No office rate
The bypass origin and distal targets are the same, but 35566 is for a vein graft; 35666 is for a graft other than vein.
On this page
CMS RVU26D · Effective 2026-10-01
35666 Leg bypass Medicare reimbursement rates in Florida
Reports a lower-extremity bypass using a nonvein graft from a femoral artery to an anterior tibial, posterior tibial, or peroneal artery. Compare 35666 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 35666 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
$1257.83–$1476.71
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 35666 pays more and less in Florida
Vascular surgery
About 35666: Femoral-to-tibial bypass with nonvein graft
Reports a lower-extremity bypass using a nonvein graft from a femoral artery to an anterior tibial, posterior tibial, or peroneal artery.
A vascular surgeon creates a bypass from a femoral artery to an anterior tibial, posterior tibial, or peroneal artery using a graft other than vein. This distal revascularization is used to route blood around obstructive disease in the leg, commonly in limb-salvage surgery for severe peripheral arterial disease. The operation is generally performed in a hospital operating room; the operative report identifies the bypass origin, distal target, and graft material.
Choose this code when the documented inflow is femoral, the outflow is one of the specified tibial or peroneal arteries, and the conduit is not vein. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 35666
- 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 RVU23.07 · 66%
- Practice expense (office) RVU6.00 · 17%
- Malpractice RVU5.89 · 17%
1.7K
Medicare services in 2024 · #2589 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.
35666 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Both codes describe bypasses to tibial or peroneal targets using a nonvein graft. Choose 35666 for femoral inflow and 35671 for popliteal inflow.
No office rate
This code describes a nonvein bypass from the femoral artery to the popliteal artery, rather than to one of the more distal targets covered by 35666.
Compare 35666 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
$1329.26
Miami →
Office / nonfacility
Unavailable
Facility
$1476.71
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1257.83
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35666 billing questions
When should 35666 be chosen instead of 35566?
Use 35666 for the specified femoral-to-tibial or peroneal bypass when the graft is other than vein. Use 35566 for the same route when a vein graft is used.
Which details should the operative report support?
Document the femoral inflow artery, the anterior tibial, posterior tibial, or peroneal outflow target, and the graft material. These details distinguish 35666 from bypass codes with another origin, destination, or conduit.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the procedure at 150%.
How does the multiple-procedure reduction affect 35666?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,39335661,,Bpg femoral-femoral,A,,19.84,4.53,NA,4.53,,5.04,29.41,29.41,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39435663,,Bpg ilioiliac,A,,23.33,3.93,NA,3.93,,5.97,33.23,33.23,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39535665,,Bpg iliofemoral,A,,21.79,4.62,NA,4.62,,5.51,31.92,31.92,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39635666,,Bpg fem-ant tib pst tib/prnl,A,,23.07,6.00,NA,6.00,,5.89,34.96,34.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39735671,,Bpg pop-tibl/-prnl artery,A,,20.25,5.39,NA,5.39,,5.16,30.80,30.80,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,39835681,,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