35654 Bpg axillary-femoral-femoral
Also known as: axillofemoral bifemoral bypass, axil-bifem, ascending graft
Arterial bypass graft from axillary artery to both femoral arteries for aortoiliac occlusion in high-risk patients. Restores bilateral lower extremity circulation via upper extremity source.
In Plain Language
arm to both legs bypass; long bypass from armpit to both thighs
Clinical Context
Performed for aortoiliac occlusion in patients with infected aorta, unfavorable aortic anatomy, or prohibitive operative risk from aortic exposure.
RVU Breakdown
| Work RVU | 25.62 |
| Total RVU | 25.62 |
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 25.62, 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 35654?
CPT 35654 (Bpg axillary-femoral-femoral) is a Surgery code. Arterial bypass graft from axillary artery to both femoral arteries for aortoiliac occlusion in high-risk patients. Restores bilateral lower extremity circulation via upper extremity source.
What is the wRVU value for CPT 35654?
The work RVU for CPT 35654 is 25.62. This code is primarily used by Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 35654 used?
Performed for aortoiliac occlusion in patients with infected aorta, unfavorable aortic anatomy, or prohibitive operative risk from aortic exposure.
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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.