35570 Arterial bypass Medicare reimbursement rates in Pennsylvania

This operation uses a vein conduit to bypass obstructive disease between a tibial artery and another tibial artery or the peroneal artery. A vascular surgeon typically performs it in an operating room for severe lower-extremity ischemia when revascularization must reach below the knee. The defining anatomy is tibial-level inflow and a tibial or peroneal outflow target, rather than femoral or popliteal inflow. The conduit is vein, commonly the patient’s own vein.

Select the code from the documented bypass origin, distal target, and conduit. The operative report should identify the arteries joined, the vein conduit, laterality, and bypass performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.