35523 Artery byp graft brchl-ulnr-rdl
Also known as: brachial-radial bypass, forearm artery bypass
Arterial bypass graft from brachial to ulnar, radial, or digital artery with restoration of hand perfusion.
In Plain Language
Bypass from arm to wrist/hand arteries; Creating new blood supply to hand
Clinical Context
Revascularization for forearm/hand artery occlusion causing digital ischemia. Requires careful assessment of palmar arch patency and collateral circulation.
RVU Breakdown
| Work RVU | 23.53 |
| Total RVU | 23.53 |
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 23.53, this code ranks in the 87th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35523?
CPT 35523 (Artery byp graft brchl-ulnr-rdl) is a Surgery code. Arterial bypass graft from brachial to ulnar, radial, or digital artery with restoration of hand perfusion.
What is the wRVU value for CPT 35523?
The work RVU for CPT 35523 is 23.53. This code is primarily used by Hand Surgery, Vascular Surgery, Microsurgery. It has a 90-day global period.
When is CPT 35523 used?
Revascularization for forearm/hand artery occlusion causing digital ischemia. Requires careful assessment of palmar arch patency and collateral circulation.
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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.