No office rate
Choose 35304 for endarterectomy of an iliac artery; choose 35305 for the femoral artery.
On this page
CMS RVU26D · Effective 2026-10-01
35305 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1083.33
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular surgery
About 35305: Femoral artery endarterectomy
Open femoral artery endarterectomy removes obstructive plaque to improve blood flow, typically for lower-extremity atherosclerotic disease.
This code represents open removal of obstructive plaque from a femoral artery to restore blood flow to the leg. Vascular surgeons commonly perform it for atherosclerotic occlusive disease, often when disease affects the common femoral artery. The artery may be closed with a patch as part of the operation. The service is generally performed in a hospital operating room rather than an office setting.
Report the code when the operative work is a femoral artery endarterectomy; the operative note should identify the artery treated, the plaque removal, and any patch closure. A profunda femoris reconstruction involving profundaplasty may point to a different code. Medicare assigns this major surgery a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same 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 at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35305
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU23.01 · 70%
- Practice expense (office) RVU4.09 · 12%
- Malpractice RVU5.86 · 18%
180
Medicare services in 2024 · #4422 by national volume
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.
35305 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
35306 identifies popliteal artery endarterectomy. The operative report's named arterial site distinguishes it from femoral treatment.
No office rate
35371 is for qualifying femoral, profunda, or popliteal endarterectomy that includes profundaplasty; 35305 represents femoral endarterectomy without that defining work.
The same code, a different location
How does Delaware compare?
35305 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 35305
Office
Unavailable
Facility
$998.87
No comparable office rate is available.
Arkansas
Arkansas · 35305
Office
Unavailable
Facility
$986.70
No comparable office rate is available.
Arizona
Arizona · 35305
Office
Unavailable
Facility
$1068.47
No comparable office rate is available.
Bakersfield
California · 35305
Office
Unavailable
Facility
$1052.08
No comparable office rate is available.
Chico
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
El Centro
California · 35305
Office
Unavailable
Facility
$1037.23
No comparable office rate is available.
Fresno
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Hanford-Corcoran
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Madera
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Merced
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Modesto
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Napa
California · 35305
Office
Unavailable
Facility
$1096.46
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35305
Office
Unavailable
Facility
$1073.49
No comparable office rate is available.
Redding
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Rest Of California
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35305
Office
Unavailable
Facility
$1099.07
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35305
Office
Unavailable
Facility
$1060.01
No comparable office rate is available.
Salinas
California · 35305
Office
Unavailable
Facility
$1055.62
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35305
Office
Unavailable
Facility
$1061.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35305
Office
Unavailable
Facility
$1124.03
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35305
Office
Unavailable
Facility
$1117.37
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35305
Office
Unavailable
Facility
$1155.00
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35305
Office
Unavailable
Facility
$1127.79
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35305
Office
Unavailable
Facility
$1042.13
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35305
Office
Unavailable
Facility
$1055.59
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35305
Office
Unavailable
Facility
$1054.27
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35305
Office
Unavailable
Facility
$1064.28
No comparable office rate is available.
Stockton
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Vallejo
California · 35305
Office
Unavailable
Facility
$1086.86
No comparable office rate is available.
Visalia
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Yuba City
California · 35305
Office
Unavailable
Facility
$1036.26
No comparable office rate is available.
Colorado
Colorado · 35305
Office
Unavailable
Facility
$1075.99
No comparable office rate is available.
Connecticut
Connecticut · 35305
Office
Unavailable
Facility
$1167.89
No comparable office rate is available.
Fort Lauderdale
Florida · 35305
Office
Unavailable
Facility
$1260.82
No comparable office rate is available.
Rest Of Florida
Florida · 35305
Office
Unavailable
Facility
$1193.33
No comparable office rate is available.
Atlanta
Georgia · 35305
Office
Unavailable
Facility
$1144.73
No comparable office rate is available.
Rest Of Georgia
Georgia · 35305
Office
Unavailable
Facility
$1123.72
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35305
Office
Unavailable
Facility
$1037.21
No comparable office rate is available.
Iowa
Iowa · 35305
Office
Unavailable
Facility
$971.26
No comparable office rate is available.
Idaho
Idaho · 35305
Office
Unavailable
Facility
$986.82
No comparable office rate is available.
East St. Louis
Illinois · 35305
Office
Unavailable
Facility
$1288.43
No comparable office rate is available.
Rest Of Illinois
Illinois · 35305
Office
Unavailable
Facility
$1199.20
No comparable office rate is available.
Suburban Chicago
Illinois · 35305
Office
Unavailable
Facility
$1261.07
No comparable office rate is available.
Indiana
Indiana · 35305
Office
Unavailable
Facility
$990.32
No comparable office rate is available.
Kansas
Kansas · 35305
Office
Unavailable
Facility
$990.70
No comparable office rate is available.
Kentucky
Kentucky · 35305
Office
Unavailable
Facility
$1069.09
No comparable office rate is available.
New Orleans
Louisiana · 35305
Office
Unavailable
Facility
$1119.45
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35305
Office
Unavailable
Facility
$1076.96
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35305
Office
Unavailable
Facility
$1137.38
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35305
Office
Unavailable
Facility
$1080.70
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35305
Office
Unavailable
Facility
$1169.55
No comparable office rate is available.
Rest Of Maryland
Maryland · 35305
Office
Unavailable
Facility
$1094.17
No comparable office rate is available.
Rest Of Maine
Maine · 35305
Office
Unavailable
Facility
$1015.98
No comparable office rate is available.
Southern Maine
Maine · 35305
Office
Unavailable
Facility
$1027.44
No comparable office rate is available.
Detroit
Michigan · 35305
Office
Unavailable
Facility
$1230.38
No comparable office rate is available.
Rest Of Michigan
Michigan · 35305
Office
Unavailable
Facility
$1114.26
No comparable office rate is available.
Minnesota
Minnesota · 35305
Office
Unavailable
Facility
$967.06
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35305
Office
Unavailable
Facility
$1088.06
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35305
Office
Unavailable
Facility
$1094.73
No comparable office rate is available.
Rest Of Missouri
Missouri · 35305
Office
Unavailable
Facility
$1076.95
No comparable office rate is available.
Mississippi
Mississippi · 35305
Office
Unavailable
Facility
$1030.82
No comparable office rate is available.
Montana**
Montana · 35305
Office
Unavailable
Facility
$1100.50
No comparable office rate is available.
North Carolina
North Carolina · 35305
Office
Unavailable
Facility
$1021.08
No comparable office rate is available.
North Dakota**
North Dakota · 35305
Office
Unavailable
Facility
$984.63
No comparable office rate is available.
Nebraska
Nebraska · 35305
Office
Unavailable
Facility
$968.63
No comparable office rate is available.
New Hampshire
New Hampshire · 35305
Office
Unavailable
Facility
$1082.03
No comparable office rate is available.
Northern Nj
New Jersey · 35305
Office
Unavailable
Facility
$1184.48
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35305
Office
Unavailable
Facility
$1163.19
No comparable office rate is available.
New Mexico
New Mexico · 35305
Office
Unavailable
Facility
$1128.90
No comparable office rate is available.
Nevada**
Nevada · 35305
Office
Unavailable
Facility
$1068.34
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35305
Office
Unavailable
Facility
$1343.64
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35305
Office
Unavailable
Facility
$1189.56
No comparable office rate is available.
Queens
New York · 35305
Office
Unavailable
Facility
$1261.46
No comparable office rate is available.
Rest Of New York
New York · 35305
Office
Unavailable
Facility
$1035.93
No comparable office rate is available.
Ohio
Ohio · 35305
Office
Unavailable
Facility
$1090.57
No comparable office rate is available.
Oklahoma
Oklahoma · 35305
Office
Unavailable
Facility
$1042.63
No comparable office rate is available.
Portland
Oregon · 35305
Office
Unavailable
Facility
$1078.25
No comparable office rate is available.
Rest Of Oregon
Oregon · 35305
Office
Unavailable
Facility
$1042.22
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35305
Office
Unavailable
Facility
$1158.10
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35305
Office
Unavailable
Facility
$1078.93
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35305
Office
Unavailable
Facility
$1099.46
No comparable office rate is available.
Rhode Island
Rhode Island · 35305
Office
Unavailable
Facility
$1098.87
No comparable office rate is available.
South Carolina
South Carolina · 35305
Office
Unavailable
Facility
$1061.15
No comparable office rate is available.
South Dakota**
South Dakota · 35305
Office
Unavailable
Facility
$970.93
No comparable office rate is available.
Tennessee
Tennessee · 35305
Office
Unavailable
Facility
$997.84
No comparable office rate is available.
Austin
Texas · 35305
Office
Unavailable
Facility
$1088.04
No comparable office rate is available.
Beaumont
Texas · 35305
Office
Unavailable
Facility
$1074.70
No comparable office rate is available.
Brazoria
Texas · 35305
Office
Unavailable
Facility
$1062.75
No comparable office rate is available.
Dallas
Texas · 35305
Office
Unavailable
Facility
$1079.47
No comparable office rate is available.
Fort Worth
Texas · 35305
Office
Unavailable
Facility
$1080.65
No comparable office rate is available.
Galveston
Texas · 35305
Office
Unavailable
Facility
$1072.42
No comparable office rate is available.
Houston
Texas · 35305
Office
Unavailable
Facility
$1179.68
No comparable office rate is available.
Rest Of Texas
Texas · 35305
Office
Unavailable
Facility
$1074.94
No comparable office rate is available.
Utah
Utah · 35305
Office
Unavailable
Facility
$1072.73
No comparable office rate is available.
Virginia
Virginia · 35305
Office
Unavailable
Facility
$1041.03
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35305
Office
Unavailable
Facility
$1099.46
No comparable office rate is available.
Vermont
Vermont · 35305
Office
Unavailable
Facility
$1002.84
No comparable office rate is available.
Rest Of Washington
Washington · 35305
Office
Unavailable
Facility
$1071.35
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35305
Office
Unavailable
Facility
$1134.51
No comparable office rate is available.
Wisconsin
Wisconsin · 35305
Office
Unavailable
Facility
$959.71
No comparable office rate is available.
West Virginia
West Virginia · 35305
Office
Unavailable
Facility
$1167.36
No comparable office rate is available.
Wyoming**
Wyoming · 35305
Office
Unavailable
Facility
$1050.00
No comparable office rate is available.
See how rates vary across the country
35305 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 35305 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1191.66
$1083.33 × 110% = $1191.66
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 35305 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,316
- Code
- 35305
- Physician work
- 23.01
- Practice expense
- 4.09
- Malpractice
- 5.86
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.01 | × 1.005 | 23.1250 |
| Practice expense | 4.09 | × 0.988 | 4.0409 |
| Malpractice | 5.86 | × 0.899 | 5.2681 |
| Total RVUs | 32.4341 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1083.33
Open 35305 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.01 | 1.005 |
| Practice expense | 4.09 | 0.988 |
| Malpractice | 5.86 | 0.899 |
(23.01 × 1.005 + 4.09 × 0.988 + 5.86 × 0.899) × $33.4009 = $1083.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
35305 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1083.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $1083.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $1083.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $1083.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $1154.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $1154.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $1154.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $1154.92 | RVU25A |
35305 billing questions
When should this code be chosen over the iliac endarterectomy code?
Use this code when the treated artery is femoral. The iliac code applies when the endarterectomy is performed on an iliac artery.
Is patch closure separately reported?
A patch used to close the artery is included in the endarterectomy service. Document the patch in the operative report.
How is bilateral femoral endarterectomy reported?
Report bilateral work with modifier 50; CMS payment is 150% for the bilateral procedure.
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?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation.
When might the profundaplasty code be a better fit?
Consider the code for endarterectomy with profundaplasty when the documented operation includes that reconstruction, rather than a femoral endarterectomy alone.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,31335302,,Rechanneling of artery,A,,20.82,4.19,NA,4.19,,5.30,30.31,30.31,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31435303,,Rechanneling of artery,A,,23.01,4.48,NA,4.48,,5.85,33.34,33.34,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31535304,,Rechanneling of artery,A,,23.99,4.45,NA,4.45,,6.16,34.60,34.60,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31635305,,Rechanneling of artery,A,,23.01,4.09,NA,4.09,,5.86,32.96,32.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31735306,,Rechanneling of artery,A,,9.02,0.72,NA,0.72,,2.31,12.05,12.05,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31835311,,Rechanneling of artery,A,,27.89,9.21,NA,9.21,,6.67,43.77,43.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31935321,,Rechanneling of artery,A,,16.18,4.41,NA,4.41,,4.14,24.73,24.73,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503