35533 Artery byp graft axill/fem/fem
Also known as: bilateral femoral bypass, femoral-femoral bypass
Arterial bypass graft from axillary or femoral artery with bilateral femoral artery connection for lower extremity revascularization.
In Plain Language
Bypass connecting both legs; Restoring blood flow to both legs
Clinical Context
Extraanatomic revascularization for bilateral iliac occlusive disease or unilateral iliac occlusion with contralateral involvement. Alternative to aortic reconstruction.
RVU Breakdown
| Work RVU | 29.17 |
| Total RVU | 29.17 |
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 29.17, this code ranks in the 92nd percentile among Surgery codes — 3.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35533?
CPT 35533 (Artery byp graft axill/fem/fem) is a Surgery code. Arterial bypass graft from axillary or femoral artery with bilateral femoral artery connection for lower extremity revascularization.
What is the wRVU value for CPT 35533?
The work RVU for CPT 35533 is 29.17. This code is primarily used by Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 35533 used?
Extraanatomic revascularization for bilateral iliac occlusive disease or unilateral iliac occlusion with contralateral involvement. Alternative to aortic reconstruction.
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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.