CPT code 35355: Arterial endarterectomy, iliac artery2026 Medicare rate & RVUs in Alaska

Open iliac artery endarterectomy removes obstructive plaque to restore blood flow, with patch repair included when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality3.1K Medicare services in 2024

In Alaska, Medicare pays $1,189.82 for 35355 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,189.82Hospital or facility

Check a contract rate as a % of Medicare · 35355 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 35355 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 35355 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 35355 covers

This code describes open removal of atherosclerotic plaque from an iliac artery to improve blood flow. The vascular surgeon exposes the affected artery, clears the obstructing material, and may use a patch to widen or repair the vessel. It is typically performed in a hospital or other facility for clinically significant iliac artery disease, such as occlusive disease causing impaired lower-extremity circulation.

Report the code when the operative record supports endarterectomy of the iliac artery; a patch, when used, is included in the service. The record should identify the treated artery, the plaque removal, and any repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeons require supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Alaska compares for 35355

Across 109 of 109 payment localities, the facility rate for 35355 runs from $813.51 in Wisconsin to $1,189.82 in Alaska. Alaska pays $1,189.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

35355 in Alaska vs other payment areas
  1. Alaska · this page$1,189.82
  2. Los Angeles, CA · California$925.93−$263.89
  3. Washington, DC area · District of Columbia$1,007.66−$182.16
  4. Miami, FL · Florida$1,189.30−$0.52
  5. Chicago, IL · Illinois$1,150.93−$38.89
  6. Manhattan, NY · New York$1,090.07−$99.75
  7. Alabama · Alabama$845.93−$343.89

Other areas in Alaska first, then benchmark localities. Bars start at $0.

Every other payment area

35355 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$835.59
ArizonaArizona—$905.08
Bakersfield, CACalifornia—$892.09
Chico, CACalifornia—$878.78
El Centro, CACalifornia—$879.60
Fresno, CACalifornia—$878.78
Hanford, CACalifornia—$878.78
Madera, CACalifornia—$878.78

35355 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
35355 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 35355 in every payment locality

How the 35355 rate is calculated

Each of 35355’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 35355

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.36

19.36 RVUs× 1.000 GPCI

Practice expense3.63

3.63 RVUs× 1.000 GPCI

Malpractice4.93

4.93 RVUs× 1.000 GPCI

Adjusted RVUs

27.9200

Conversion factor

$33.4009

Medicare rate

$932.55

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,323

Code
35355
Physician work
19.36
Practice expense
3.63
Malpractice
4.93

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Facility calculation for 35355 in Alaska
ComponentRVULocality factorAdjusted
Physician work19.36× 1.50029.0400
Practice expense3.63× 1.0653.8659
Malpractice4.93× 0.5512.7164
Total RVUs35.6224
Conversion factor× 33.4009

Facility rate, Alaska$1189.82

Facility: (19.36 × 1.5 + 3.63 × 1.065 + 4.93 × 0.551) × $33.4009 = $1189.82

Open 35355 in the RVU calculator

Payment rules and modifiers for 35355

35355 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35355

Arterial endarterectomy, iliac artery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35355

Arterial endarterectomy, iliac artery

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35355 without 50 · national facility

$932.55

Arterial endarterectomy, iliac artery

35355-50 · Bilateral: 150%

$1,398.83

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 35355 has changed in Alaska

35355 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,189.82RVU26D
2026-07-01Not available in this setting$1,189.82RVU26C
2026-04-01Not available in this setting$1,189.82RVU26B
2026-01-01Not available in this setting$1,189.82RVU26A
2025-10-01Not available in this setting$1,246.06RVU25D
2025-07-01Not available in this setting$1,246.06RVU25C
2025-04-01Not available in this setting$1,246.06RVU25B
2025-01-01Not available in this setting$1,246.06RVU25A
2024-10-01Not available in this setting$1,280.55RVU24D
2024-07-01Not available in this setting$1,280.55RVU24C
2024-04-01Not available in this setting$1,280.55RVU24B
2024-03-09Not available in this setting$1,280.55RVU24AR
2024-01-01Not available in this setting$1,259.65RVU24A
2023-10-01Not available in this setting$1,307.01RVU23D
2023-07-01Not available in this setting$1,307.01RVU23C
2023-04-01Not available in this setting$1,307.01RVU23B
2023-01-01Not available in this setting$1,307.01RVU23A
2022-10-01Not available in this setting$1,344.21RVU22D
2022-07-01Not available in this setting$1,344.21RVU22C
2022-04-01Not available in this setting$1,344.21RVU22B
2022-01-01Not available in this setting$1,344.21RVU22A
2021-10-01Not available in this setting$1,351.36RVU21D
2021-07-01Not available in this setting$1,351.36RVU21C
2021-04-01Not available in this setting$1,351.36RVU21B
2021-01-01Not available in this setting$1,351.36RVU21A
2020-10-01Not available in this setting$1,405.66RVU20D
2020-07-01Not available in this setting$1,405.66RVU20C
2020-04-01Not available in this setting$1,405.66RVU20B
2020-01-01Not available in this setting$1,405.66RVU20A
2019-10-01Not available in this setting$1,409.90RVU19D
2019-07-01Not available in this setting$1,409.90RVU19C
2019-04-01Not available in this setting$1,409.90RVU19B
2019-01-01Not available in this setting$1,409.90RVU19A
2018-10-01Not available in this setting$1,416.33RVU18D
2018-07-01Not available in this setting$1,416.33RVU18C
2018-04-01Not available in this setting$1,416.33RVU18B
2018-01-01Not available in this setting$1,416.33RVU18AR1
2017-10-01Not available in this setting$1,421.06RVU17D
2017-07-01Not available in this setting$1,421.06RVU17C
2017-04-01Not available in this setting$1,421.06RVU17B
2017-01-01Not available in this setting$1,421.06RVU17A
2016-10-01Not available in this setting$1,431.09RVU16D
2016-07-01Not available in this setting$1,431.09RVU16C
2016-04-01Not available in this setting$1,431.09RVU16B
2016-01-01Not available in this setting$1,431.09RVU16A
2015-10-01Not available in this setting$1,434.49RVU15D
2015-07-01Not available in this setting$1,434.49RVU15C
2015-04-01Not available in this setting$1,427.35RVU15B
2015-01-01Not available in this setting$1,427.35RVU15A
2014-10-01Not available in this setting$1,430.68RVU14D
2014-07-01Not available in this setting$1,430.68RVU14C
2014-04-01Not available in this setting$1,430.68RVU14B
2014-01-01Not available in this setting$1,430.68RVU14A
2013-10-01Not available in this setting$1,385.10RVU13D
2013-07-01Not available in this setting$1,385.10RVU13C
2013-04-01Not available in this setting$1,385.10RVU13B
2013-01-01Not available in this setting$1,385.10RVU13AR

Price 35355 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

35355 billing questions

When should 35355 be selected instead of a neighboring endarterectomy code?

Use 35355 when the operative service is endarterectomy of the iliac artery. Select a different site-specific code when the treated artery is the aorta or a femoral artery.

Is patch angioplasty separately reported?

A patch used as part of the iliac endarterectomy is included in this code. The operative report should describe the patch when one is used.

How does Medicare handle bilateral reporting?

For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be allowed. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 35355PPRRVU2026_Oct_nonQPP.csv, line 4,323 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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