35661 Bpg femoral-femoral
Also known as: femorofemoral bypass, femoral crossover, fem-fem bypass
Arterial bypass graft from femoral artery to contralateral femoral artery for bilateral iliac or femoral disease. Crossover revascularization of the opposite leg.
In Plain Language
thigh artery to opposite thigh bypass; connecting both leg arteries
Clinical Context
Used for unilateral aortoiliac occlusion with contralateral patent femoral artery. Avoids aortic surgery; higher patency than axillary-femoral.
RVU Breakdown
| Work RVU | 19.84 |
| Total RVU | 19.84 |
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 19.84, 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 35661?
CPT 35661 (Bpg femoral-femoral) is a Surgery code. Arterial bypass graft from femoral artery to contralateral femoral artery for bilateral iliac or femoral disease. Crossover revascularization of the opposite leg.
What is the wRVU value for CPT 35661?
The work RVU for CPT 35661 is 19.84. This code is primarily used by Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 35661 used?
Used for unilateral aortoiliac occlusion with contralateral patent femoral artery. Avoids aortic surgery; higher patency than axillary-femoral.
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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.