35587

Vein byp pop-tibl peroneal

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Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary35587Vein byp pop-tibl peroneal
1
$1,212.45
$1,212.45
Add-on35500Harvest vein for bypass
0
$286.91/ unit
$286.91/ unit
Add-on35572Harvest femoropopliteal vein
0
$306.95/ unit
$306.95/ unit
Add-on35682Composite byp grft 2 veins
0
$315.30/ unit
$315.30/ unit
Add-on35683Composite byp grft 3/> segmt
0
$369.08/ unit
$369.08/ unit
Add-on35686Bypass graft/av fist patency
0
$145.29/ unit
$145.29/ unit
Add-on35700Reoperation bypass graft
0
$136.61/ unit
$136.61/ unit
Whole procedure · 25.55 wRVU credited
$1,212.45
$1,212.45

RVU Breakdown

Component
Office
Facility
Work
25.55
25.55
Practice expense
4.22
4.22
Malpractice
6.53
6.53
Total RVU
36.30
36.30

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,818.68 office.
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
Team 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.