No office rate
35632 describes an iliac-to-celiac bypass. This code uses aortic inflow and includes celiac, mesenteric, and renal targets.
On this page
CMS RVU26D · Effective 2026-10-01
35631 Aortic bypass Medicare reimbursement rates in Maine
Reports open aortic bypass grafting to the celiac, mesenteric, and renal arteries when all three visceral and renal territories are revascularized. Compare 35631 office and facility rates across CMS payment localities in Maine.
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 35631 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1545.11–$1562.17
2 of 2 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.
Vascular surgery
About 35631: Aortic bypass to visceral and renal arteries
Reports open aortic bypass grafting to the celiac, mesenteric, and renal arteries when all three visceral and renal territories are revascularized.
A vascular surgeon performs an open bypass from the aorta to the celiac, mesenteric, and renal arteries using graft material other than vein. The operation may be used for complex occlusive disease affecting these arterial territories. It is typically performed in a hospital operating room, with the operative report identifying the aortic inflow, each distal target, and the graft material and configuration used.
Report this code when the documented bypass includes all three named target territories; a bypass from the aorta to only one of them is represented by a different code. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are reduced to 50%. For a bilateral service reported with modifier 50, payment is 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 35631
- 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 RVU35.13 · 70%
- Practice expense (office) RVU6.06 · 12%
- Malpractice RVU8.93 · 18%
330
Medicare services in 2024 · #3921 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.
35631 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
35633 describes an iliac-to-mesenteric bypass. This code describes aortic inflow to the celiac, mesenteric, and renal arteries.
No office rate
35634 describes an iliac-to-renal bypass. This code covers aortic bypass to three arterial territories, including the renal arteries.
No office rate
35636 is a splenorenal bypass, using a different inflow route for renal revascularization; this code uses the aorta and includes celiac and mesenteric targets as well.
Compare 35631 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$1545.11
Southern Maine →
Office / nonfacility
Unavailable
Facility
$1562.17
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35631 billing questions
When should this code be selected instead of an aortic bypass to one artery?
Use it when the operation documents bypass from the aorta to the celiac, mesenteric, and renal arteries. A bypass to only one of those targets is not this full three-territory service.
What operative details support reporting this code?
The operative report should identify the aorta as the inflow and document each of the three distal arterial target territories, along with the graft material and configuration.
Does the code represent the bypass to all three target territories?
Yes. The code represents the aortic bypass service involving the celiac, mesenteric, and renal arteries; the report should substantiate all three targets.
How is this code paid when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can assistant or co-surgeon services be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and 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.
4,37635621,,Bpg axillary-femoral,A,,20.50,3.93,NA,3.93,,5.22,29.65,29.65,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37735623,,Bpg axillary-pop/-tibial,A,,25.27,4.08,NA,4.08,,6.45,35.80,35.80,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37835626,,Bpg aor-subcla/innom/carotid,A,,28.41,8.89,NA,8.89,,7.05,44.35,44.35,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,37935631,,Bpg aor-celiac-msn-renal,A,,35.13,6.06,NA,6.06,,8.93,50.12,50.12,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38035632,,Bpg ilio-celiac,A,,35.23,4.88,NA,4.88,,9.01,49.12,49.12,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38135633,,Bpg ilio-mesenteric,A,,38.13,6.11,NA,6.11,,9.72,53.96,53.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,38235634,,Bpg iliorenal,A,,34.45,4.82,NA,4.82,,8.81,48.08,48.08,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00