No office rate
Select 35632 when the bypass begins at an iliac artery and ends at the celiac artery. Select 35631 for aortic inflow to the celiac, mesenteric, or renal arteries.
On this page
CMS RVU26D · Effective 2026-10-01
35632 Arterial bypass Medicare reimbursement rates in Missouri
Open bypass from an iliac artery to the celiac artery with a nonvenous conduit, reported for surgical revascularization of compromised celiac blood flow. Compare 35632 office and facility rates across CMS payment localities in Missouri.
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 35632 in Missouri?
Missouri 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
$1610.33–$1633.43
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 35632 pays more and less in Missouri
Vascular surgery
About 35632: Iliac-to-celiac artery bypass
Open bypass from an iliac artery to the celiac artery with a nonvenous conduit, reported for surgical revascularization of compromised celiac blood flow.
This open vascular operation reroutes blood from an iliac artery to the celiac artery using a conduit other than vein, commonly a prosthetic graft. Vascular surgeons may perform it for celiac artery occlusive disease affecting blood flow to the upper abdominal organs, including in selected patients with chronic mesenteric ischemia. It is performed in an operating room, not as an endovascular intervention.
The operative report should identify the iliac inflow artery, celiac recipient, conduit material, and indication. Choose a different bypass code when the inflow is the aorta or the graft terminates at another visceral artery. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 receives bilateral payment at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35632
- 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 RVU35.23 · 72%
- Practice expense (office) RVU4.88 · 10%
- Malpractice RVU9.01 · 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.
35632 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Both use iliac inflow, but 35633 identifies a mesenteric artery destination; 35632 identifies the celiac artery.
No office rate
Both use iliac inflow, but 35634 identifies a renal artery destination; 35632 identifies the celiac artery.
Compare 35632 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
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$1623.79
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1633.43
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1610.33
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35632 billing questions
How is this different from 35631?
This code uses an iliac artery as the bypass inflow and the celiac artery as the destination. Code 35631 is for aortic inflow to specified visceral arteries, including the celiac artery.
Does the conduit have to be a prosthetic graft?
The code is for a conduit other than vein. A prosthetic graft is common, but the operative report should establish the conduit used.
What documentation supports this code?
Document the iliac inflow, celiac artery destination, conduit material, and clinical reason for the bypass. The documented target helps distinguish this from iliac-to-mesenteric or iliac-to-renal bypass.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other same-session procedures and surgical assistants handled?
For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be allowed; 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.
4,37735623,,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
4,38335636,,Bpg splenorenal,A,,30.96,4.53,NA,4.53,,7.92,43.41,43.41,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00