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CMS RVU26D · Effective 2026-10-01

35636 Arterial bypass Medicare reimbursement rates in New Jersey

Reports surgical revascularization connecting splenic artery inflow to a renal artery with a non-vein graft, typically for renal artery disease. Compare 35636 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 35636 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

$1530.88–$1557.28

2 of 2 localities have a supported rate.

Lowest: Rest Of New Jersey

Highest: Northern Nj

A spread of $26.40 per service.

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.

Find 35636 in your payment locality →

Vascular surgery

About 35636: Non-vein splenic-to-renal artery bypass

Reports surgical revascularization connecting splenic artery inflow to a renal artery with a non-vein graft, typically for renal artery disease.

A vascular surgeon uses a non-vein graft to route blood from the splenic artery to a renal artery. The operation may be selected to restore renal perfusion when the splenic artery is a suitable source of inflow; the code distinguishes this route from bypasses originating at the aorta or iliac artery. The service is performed in a surgical setting, not as an office procedure.

Report the code for the splenic-to-renal route and non-vein conduit. The operative report should identify the inflow and recipient arteries, graft type, and laterality. The procedure has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures at 50%. Modifier 50 identifies a bilateral procedure paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 35636

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 RVU30.96 · 71%
  • Practice expense (office) RVU4.53 · 10%
  • Malpractice RVU7.92 · 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.

35636 compared with similar codes

Office rates for New Jersey, from the same CMS release.

35536

Arterial bypass

Splenorenal vein graft

No office rate

The route is splenic artery to renal artery in both codes. 35536 is selected for a vein graft; 35636 is for a non-vein graft.

35634

Arterial bypass

Iliac-to-renal, non-vein graft

No office rate

Both can provide renal artery revascularization, but 35634 uses iliac artery inflow and 35636 uses splenic artery inflow.

35631

Aortic bypass

Celiac, mesenteric, and renal targets

No office rate

35631 describes an aortic-origin bypass to celiac, mesenteric, or renal arteries. 35636 identifies the splenic-to-renal route.

Compare 35636 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

Office and facility base rates · shared scale starting at $0

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35636 billing questions

How does this code differ from 35536?

Both describe a splenic-to-renal bypass route. Use 35636 for a non-vein graft and 35536 when the bypass uses vein.

When would 35634 be more appropriate?

35634 describes an ilio-renal bypass. Choose based on the documented inflow vessel: iliac artery for 35634, splenic artery for 35636.

What should the operative report document?

Document the splenic artery as the inflow, the renal artery recipient, the non-vein graft, and the side treated.

How is a bilateral procedure reported?

CMS identifies modifier 50 for bilateral reporting and pays the procedure at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

What is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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.

RVUs for 35636PPRRVU2026_Oct_nonQPP.csv, line 4,383 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet