No office rate
35563 connects one iliac artery to another. Use 35565 when the documented bypass runs from an iliac artery to a femoral artery.
On this page
CMS RVU26D · Effective 2026-10-01
35565 Arterial bypass Medicare reimbursement rates in New Jersey
Reports open revascularization using a vein graft from an iliac artery to a femoral artery to route blood around diseased arterial segments. Compare 35565 office and facility rates across CMS payment localities in New Jersey.
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 35565 in New Jersey?
New Jersey 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
$1226.69–$1248.55
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 35565: Autologous vein iliofemoral bypass
Reports open revascularization using a vein graft from an iliac artery to a femoral artery to route blood around diseased arterial segments.
A vascular surgeon uses a vein conduit to create a new path for blood between an iliac artery and a femoral artery, bypassing a diseased or blocked segment. The operation is typically performed in a hospital or other surgical facility for lower-extremity revascularization, often in patients with significant peripheral arterial disease. The code identifies the bypass by its arterial endpoints and vein conduit, not simply by the diagnosis or the location of the blockage.
The operative report should establish the iliac inflow, femoral outflow, use of a vein graft, and the side or sides treated. CMS classifies this as major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. 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 35565
- 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 RVU24.50 · 70%
- Practice expense (office) RVU4.01 · 12%
- Malpractice RVU6.26 · 18%
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Medicare services in 2024 · #5019 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.
35565 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
The arterial endpoints are iliofemoral in both codes; choose based on the conduit, with 35565 for a vein graft and 35665 for a non-vein graft.
No office rate
35539 describes a vein-graft bypass from the aorta to the femoral artery. 35565 has an iliac artery as the inflow source.
Compare 35565 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1248.55
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1226.69
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35565 billing questions
How is 35565 distinguished from 35665?
35565 describes an iliofemoral bypass using a vein conduit. 35665 is the corresponding iliofemoral bypass using a non-vein graft.
What operative details support reporting 35565?
Document the iliac artery used for inflow, the femoral artery used for outflow, and that a vein graft forms the bypass. Record the side or sides treated.
How should a bilateral iliofemoral bypass be reported?
CMS lists this as a bilateral procedure; report modifier 50 when the service is performed bilaterally. CMS payment is 150% for bilateral reporting with modifier 50.
Is related postoperative care separately reported during the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
How is 35565 affected when another procedure is 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%.
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.
4,3593555F,,Pt inr measurement performed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36035560,,Art byp grft aortorenal,A,,33.18,4.70,NA,4.70,,8.50,46.38,46.38,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36135563,,Art byp grft ilioiliac,A,,25.47,4.09,NA,4.09,,6.50,36.06,36.06,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36235565,,Art byp grft iliofemoral,A,,24.50,4.01,NA,4.01,,6.26,34.77,34.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36335566,,Art byp fem-ant-post tib/prl,A,,31.54,5.36,NA,5.36,,8.06,44.96,44.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36435570,,Art byp tibial-tib/peroneal,A,,28.42,4.44,NA,4.44,,7.28,40.14,40.14,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36535571,,Art byp pop-tibl-prl-other,A,,24.88,4.69,NA,4.69,,6.37,35.94,35.94,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00