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CPT code 35371: Arterial endarterectomy, femoral, profunda, or popliteal2026 Medicare rate & RVUs

Reports open plaque removal from a femoral, profunda femoris, or popliteal artery, including patch repair when performed, for lower-extremity arterial obstruction.

CMS RVU26DEffective Oct 1, 2026109 payment localities7.3K Medicare services in 2024

Medicare pays $739.83 for 35371 nationally in a facility.

Medicare rate · 35371

Arterial endarterectomy, femoral, profunda, or popliteal

Office or facility?

Work RVUs
14.93
Total RVUs
22.15
Global days
090

National rate · 2026

$739.83

Facility setting, before claim adjustments.

See every locality for 35371 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 35371 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 35371 covers

A vascular surgeon uses an open leg incision to remove obstructive plaque from a femoral, profunda femoris, or popliteal artery. A common example is open common femoral endarterectomy for symptomatic atherosclerotic disease; a patch may be used to close or enlarge the treated artery. The service is generally performed in a hospital operating room for lower-extremity revascularization.

Select this code when the documented open endarterectomy treats one of the specified arteries. The operative report should identify the artery and side, describe plaque removal, and document any patch repair. The patch is included in the service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant may be paid; 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.

Where 35371 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

35371 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$670.47
AlaskaUnavailable$939.60
ArizonaUnavailable$718.01
ArkansasUnavailable$662.17
Atlanta, GAUnavailable$768.67
Austin, TXUnavailable$732.98
Bakersfield, CAUnavailable$710.64
Baltimore area, MDUnavailable$786.23
Beaumont, TXUnavailable$720.54
Brazoria, TXUnavailable$714.87

35371 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
35371 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

How the 35371 rate is calculated

Each of 35371’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 · 35371

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.93

14.93 RVUs× 1.000 GPCI

Practice expense3.42

3.42 RVUs× 1.000 GPCI

Malpractice3.80

3.80 RVUs× 1.000 GPCI

Adjusted RVUs

22.1500

Conversion factor

$33.4009

Medicare rate

$739.83

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

Payment rules and modifiers for 35371

35371 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35371

Arterial endarterectomy, femoral, profunda, or popliteal

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 · 35371

Arterial endarterectomy, femoral, profunda, or popliteal

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

35371 without 50 · national facility

$739.83

Arterial endarterectomy, femoral, profunda, or popliteal

35371-50 · Bilateral: 150%

$1,109.75

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

35371 compared with similar codes

Compare codes · National

35371 vs 35372 vs 35301: Medicare rates

Office or facility?

  • 35371

    Arterial endarterectomy, femoral, profunda, or popliteal14.93 wRVU

    Not priced

  • 35372

    Femoral endarterectomy, with profundaplasty18.12 wRVU

    Not priced

  • 35301

    Arterial endarterectomy, carotid, vertebral, or subclavian20.63 wRVU

    Not priced

How to choose

35372Femoral endarterectomyWith profundaplasty
Choose 35371 for femoral, profunda femoris, or popliteal artery endarterectomy; 35372 identifies open iliac artery endarterectomy.
35301Arterial endarterectomyCarotid, vertebral, or subclavian
35301 describes open endarterectomy in the carotid, vertebral, or subclavian territory through a neck incision, not lower-extremity arterial work.

Codes related to 35371

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 35371
CodeHow it relatesNational office range
Same family
35372Femoral endarterectomy, with profundaplastyOpen endarterectomy of the iliac artery rather than the lower-extremity arteries covered by 35371.No office rate
35301Arterial endarterectomy, carotid, vertebral, or subclavianOpen endarterectomy for carotid, vertebral, or subclavian disease by a neck incision.No office rate

35371 billing questions

When should 35371 be selected instead of 35372?

Use 35371 for open endarterectomy of a femoral, profunda femoris, or popliteal artery. Code 35372 is for the iliac artery.

Is a patch repair separately reported?

No. A patch used as part of the endarterectomy is included in 35371.

What should the operative report document?

Document the treated artery and side, the open plaque-removal work, and whether a patch was used. These details support selection of the lower-extremity code and bilateral reporting when applicable.

How is bilateral 35371 reported?

Report bilateral services with modifier 50. CMS pays the bilateral procedure at 150%.

How does the multiple-procedure reduction affect 35371?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.

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 35371PPRRVU2026_Oct_nonQPP.csv, line 4,326 (RVU26D)

Open CMS sourceHow we calculate rates

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