35570 Artery byp tibial-tib/peroneal
Also known as: tibial-tibial bypass, distal bypass
Arterial bypass graft from tibial artery to tibial or peroneal artery with restoration of foot blood flow.
In Plain Language
Bypass in lower leg; Restoring foot blood supply
Clinical Context
Distal infrainguinal revascularization for tibial artery occlusion causing critical limb ischemia. Highest-complexity infrainguinal bypass; requires autogenous vein and specialized expertise.
RVU Breakdown
| Work RVU | 28.42 |
| Total RVU | 28.42 |
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 28.42, this code ranks in the 91st 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 35570?
CPT 35570 (Artery byp tibial-tib/peroneal) is a Surgery code. Arterial bypass graft from tibial artery to tibial or peroneal artery with restoration of foot blood flow.
What is the wRVU value for CPT 35570?
The work RVU for CPT 35570 is 28.42. This code is primarily used by Vascular Surgery, General Surgery, Podiatric Surgery. It has a 90-day global period.
When is CPT 35570 used?
Distal infrainguinal revascularization for tibial artery occlusion causing critical limb ischemia. Highest-complexity infrainguinal bypass; requires autogenous vein and specialized expertise.
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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.