35646 Bpg aortobifemoral
Also known as: aortobifemoral bypass, aortofemoral bifurcation, aortic bifemoral graft
Arterial bypass graft from abdominal aorta to both femoral arteries for severe aortoiliac and femoral disease. Comprehensive lower extremity revascularization.
In Plain Language
main artery to both thigh arteries bypass; major bypass surgery to both legs
Clinical Context
Standard of care for symptomatic aortoiliac occlusion with femoropopliteal disease. First-line surgical repair for Leriche syndrome.
RVU Breakdown
| Work RVU | 32.16 |
| Total RVU | 32.16 |
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 32.16, this code ranks in the 94th percentile among Surgery codes — 4.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35646?
CPT 35646 (Bpg aortobifemoral) is a Surgery code. Arterial bypass graft from abdominal aorta to both femoral arteries for severe aortoiliac and femoral disease. Comprehensive lower extremity revascularization.
What is the wRVU value for CPT 35646?
The work RVU for CPT 35646 is 32.16. This code is primarily used by Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 35646 used?
Standard of care for symptomatic aortoiliac occlusion with femoropopliteal disease. First-line surgical repair for Leriche syndrome.
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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.