35638 Bpg aortobi-iliac
Also known as: aortobiiliac bypass, aortobi-iliac graft, bilateral iliac bypass
Arterial bypass graft from abdominal aorta to bilateral iliac arteries for extensive aortoiliac occlusive disease. Restores bilateral lower extremity perfusion.
In Plain Language
main artery to both pelvic arteries bypass; restoring blood flow to both legs
Clinical Context
Indicated for symptomatic bilateral aortoiliac occlusion with extensive disease. Larger graft with higher morbidity than unilateral repair.
RVU Breakdown
| Work RVU | 32.76 |
| Total RVU | 32.76 |
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 32.76, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35638?
CPT 35638 (Bpg aortobi-iliac) is a Surgery code. Arterial bypass graft from abdominal aorta to bilateral iliac arteries for extensive aortoiliac occlusive disease. Restores bilateral lower extremity perfusion.
What is the wRVU value for CPT 35638?
The work RVU for CPT 35638 is 32.76. This code is primarily used by Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 35638 used?
Indicated for symptomatic bilateral aortoiliac occlusion with extensive disease. Larger graft with higher morbidity than unilateral repair.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.