No office rate
Choose 35566 when the bypass begins at the femoral artery and reaches a tibial, peroneal, or related distal artery; choose 35571 when inflow is popliteal.
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CMS RVU26D · Effective 2026-10-01
35571 Arterial bypass Medicare reimbursement rates in Virginia
Reports a vein-graft bypass from the popliteal artery to a tibial, peroneal, or other distal artery to restore lower-extremity blood flow. Compare 35571 office and facility rates across CMS payment localities in Virginia.
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 35571 in Virginia?
Virginia 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
$1135.21–$1297.23
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 35571: Popliteal-to-distal vein bypass
Reports a vein-graft bypass from the popliteal artery to a tibial, peroneal, or other distal artery to restore lower-extremity blood flow.
A vascular surgeon uses a vein graft to route blood from the popliteal artery around an obstructed segment to a tibial, peroneal, or other distal artery. The operation is used for lower-extremity arterial occlusive disease when revascularization to a distal target is needed, such as in a patient with limb-threatening ischemia. It is typically performed in a hospital operating room.
Report the bypass when the operative record supports a popliteal inflow artery, a distal arterial outflow target, and a vein-graft technique. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35571
- 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 RVU24.88 · 69%
- Practice expense (office) RVU4.69 · 13%
- Malpractice RVU6.37 · 18%
632
Medicare services in 2024 · #3349 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.
35571 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Code 35570 describes a bypass between tibial or peroneal arteries. This code uses the popliteal artery as the inflow source.
No office rate
Code 35587 is for an in-situ vein bypass from popliteal to a distal vessel. This code is for a vein-graft bypass not described as in situ.
Compare 35571 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1297.23
Virginia →
Office / nonfacility
Unavailable
Facility
$1135.21
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35571 billing questions
How is this code distinguished from 35566?
This code describes a bypass originating at the popliteal artery. Code 35566 describes a bypass originating at the femoral artery and extending to a tibial, peroneal, or related distal target.
When is 35587 a better fit?
Use 35587 when the procedure is an in-situ vein bypass from the popliteal artery to a tibial, peroneal, or other distal vessel. This code describes a vein-graft bypass that is not reported as an in-situ bypass.
What operative details support reporting this code?
The operative report should identify the popliteal inflow, the distal outflow artery, and the vein-graft bypass technique. It should also describe the bypass performed and the treated arterial disease.
How is bilateral surgery handled?
CMS lists bilateral reporting with modifier 50 at 150%. The global period is 90 days, including the day-before preoperative visit and related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires 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.
4,36235565,,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
4,36635572,,Harvest femoropopliteal vein,A,,6.64,0.87,NA,0.87,,1.68,9.19,9.19,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36735583,,Vein byp grft fem-popliteal,A,,27.06,5.03,NA,5.03,,6.89,38.98,38.98,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,36835585,,Vein byp fem-tibial peroneal,A,,31.54,5.55,NA,5.55,,8.06,45.15,45.15,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00