35537

Art byp grft aortoiliac

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary35537Art byp grft aortoiliac
1
$1,891.83
$1,891.83
Add-on35572Harvest femoropopliteal vein
0
$306.95/ unit
$306.95/ unit
Whole procedure · 40.83 wRVU credited
$1,891.83
$1,891.83

RVU Breakdown

Component
Office
Facility
Work
40.83
40.83
Practice expense
5.35
5.35
Malpractice
10.46
10.46
Total RVU
56.64
56.64

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 9% is attributed to pre-operative care, 84% to the procedure itself, and 7% to post-operative visits.