No office rate
Use 35583 for a vein bypass from the femoral artery to the popliteal artery. This code applies when the distal target is a tibial or peroneal artery.
On this page
CMS RVU26D · Effective 2026-10-01
35585 Vein bypass Medicare reimbursement rates in Arkansas
Reports a vein bypass from the femoral artery to a tibial or peroneal artery to route blood around a distal lower-extremity arterial obstruction. Compare 35585 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 35585 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1351.35
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular surgery
About 35585: Femoral to tibial vein bypass
Reports a vein bypass from the femoral artery to a tibial or peroneal artery to route blood around a distal lower-extremity arterial obstruction.
A vascular surgeon creates a bypass from the femoral artery to a tibial or peroneal artery using a vein conduit, directing blood around an obstructed or severely diseased segment. The operation is generally performed in a hospital operating room for lower-extremity arterial disease when a distal target is needed to restore flow. The operative report should identify the inflow artery, the specific tibial or peroneal outflow artery, and the vein used as the bypass conduit.
Select this code when the bypass begins at the femoral artery, reaches a tibial or peroneal artery, and uses vein; a different origin, target, or conduit may point to a neighboring bypass code. Documentation should establish the bypass route, target vessel, conduit, and laterality. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures reported with modifier 50, CMS pays at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35585
- 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 RVU31.54 · 70%
- Practice expense (office) RVU5.55 · 12%
- Malpractice RVU8.06 · 18%
616
Medicare services in 2024 · #3368 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.
35585 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Use 35587 when a vein bypass begins at the popliteal artery and reaches a tibial or peroneal artery; this code begins at the femoral artery.
No office rate
This code describes the femoral-to-tibial or peroneal route with a vein conduit. 35566 represents a similar route using a conduit other than vein.
Compare 35585 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$1351.35
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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 35585 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,368
- Code
- 35585
- Physician work
- 31.54
- Practice expense
- 5.55
- Malpractice
- 8.06
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.54 | × 1.000 | 31.5400 |
| Practice expense | 5.55 | × 0.859 | 4.7675 |
| Malpractice | 8.06 | × 0.515 | 4.1509 |
| Total RVUs | 40.4584 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1351.35
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.54 | 1 |
| Practice expense | 5.55 | 0.859 |
| Malpractice | 8.06 | 0.515 |
(31.54 × 1 + 5.55 × 0.859 + 8.06 × 0.515) × $33.4009 = $1351.35
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.
35585 billing questions
How is this code distinguished from 35583?
Both use a vein conduit, but 35583 is for a femoral-to-popliteal bypass. Use this code when the distal target is a tibial or peroneal artery.
How is this code distinguished from 35587?
35587 describes a vein bypass from the popliteal artery to a tibial or peroneal artery. This code requires the bypass to originate at the femoral artery.
Does the bypass conduit have to be vein?
Yes. This code describes a femoral-to-tibial or peroneal bypass using vein; a comparable route using a non-vein graft is represented by a different code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is a bilateral procedure reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires 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.
4,36535571,,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
4,37135601,,Bpg com crtd-ipsi int crtd,A,,26.41,4.80,NA,4.80,,6.79,38.00,38.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541