35650 Bpg axillary-axillary
Also known as: axillary-axillary bypass, axillary crossover, bilateral axillary bypass
Arterial bypass graft from axillary artery to contralateral axillary artery for bilateral subclavian or innominate disease with arm ischemia. Restores bilateral upper extremity circulation.
In Plain Language
crossover arm artery bypass; connecting both arm arteries
Clinical Context
Used for bilateral subclavian/innominate disease when endovascular therapy or bilateral reconstruction is not feasible. Alternative to bilateral transpositions.
RVU Breakdown
| Work RVU | 19.66 |
| Total RVU | 19.66 |
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 19.66, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35650?
CPT 35650 (Bpg axillary-axillary) is a Surgery code. Arterial bypass graft from axillary artery to contralateral axillary artery for bilateral subclavian or innominate disease with arm ischemia. Restores bilateral upper extremity circulation.
What is the wRVU value for CPT 35650?
The work RVU for CPT 35650 is 19.66. This code is primarily used by Vascular Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 35650 used?
Used for bilateral subclavian/innominate disease when endovascular therapy or bilateral reconstruction is not feasible. Alternative to bilateral transpositions.
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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.