35509 Artery byp graft contral carotid
Also known as: carotid-carotid bypass, CC bypass
Arterial bypass graft from contralateral carotid to ipsilateral carotid artery (carotid-carotid bypass).
In Plain Language
Bypass from opposite side neck artery; Connecting neck arteries on opposite sides
Clinical Context
Extrathoracic revascularization for bilateral carotid artery disease or unilateral occlusion with contralateral stenosis. Offers excellent outcomes with minimal morbidity.
RVU Breakdown
| Work RVU | 27.39 |
| Total RVU | 27.39 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 27.39, this code ranks in the 91st percentile among Surgery codes — 3.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35509?
CPT 35509 (Artery byp graft contral carotid) is a Surgery code. Arterial bypass graft from contralateral carotid to ipsilateral carotid artery (carotid-carotid bypass).
What is the wRVU value for CPT 35509?
The work RVU for CPT 35509 is 27.39. This code is primarily used by Vascular Surgery, Neurosurgery, General Surgery. It has a 90-day global period.
When is CPT 35509 used?
Extrathoracic revascularization for bilateral carotid artery disease or unilateral occlusion with contralateral stenosis. Offers excellent outcomes with minimal morbidity.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.