Billing code 35682: Composite bypassMedicare rate & RVUs in Nebraska
Reports a composite arterial bypass conduit assembled from two vein segments, in addition to the primary bypass procedure describing the route.
CMS doesn’t publish an office rate for 35682 in Nebraska.
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 35682 covers
A vascular surgeon uses this add-on when a single arterial bypass conduit is assembled from two vein segments. The primary bypass code identifies the artery-to-artery route, such as a femoral-to-popliteal or femoral-to-distal-leg bypass; this code identifies the two-segment vein construction. It may be relevant when a suitable length of vein is not available as one continuous segment. The work is part of an operative revascularization, commonly for arterial occlusive disease.
Report 35682 with the primary bypass procedure for the route, not by itself. The operative report should support that the bypass used a composite conduit made from exactly two vein segments and identify the bypass route and conduit used. CMS treats this as an add-on code and pays it within the primary procedure's global period. Select the related composite-graft code according to the conduit composition and number of vein segments, rather than treating this as a general code for vein-graft bypasses.
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.
35682 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $276.65 |
How the 35682 rate is calculated
Each of 35682’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 · 35682
RVUs × geographic indexes × conversion factor
Work7.01
7.01 RVUs× 1.000 GPCI
Practice expense0.65
0.65 RVUs× 1.000 GPCI
Malpractice1.78
1.78 RVUs× 1.000 GPCI
Adjusted RVUs
9.4400
Conversion factor
$33.4009
Medicare rate
$315.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 35682
The CMS indicators that decide how 35682 is paid alongside other services.
CMS payment indicators · 35682
Composite bypass
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
35682 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 35681Composite bypass graft
- Choose 35681 when the composite conduit combines prosthetic material and vein. Choose 35682 when it is constructed from two vein segments.
- 35683Composite bypass graft
- Both describe composite vein bypass construction; 35682 is for two vein segments, while 35683 is for three or more.
- 35656Arterial bypass
- 35656 describes the femoral-popliteal bypass route. 35682 describes the two-segment composite vein conduit and is reported with a primary bypass procedure.
35682 billing questions
When should 35682 be selected instead of 35683?
Use 35682 when the composite bypass conduit uses two vein segments. The related code 35683 is for three or more segments.
Can 35682 be reported without a primary bypass code?
No. It is an add-on code and must be reported with the primary procedure that describes the bypass route.
What documentation supports reporting 35682?
The operative report should identify the bypass route and document that the composite conduit was constructed from two vein segments.
Is 35682 reported once for each vein segment?
The code identifies a composite conduit made from two vein segments; it is not a per-segment code.
How does 35682 differ from 35681?
35682 describes a composite conduit made from two vein segments. 35681 is the related option for a composite conduit using prosthetic material and vein.
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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