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CMS RVU26D · Effective 2026-10-01

35560 Renal bypass Medicare reimbursement rates in Ohio

Reports open bypass from the aorta to a renal artery using a vein graft to restore or preserve blood flow to the kidney. Compare 35560 office and facility rates across CMS payment localities in Ohio.

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 35560 in Ohio?

Ohio has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1537.75

1 of 1 localities have a supported rate.

Payment area: Ohio

One mapped payment locality.

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 35560 in your payment locality →

Vascular surgery

About 35560: Aorta-to-renal artery vein bypass

Reports open bypass from the aorta to a renal artery using a vein graft to restore or preserve blood flow to the kidney.

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.

CMS billing rules for 35560

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 RVU33.18 · 72%
  • Practice expense (office) RVU4.70 · 10%
  • Malpractice RVU8.50 · 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.

35560 compared with similar codes

Office rates for Ohio, from the same CMS release.

35631

Aortic bypass

Celiac, mesenteric, and renal targets

No office rate

Both describe an aorta-to-renal bypass route. Choose 35560 for a vein graft and 35631 when the graft is not vein.

35535

Renal artery bypass

Hepatic artery inflow, vein graft

No office rate

35560 uses the aorta as inflow to a renal artery; 35535 uses hepatic inflow for the renal bypass.

35536

Arterial bypass

Splenorenal vein graft

No office rate

35560 uses aortic inflow, while 35536 uses splenic inflow for the renal bypass.

35531

Visceral bypass

Aortoceliac or aortomesenteric

No office rate

35560 targets a renal artery; 35531 targets celiac or mesenteric vessels from the aorta.

Compare 35560 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.

1 of 1 payment localities

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

  • Ohio →

    Office / nonfacility

    Unavailable

    Facility

    $1537.75

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 35560 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

4,360

Code
35560
Physician work
33.18
Practice expense
4.70
Malpractice
8.50

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 35560 in Ohio
ComponentRVULocality factorAdjusted
Physician work33.18× 1.00033.1800
Practice expense4.70× 0.9134.2911
Malpractice8.50× 1.0088.5680
Total RVUs46.0391
Conversion factor× 33.4009

Facility rate, Ohio$1537.75

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work33.181
Practice expense4.70.913
Malpractice8.51.008

(33.18 × 1 + 4.7 × 0.913 + 8.5 × 1.008) × $33.4009 = $1537.75

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

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 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 35560PPRRVU2026_Oct_nonQPP.csv, line 4,360 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet