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.
On this page
CMS RVU26D · Effective 2026-10-01
35560 Renal bypass Medicare reimbursement rates in Texas
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 Texas.
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 Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 35560 pays more and less in Texas
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 Texas, from the same CMS release.
No office rate
35560 uses the aorta as inflow to a renal artery; 35535 uses hepatic inflow for the renal bypass.
No office rate
35560 uses aortic inflow, while 35536 uses splenic inflow for the renal bypass.
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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $1528.09 |
| Beaumont | Office Unavailable | Facility $1514.85 |
| Brazoria | Office Unavailable | Facility $1494.13 |
| Dallas | Office Unavailable | Facility $1518.17 |
| Fort Worth | Office Unavailable | Facility $1520.29 |
| Galveston | Office Unavailable | Facility $1508.07 |
| Houston | Office Unavailable | Facility $1663.65 |
| Rest Of Texas | Office Unavailable | Facility $1513.59 |
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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.
4,35735556,,Art byp grft fem-popliteal,A,,26.08,5.08,NA,5.08,,6.62,37.78,37.78,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,35835558,,Art byp grft fem-femoral,A,,22.55,4.80,NA,4.80,,5.68,33.03,33.03,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,3593555F,,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