No office rate
35535 describes a hepatorenal bypass, with hepatic rather than splenic arterial inflow to the renal artery.
On this page
CMS RVU26D · Effective 2026-10-01
35536 Arterial bypass Medicare reimbursement rates in Florida
Reports surgical renal revascularization using a vein graft routed from the splenic artery to the renal artery, commonly for selected renal artery occlusive disease. Compare 35536 office and facility rates across CMS payment localities in Florida.
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 35536 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1669.69–$1970.84
3 of 3 localities have a supported rate.
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.
Where 35536 pays more and less in Florida
Vascular surgery
About 35536: Splenic-to-renal artery vein bypass
Reports surgical renal revascularization using a vein graft routed from the splenic artery to the renal artery, commonly for selected renal artery occlusive disease.
A vascular surgeon uses a vein graft to create an arterial route from the splenic artery to the renal artery. The operation may be considered for renal artery occlusive disease when the splenic artery is suitable as the source of blood flow. This is an open vascular reconstruction, not a splenic-vein-to-renal-vein shunt used to manage portal hypertension. The operative report should identify the arterial inflow and outflow, the vein conduit, and the bypass performed.
Report this code when the documented bypass connects the splenic and renal arteries using a vein graft; the chosen inflow and outflow distinguish it from other renal bypass configurations. CMS 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 other procedures are subject to the standard 50% reduction. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35536
- 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 RVU32.89 · 72%
- Practice expense (office) RVU4.68 · 10%
- Malpractice RVU8.40 · 18%
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.
35536 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
35560 uses the aorta as the inflow source for renal revascularization; this code uses splenic arterial inflow.
No office rate
35531 describes a bypass involving the aorta and celiac or mesenteric arteries, not a splenic-to-renal artery bypass.
Compare 35536 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1764.17
Miami →
Office / nonfacility
Unavailable
Facility
$1970.84
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1669.69
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35536 billing questions
How is this different from a splenorenal shunt?
This code describes an arterial bypass between the splenic and renal arteries using a vein graft. A splenorenal shunt connects veins and is a different operation.
When would 35560 be reported instead?
Use 35560 for an aorta-to-renal artery bypass. The inflow vessel, rather than the renal target, distinguishes it from this splenic-to-renal bypass.
What operative documentation supports this code?
Document the renal indication, splenic arterial inflow, renal arterial outflow, and use of a vein graft. The operative description should establish the completed bypass.
Are related postoperative visits separately included?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How are other procedures in the same session handled?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction. Modifier 50 applies to a bilateral procedure and is paid at 150%.
Can an assistant or co-surgeon be reported?
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.
4,34935531,,Art byp grft aorcel/aormesen,A,,38.13,5.10,NA,5.10,,9.77,53.00,53.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35035533,,Art byp grft axill/fem/fem,A,,29.17,4.39,NA,4.39,,7.45,41.01,41.01,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35135535,,Art byp grft hepatorenal,A,,37.18,5.04,NA,5.04,,9.52,51.74,51.74,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35235536,,Art byp grft splenorenal,A,,32.89,4.68,NA,4.68,,8.40,45.97,45.97,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35335537,,Art byp grft aortoiliac,A,,40.83,5.35,NA,5.35,,10.46,56.64,56.64,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35435538,,Art byp grft aortobi-iliac,A,,45.85,5.82,NA,5.82,,11.75,63.42,63.42,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35535539,,Art byp grft aortofemoral,A,,43.01,5.52,NA,5.52,,11.01,59.54,59.54,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00