35636 Bpg splenorenal
Also known as: splenorenal bypass, splenic-renal bypass, renal salvage
Arterial bypass graft from splenic artery to renal artery for renal artery stenosis with renal insufficiency. Restores renal perfusion using splenic artery as inflow source.
In Plain Language
spleen artery to kidney artery bypass; rerouting blood from the spleen artery to the kidney
Clinical Context
Performed for renal artery stenosis when aorta and iliac arteries are diseased or unavailable. Preserves renal function and manages hypertension.
RVU Breakdown
| Work RVU | 30.96 |
| Total RVU | 30.96 |
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 30.96, this code ranks in the 93rd percentile among Surgery codes — 3.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35636?
CPT 35636 (Bpg splenorenal) is a Surgery code. Arterial bypass graft from splenic artery to renal artery for renal artery stenosis with renal insufficiency. Restores renal perfusion using splenic artery as inflow source.
What is the wRVU value for CPT 35636?
The work RVU for CPT 35636 is 30.96. This code is primarily used by Vascular Surgery, Renal Surgery. It has a 90-day global period.
When is CPT 35636 used?
Performed for renal artery stenosis when aorta and iliac arteries are diseased or unavailable. Preserves renal function and manages hypertension.
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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.