35558 Artery byp graft fem-femoral
Also known as: femorofemoral bypass, fem-fem bypass
Arterial bypass graft from femoral to femoral artery (cross-over femoral bypass) with restoration of contralateral leg blood flow.
In Plain Language
Bypass between legs; Connecting blood vessels on opposite legs
Clinical Context
Extraanatomic revascularization for unilateral iliac occlusion with patent femoral artery. Alternative to aortoiliac reconstruction avoiding abdominal approach.
RVU Breakdown
| Work RVU | 22.55 |
| Total RVU | 22.55 |
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 22.55, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35558?
CPT 35558 (Artery byp graft fem-femoral) is a Surgery code. Arterial bypass graft from femoral to femoral artery (cross-over femoral bypass) with restoration of contralateral leg blood flow.
What is the wRVU value for CPT 35558?
The work RVU for CPT 35558 is 22.55. This code is primarily used by Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 35558 used?
Extraanatomic revascularization for unilateral iliac occlusion with patent femoral artery. Alternative to aortoiliac reconstruction avoiding abdominal approach.
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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.