35666 Bpg fem-ant tib pst tib/prnl
Also known as: femorotibial bypass, infrapopliteal bypass, fem-tibial
Arterial bypass graft from femoral artery to anterior tibial, posterior tibial, or peroneal artery for infrapopliteal disease. Restores blood flow below the knee to the calf.
In Plain Language
thigh to calf artery bypass; very long bypass to the foot area
Clinical Context
Indicated for critical limb ischemia with infrapopliteal disease suitable for intervention. Saphenous vein preferred; limb salvage procedure.
RVU Breakdown
| Work RVU | 23.07 |
| Total RVU | 23.07 |
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 23.07, this code ranks in the 87th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 35666?
CPT 35666 (Bpg fem-ant tib pst tib/prnl) is a Surgery code. Arterial bypass graft from femoral artery to anterior tibial, posterior tibial, or peroneal artery for infrapopliteal disease. Restores blood flow below the knee to the calf.
What is the wRVU value for CPT 35666?
The work RVU for CPT 35666 is 23.07. This code is primarily used by Vascular Surgery, Limb Salvage Surgery. It has a 90-day global period.
When is CPT 35666 used?
Indicated for critical limb ischemia with infrapopliteal disease suitable for intervention. Saphenous vein preferred; limb salvage procedure.
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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.