No office rate
Both describe vein bypasses to tibial or peroneal arteries. Choose 35566 when the bypass begins at the femoral artery; choose 35570 when it begins at a tibial artery.
On this page
CMS RVU26D · Effective 2026-10-01
35570 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1316.13
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 35570: Tibial-to-tibial vein bypass graft
Reports an autogenous-vein arterial bypass joining a tibial artery to another tibial or peroneal artery for distal lower-extremity revascularization.
This operation uses a vein conduit to bypass obstructive disease between a tibial artery and another tibial artery or the peroneal artery. A vascular surgeon typically performs it in an operating room for severe lower-extremity ischemia when revascularization must reach below the knee. The defining anatomy is tibial-level inflow and a tibial or peroneal outflow target, rather than femoral or popliteal inflow. The conduit is vein, commonly the patient’s own vein.
Select the code from the documented bypass origin, distal target, and conduit. The operative report should identify the arteries joined, the vein conduit, laterality, and bypass performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 35570
- 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 RVU28.42 · 71%
- Practice expense (office) RVU4.44 · 11%
- Malpractice RVU7.28 · 18%
42
Medicare services in 2024 · #5466 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.
35570 compared with similar codes
Office rates for Vallejo, from the same CMS release.
No office rate
Both use vein for a distal bypass, but 35571 begins at the popliteal artery. Code 35570 requires tibial inflow.
No office rate
Code 35585 describes an in-situ vein bypass from the femoral artery to a tibial or peroneal target. Code 35570 describes a tibial-origin bypass.
The same code, a different location
How does Vallejo compare?
35570 across payment areas
Same release and payment basis · bars start at $0
Vallejo · 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 · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Merced
California · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Modesto
California · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Napa
California · 35570
Office
Unavailable
Facility
$1328.04
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35570
Office
Unavailable
Facility
$1302.61
No comparable office rate is available.
Redding
California · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Rest Of California
California · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35570
Office
Unavailable
Facility
$1336.29
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35570
Office
Unavailable
Facility
$1286.23
No comparable office rate is available.
Salinas
California · 35570
Office
Unavailable
Facility
$1280.89
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35570
Office
Unavailable
Facility
$1286.89
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35570
Office
Unavailable
Facility
$1360.15
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35570
Office
Unavailable
Facility
$1351.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35570
Office
Unavailable
Facility
$1397.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35570
Office
Unavailable
Facility
$1364.05
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35570
Office
Unavailable
Facility
$1264.64
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35570
Office
Unavailable
Facility
$1279.71
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35570
Office
Unavailable
Facility
$1279.08
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35570
Office
Unavailable
Facility
$1290.18
No comparable office rate is available.
Stockton
California · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Visalia
California · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Yuba City
California · 35570
Office
Unavailable
Facility
$1258.26
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35570
Office
Unavailable
Facility
$1445.85
No comparable office rate is available.
Miami
Florida · 35570
Office
Unavailable
Facility
$1718.58
No comparable office rate is available.
Chicago
Illinois · 35570
Office
Unavailable
Facility
$1662.99
No comparable office rate is available.
Manhattan
New York · 35570
Office
Unavailable
Facility
$1567.98
No comparable office rate is available.
Alaska*
Alaska · 35570
Office
Unavailable
Facility
$1715.80
No comparable office rate is available.
Alabama
Alabama · 35570
Office
Unavailable
Facility
$1216.64
No comparable office rate is available.
Arkansas
Arkansas · 35570
Office
Unavailable
Facility
$1201.87
No comparable office rate is available.
Arizona
Arizona · 35570
Office
Unavailable
Facility
$1301.10
No comparable office rate is available.
Colorado
Colorado · 35570
Office
Unavailable
Facility
$1308.34
No comparable office rate is available.
Connecticut
Connecticut · 35570
Office
Unavailable
Facility
$1422.18
No comparable office rate is available.
Delaware
Delaware · 35570
Office
Unavailable
Facility
$1319.12
No comparable office rate is available.
Fort Lauderdale
Florida · 35570
Office
Unavailable
Facility
$1539.11
No comparable office rate is available.
Rest Of Florida
Florida · 35570
Office
Unavailable
Facility
$1456.50
No comparable office rate is available.
Atlanta
Georgia · 35570
Office
Unavailable
Facility
$1394.81
No comparable office rate is available.
Rest Of Georgia
Georgia · 35570
Office
Unavailable
Facility
$1371.38
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35570
Office
Unavailable
Facility
$1258.66
No comparable office rate is available.
Iowa
Iowa · 35570
Office
Unavailable
Facility
$1181.48
No comparable office rate is available.
Idaho
Idaho · 35570
Office
Unavailable
Facility
$1200.70
No comparable office rate is available.
East St. Louis
Illinois · 35570
Office
Unavailable
Facility
$1575.41
No comparable office rate is available.
Rest Of Illinois
Illinois · 35570
Office
Unavailable
Facility
$1464.71
No comparable office rate is available.
Suburban Chicago
Illinois · 35570
Office
Unavailable
Facility
$1539.08
No comparable office rate is available.
Indiana
Indiana · 35570
Office
Unavailable
Facility
$1204.90
No comparable office rate is available.
Kansas
Kansas · 35570
Office
Unavailable
Facility
$1205.87
No comparable office rate is available.
Kentucky
Kentucky · 35570
Office
Unavailable
Facility
$1303.58
No comparable office rate is available.
New Orleans
Louisiana · 35570
Office
Unavailable
Facility
$1365.03
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35570
Office
Unavailable
Facility
$1313.44
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35570
Office
Unavailable
Facility
$1381.65
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35570
Office
Unavailable
Facility
$1314.40
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35570
Office
Unavailable
Facility
$1424.35
No comparable office rate is available.
Rest Of Maryland
Maryland · 35570
Office
Unavailable
Facility
$1332.05
No comparable office rate is available.
Rest Of Maine
Maine · 35570
Office
Unavailable
Facility
$1236.93
No comparable office rate is available.
Southern Maine
Maine · 35570
Office
Unavailable
Facility
$1249.65
No comparable office rate is available.
Detroit
Michigan · 35570
Office
Unavailable
Facility
$1502.33
No comparable office rate is available.
Rest Of Michigan
Michigan · 35570
Office
Unavailable
Facility
$1359.18
No comparable office rate is available.
Minnesota
Minnesota · 35570
Office
Unavailable
Facility
$1173.83
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35570
Office
Unavailable
Facility
$1326.07
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35570
Office
Unavailable
Facility
$1334.08
No comparable office rate is available.
Rest Of Missouri
Missouri · 35570
Office
Unavailable
Facility
$1313.92
No comparable office rate is available.
Mississippi
Mississippi · 35570
Office
Unavailable
Facility
$1256.63
No comparable office rate is available.
Montana**
Montana · 35570
Office
Unavailable
Facility
$1340.23
No comparable office rate is available.
North Carolina
North Carolina · 35570
Office
Unavailable
Facility
$1243.00
No comparable office rate is available.
North Dakota**
North Dakota · 35570
Office
Unavailable
Facility
$1196.28
No comparable office rate is available.
Nebraska
Nebraska · 35570
Office
Unavailable
Facility
$1178.05
No comparable office rate is available.
New Hampshire
New Hampshire · 35570
Office
Unavailable
Facility
$1316.40
No comparable office rate is available.
Northern Nj
New Jersey · 35570
Office
Unavailable
Facility
$1440.78
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35570
Office
Unavailable
Facility
$1415.91
No comparable office rate is available.
New Mexico
New Mexico · 35570
Office
Unavailable
Facility
$1377.28
No comparable office rate is available.
Nevada**
Nevada · 35570
Office
Unavailable
Facility
$1300.25
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35570
Office
Unavailable
Facility
$1637.88
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35570
Office
Unavailable
Facility
$1448.58
No comparable office rate is available.
Queens
New York · 35570
Office
Unavailable
Facility
$1535.93
No comparable office rate is available.
Rest Of New York
New York · 35570
Office
Unavailable
Facility
$1261.08
No comparable office rate is available.
Ohio
Ohio · 35570
Office
Unavailable
Facility
$1329.76
No comparable office rate is available.
Oklahoma
Oklahoma · 35570
Office
Unavailable
Facility
$1270.62
No comparable office rate is available.
Portland
Oregon · 35570
Office
Unavailable
Facility
$1310.11
No comparable office rate is available.
Rest Of Oregon
Oregon · 35570
Office
Unavailable
Facility
$1267.90
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35570
Office
Unavailable
Facility
$1410.81
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35570
Office
Unavailable
Facility
$1315.18
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35570
Office
Unavailable
Facility
$1338.70
No comparable office rate is available.
Rhode Island
Rhode Island · 35570
Office
Unavailable
Facility
$1337.38
No comparable office rate is available.
South Carolina
South Carolina · 35570
Office
Unavailable
Facility
$1292.97
No comparable office rate is available.
South Dakota**
South Dakota · 35570
Office
Unavailable
Facility
$1179.25
No comparable office rate is available.
Tennessee
Tennessee · 35570
Office
Unavailable
Facility
$1214.63
No comparable office rate is available.
Austin
Texas · 35570
Office
Unavailable
Facility
$1323.49
No comparable office rate is available.
Beaumont
Texas · 35570
Office
Unavailable
Facility
$1310.10
No comparable office rate is available.
Brazoria
Texas · 35570
Office
Unavailable
Facility
$1293.48
No comparable office rate is available.
Dallas
Texas · 35570
Office
Unavailable
Facility
$1314.13
No comparable office rate is available.
Fort Worth
Texas · 35570
Office
Unavailable
Facility
$1315.81
No comparable office rate is available.
Galveston
Texas · 35570
Office
Unavailable
Facility
$1305.44
No comparable office rate is available.
Houston
Texas · 35570
Office
Unavailable
Facility
$1438.70
No comparable office rate is available.
Rest Of Texas
Texas · 35570
Office
Unavailable
Facility
$1309.56
No comparable office rate is available.
Utah
Utah · 35570
Office
Unavailable
Facility
$1307.01
No comparable office rate is available.
Virginia
Virginia · 35570
Office
Unavailable
Facility
$1266.70
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35570
Office
Unavailable
Facility
$1338.70
No comparable office rate is available.
Vermont
Vermont · 35570
Office
Unavailable
Facility
$1219.11
No comparable office rate is available.
Rest Of Washington
Washington · 35570
Office
Unavailable
Facility
$1302.80
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35570
Office
Unavailable
Facility
$1377.34
No comparable office rate is available.
Wisconsin
Wisconsin · 35570
Office
Unavailable
Facility
$1166.22
No comparable office rate is available.
West Virginia
West Virginia · 35570
Office
Unavailable
Facility
$1426.09
No comparable office rate is available.
Wyoming**
Wyoming · 35570
Office
Unavailable
Facility
$1277.49
No comparable office rate is available.
See how rates vary across the country
35570 · 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?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 35570 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1447.74
$1316.13 × 110% = $1447.74
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 35570 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
4,364
- Code
- 35570
- Physician work
- 28.42
- Practice expense
- 4.44
- Malpractice
- 7.28
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.42 | × 1.063 | 30.2105 |
| Practice expense | 4.44 | × 1.318 | 5.8519 |
| Malpractice | 7.28 | × 0.459 | 3.3415 |
| Total RVUs | 39.4039 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$1316.13
Open 35570 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.42 | 1.063 |
| Practice expense | 4.44 | 1.318 |
| Malpractice | 7.28 | 0.459 |
(28.42 × 1.063 + 4.44 × 1.318 + 7.28 × 0.459) × $33.4009 = $1316.13
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
35570 · 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 | $1316.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $1316.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $1316.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $1316.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $1400.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $1400.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $1400.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $1400.67 | RVU25A |
35570 billing questions
How is 35570 distinguished from 35566 or 35571?
Use the bypass origin and target arteries. This code is for tibial-to-tibial or tibial-to-peroneal bypass; 35566 has femoral inflow, while 35571 has popliteal inflow.
Does this code describe an in-situ vein bypass?
No. Code 35570 describes a tibial-origin bypass using a vein conduit. Code 35585 describes an in-situ vein bypass from the femoral artery to a tibial or peroneal artery.
Can vein harvest be reported separately?
When an upper-extremity vein is harvested for a lower-extremity bypass, code 35500 may be reported as an add-on when its requirements are met. Document the harvest site and work performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does CMS handle bilateral reporting and multiple procedures?
Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures at 50%.
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.
4,36135563,,Art byp grft ilioiliac,A,,25.47,4.09,NA,4.09,,6.50,36.06,36.06,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36235565,,Art byp grft iliofemoral,A,,24.50,4.01,NA,4.01,,6.26,34.77,34.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36335566,,Art byp fem-ant-post tib/prl,A,,31.54,5.36,NA,5.36,,8.06,44.96,44.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36435570,,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
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536