35623 Bpg axillary-pop/-tibial
Also known as: axillopopliteal bypass, axillotibial bypass, axillary-lower leg bypass
Arterial bypass graft from axillary artery to popliteal or tibial artery for extensive lower extremity ischemia. Restores distal circulation below the knee.
In Plain Language
arm to below-knee artery bypass; long bypass from armpit to calf artery
Clinical Context
Performed for critical limb ischemia with multilevel disease in poor surgical candidates. Usually requires saphenous vein as conduit. May be staged procedure.
RVU Breakdown
| Work RVU | 25.27 |
| Total RVU | 25.27 |
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 25.27, this code ranks in the 89th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35623?
CPT 35623 (Bpg axillary-pop/-tibial) is a Surgery code. Arterial bypass graft from axillary artery to popliteal or tibial artery for extensive lower extremity ischemia. Restores distal circulation below the knee.
What is the wRVU value for CPT 35623?
The work RVU for CPT 35623 is 25.27. This code is primarily used by Vascular Surgery, Limb Salvage Surgery. It has a 90-day global period.
When is CPT 35623 used?
Performed for critical limb ischemia with multilevel disease in poor surgical candidates. Usually requires saphenous vein as conduit. May be staged 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.