35621 Bpg axillary-femoral
Also known as: axillofemoral bypass, aortoaxillofemoral, axillary-femoral bypass
Arterial bypass graft from axillary artery to femoral artery for aortoiliac occlusive disease with upper extremity involvement. Restores circulation to lower extremity.
In Plain Language
arm to groin artery bypass; creating a blood vessel from armpit area to thigh
Clinical Context
Used for aortoiliac occlusion in high-risk patients unable to tolerate aortic surgery, infected aortic grafts, or as adjunct to synchronous procedures. Often temporary or bridge procedure.
RVU Breakdown
| Work RVU | 20.50 |
| Total RVU | 20.50 |
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 20.50, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35621?
CPT 35621 (Bpg axillary-femoral) is a Surgery code. Arterial bypass graft from axillary artery to femoral artery for aortoiliac occlusive disease with upper extremity involvement. Restores circulation to lower extremity.
What is the wRVU value for CPT 35621?
The work RVU for CPT 35621 is 20.50. This code is primarily used by Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 35621 used?
Used for aortoiliac occlusion in high-risk patients unable to tolerate aortic surgery, infected aortic grafts, or as adjunct to synchronous procedures. Often temporary or bridge procedure.
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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.