallas
Texas · 35583
Office
Unavailable
Facility
$1276.75
No comparable office rate is available.
Fort Worth
Texas · 35583
Office
Unavailable
Facility
$1278.06
No comparable office rate is available.
Galveston
Texas · 35583
Office
Unavailable
Facility
$1268.44
No comparable office rate is available.
Houston
Texas · 35583
Office
Unavailable
Facility
$1394.55
No comparable office rate is available.
Rest Of Texas
Texas · 35583
Office
Unavailable
Facility
$1271.08
No comparable office rate is available.
Utah
Utah · 35583
Office
Unavailable
Facility
$1268.41
No comparable office rate is available.
Virginia
Virginia · 35583
Office
Unavailable
Facility
$1231.45
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35583
Office
Unavailable
Facility
$1300.36
No comparable office rate is available.
Vermont
Vermont · 35583
Office
Unavailable
Facility
$1186.60
No comparable office rate is available.
Rest Of Washington
Washington · 35583
Office
Unavailable
Facility
$1267.62
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35583
Office
Unavailable
Facility
$1343.18
No comparable office rate is available.
Wisconsin
Wisconsin · 35583
Office
Unavailable
Facility
$1135.66
No comparable office rate is available.
West Virginia
West Virginia · 35583
Office
Unavailable
Facility
$1379.15
No comparable office rate is available.
Wyoming**
Wyoming · 35583
Office
Unavailable
Facility
$1242.13
No comparable office rate is available.
See how rates vary across the country
35583 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, 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 35583 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1349.35
$1226.68 × 110% = $1349.35
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 35583 in Merced.
PPRRVU2026_Oct_nonQPP.csv
4,367
- Code
- 35583
- Physician work
- 27.06
- Practice expense
- 5.03
- Malpractice
- 6.89
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.06 | × 1.017 | 27.5200 |
| Practice expense | 5.03 | × 1.096 | 5.5129 |
| Malpractice | 6.89 | × 0.536 | 3.6930 |
| Total RVUs | 36.7259 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1226.68
Open 35583 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.06 | 1.017 |
| Practice expense | 5.03 | 1.096 |
| Malpractice | 6.89 | 0.536 |
(27.06 × 1.017 + 5.03 × 1.096 + 6.89 × 0.536) × $33.4009 = $1226.68
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
35583 · 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 | $1226.68 | RVU26D |
| 2026-07-01 | Not available in this setting | $1226.68 | RVU26C |
| 2026-04-01 | Not available in this setting | $1226.68 | RVU26B |
| 2026-01-01 | Not available in this setting | $1226.68 | RVU26A |
| 2025-10-01 | Not available in this setting | $1304.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $1304.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $1304.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $1304.54 | RVU25A |
35583 billing questions
How is this different from 35556?
This code is for an in-situ vein bypass to the popliteal artery. Code 35556 is the related femoral-popliteal vein bypass option when the operative technique is not in situ.
What documentation supports the in-situ technique?
The operative report should identify the vein conduit as remaining in its native position and describe the femoral inflow, popliteal outflow, and preparation of the vein for arterial flow.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is this code handled with other procedures in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is a bilateral procedure paid?
When the bilateral procedure is reported with modifier 50, CMS payment is 150%.
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.
4,36435570,,Art byp tibial-tib/peroneal,A,,28.42,4.44,NA,4.44,,7.28,40.14,40.14,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36535571,,Art byp pop-tibl-prl-other,A,,24.88,4.69,NA,4.69,,6.37,35.94,35.94,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36635572,,Harvest femoropopliteal vein,A,,6.64,0.87,NA,0.87,,1.68,9.19,9.19,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36735583,,Vein byp grft fem-popliteal,A,,27.06,5.03,NA,5.03,,6.89,38.98,38.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36835585,,Vein byp fem-tibial peroneal,A,,31.54,5.55,NA,5.55,,8.06,45.15,45.15,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36935587,,Vein byp pop-tibl peroneal,A,,25.55,4.22,NA,4.22,,6.53,36.30,36.30,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37035600,,Open hrv uxtr art 1 sgm cab,A,,3.50,0.70,NA,0.70,,0.86,5.06,5.06,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623