CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 35558 RVU and Medicare Payment (2026)
Art byp grft fem-femoral — 22.55 work RVU, about $1,103.23 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 22.55
- PE RVU (non-facility)
- 4.8
- PE RVU (facility)
- 4.8
- MP RVU
- 5.68
- Office payment
- $1,103.23
- Facility payment
- $1,103.23
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 35558 in a non-facility setting with national GPCI: (22.55 + 4.8 + 5.68) × $33.4009 ≈ $1,103.23. The same code in a facility setting pays about $1,103.23 because facility PE RVU (4.8) replaces office PE RVU.
What changes by locality
GPCI moves 35558 non-facility payment from $965.21 to $1,405.06 across CMS localities — from Wisconsin to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 35558?
22.55. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 35558 in 2026?
About $1,103.23 non-facility ($1,103.23 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (22.55) and malpractice RVU stay fixed; only practice expense changes (4.8 office vs 4.8 facility). That is the entire office-vs-facility payment gap.