CPT code 35587 represents a popliteal-to-tibial arterial bypass using the patient’s saphenous vein to bypass a peroneal artery occlusion. This vascular surgery code is central to management of peripheral arterial disease and limb ischemia, where restoring distal blood flow can prevent tissue loss and reduce the need for amputation. Nationally, surgical revascularization remains a key element of vascular care pathways for patients with critical limb ischemia.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical care settings, and common billing considerations for CPT code 35587. The publication summarizes benchmark elements and policy-relevant details that affect coverage and billing for lower-extremity bypass procedures, and it provides guidance on where to seek payer-specific coverage rules and documentation expectations.

This summary is intended for administrators, coding specialists, and clinicians seeking a national-level briefing on CPT code 35587, offering a clear starting point for more detailed review of payer policies, reimbursement benchmarks, and clinical documentation requirements.