Billing code 35560: Renal bypassMedicare rate & RVUs in Minnesota
Reports open bypass from the aorta to a renal artery using a vein graft to restore or preserve blood flow to the kidney.
CMS doesn’t publish an office rate for 35560 in Minnesota.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 35560 covers
A vascular surgeon performs an open bypass from the aorta to a renal artery using a vein conduit. The operation may be selected when renal blood flow needs surgical revascularization, such as with significant renal artery obstruction or during complex aortic and renal reconstruction. The operative report should identify the aortic inflow, renal artery target, graft material, laterality, and clinical reason for the bypass.
Report 35560 when the documented route is aorta to renal artery and the graft is vein; a different inflow or target, or a non-vein conduit, may point to another code. Medicare assigns a 90-day major-surgery 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 is paid in full and others at 50%. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
35560 in Minnesota
| Payment locality | Office | Facility |
|---|---|---|
| Minnesota | Unavailable | $1,353.82 |
How the 35560 rate is calculated
Each of 35560’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 35560
RVUs × geographic indexes × conversion factor
Work33.18
33.18 RVUs× 1.000 GPCI
Practice expense4.70
4.70 RVUs× 1.000 GPCI
Malpractice8.50
8.50 RVUs× 1.000 GPCI
Adjusted RVUs
46.3800
Conversion factor
$33.4009
Medicare rate
$1,549.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35560
35560 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35560
Renal bypass
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35560
Renal bypass
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35560 without 50 · national facility
$1,549.13
Renal bypass
35560-50 · Bilateral: 150%
$2,323.70
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
35560 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 35631Aortic bypass
- Both describe an aorta-to-renal bypass route. Choose 35560 for a vein graft and 35631 when the graft is not vein.
- 35535Renal artery bypass
- 35560 uses the aorta as inflow to a renal artery; 35535 uses hepatic inflow for the renal bypass.
- 35536Arterial bypass
- 35560 uses aortic inflow, while 35536 uses splenic inflow for the renal bypass.
- 35531Visceral bypass
- 35560 targets a renal artery; 35531 targets celiac or mesenteric vessels from the aorta.
35560 billing questions
How do I distinguish 35560 from a non-vein aortorenal bypass code?
Use 35560 when the operative report documents a vein graft from the aorta to a renal artery. A non-vein graft for that route is represented by 35631.
Does this code describe a hepatorenal or splenorenal bypass?
No. 35560 identifies the aorta as the inflow source; hepatorenal and splenorenal bypasses use different inflow vessels and are represented by 35535 and 35536, respectively.
What should the operative report document?
Document the aortic inflow, renal artery target, vein graft material, laterality, and indication. These details establish that the service is an aorta-to-renal vein bypass rather than another bypass route or graft type.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those related services are included in the surgical package.
How is bilateral performance handled?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS facts provided.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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