No office rate
35321 is for endarterectomy limited to the aorta. Report 35331 when the operative treatment involves the aortoiliac segment.
On this page
CMS RVU26D · Effective 2026-10-01
35331 in Fort Worth
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1247.37
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 35331: Aortoiliac artery endarterectomy
Open aortoiliac endarterectomy removes obstructive plaque from the aorta and iliac artery to restore blood flow in symptomatic occlusive disease.
A vascular surgeon performs this open operation to remove atherosclerotic material obstructing the aortoiliac arterial pathway. It is used for selected patients with aortoiliac occlusive disease causing symptoms such as limiting claudication or limb-threatening ischemia. The surgeon may use a patch to widen the treated vessel; that possibility is included in the procedure. The service is generally performed in a hospital operating room, rather than an office setting.
Report the code when the operative work is an endarterectomy involving the aortoiliac segment. The operative note should identify the treated artery or arteries, laterality, extent of plaque removal, and any patch repair. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35331
- 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 RVU27.03 · 71%
- Practice expense (office) RVU4.12 · 11%
- Malpractice RVU6.90 · 18%
79
Medicare services in 2024 · #5065 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.
35331 compared with similar codes
Office rates for Fort Worth, from the same CMS release.
No office rate
35341 represents endarterectomy in a different arterial territory. Base code selection on the vessels actually treated, as documented in the operative report.
No office rate
35646 describes an aortobifemoral bypass, not aortoiliac plaque removal. Choose according to whether the surgeon performed bypass or endarterectomy.
The same code, a different location
How does Fort Worth compare?
35331 across payment areas
Same release and payment basis · bars start at $0
Fort Worth · This locality
Unavailable
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 Texas 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
Rest Of Texas
Texas · 35331
Office
Unavailable
Facility
$1241.53
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 35331
Office
Unavailable
Facility
$1255.67
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35331
Office
Unavailable
Facility
$1370.19
No comparable office rate is available.
Miami
Florida · 35331
Office
Unavailable
Facility
$1628.93
No comparable office rate is available.
Chicago
Illinois · 35331
Office
Unavailable
Facility
$1576.37
No comparable office rate is available.
Manhattan
New York · 35331
Office
Unavailable
Facility
$1486.03
No comparable office rate is available.
Alaska*
Alaska · 35331
Office
Unavailable
Facility
$1627.78
No comparable office rate is available.
Alabama
Alabama · 35331
Office
Unavailable
Facility
$1153.68
No comparable office rate is available.
Arkansas
Arkansas · 35331
Office
Unavailable
Facility
$1139.72
No comparable office rate is available.
Arizona
Arizona · 35331
Office
Unavailable
Facility
$1233.45
No comparable office rate is available.
Bakersfield
California · 35331
Office
Unavailable
Facility
$1211.16
No comparable office rate is available.
Chico
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
El Centro
California · 35331
Office
Unavailable
Facility
$1193.68
No comparable office rate is available.
Fresno
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Hanford-Corcoran
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Madera
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Merced
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Modesto
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Napa
California · 35331
Office
Unavailable
Facility
$1258.15
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35331
Office
Unavailable
Facility
$1234.34
No comparable office rate is available.
Redding
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Rest Of California
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35331
Office
Unavailable
Facility
$1266.49
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35331
Office
Unavailable
Facility
$1218.90
No comparable office rate is available.
Salinas
California · 35331
Office
Unavailable
Facility
$1213.84
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35331
Office
Unavailable
Facility
$1219.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35331
Office
Unavailable
Facility
$1288.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35331
Office
Unavailable
Facility
$1280.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35331
Office
Unavailable
Facility
$1324.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35331
Office
Unavailable
Facility
$1292.07
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35331
Office
Unavailable
Facility
$1198.44
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35331
Office
Unavailable
Facility
$1212.51
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35331
Office
Unavailable
Facility
$1212.09
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35331
Office
Unavailable
Facility
$1222.43
No comparable office rate is available.
Stockton
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Vallejo
California · 35331
Office
Unavailable
Facility
$1246.86
No comparable office rate is available.
Visalia
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Yuba City
California · 35331
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Colorado
Colorado · 35331
Office
Unavailable
Facility
$1240.07
No comparable office rate is available.
Connecticut
Connecticut · 35331
Office
Unavailable
Facility
$1347.95
No comparable office rate is available.
Delaware
Delaware · 35331
Office
Unavailable
Facility
$1250.49
No comparable office rate is available.
Fort Lauderdale
Florida · 35331
Office
Unavailable
Facility
$1458.91
No comparable office rate is available.
Rest Of Florida
Florida · 35331
Office
Unavailable
Facility
$1380.77
No comparable office rate is available.
Atlanta
Georgia · 35331
Office
Unavailable
Facility
$1322.14
No comparable office rate is available.
Rest Of Georgia
Georgia · 35331
Office
Unavailable
Facility
$1300.29
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35331
Office
Unavailable
Facility
$1192.73
No comparable office rate is available.
Iowa
Iowa · 35331
Office
Unavailable
Facility
$1120.24
No comparable office rate is available.
Idaho
Idaho · 35331
Office
Unavailable
Facility
$1138.44
No comparable office rate is available.
East St. Louis
Illinois · 35331
Office
Unavailable
Facility
$1493.59
No comparable office rate is available.
Rest Of Illinois
Illinois · 35331
Office
Unavailable
Facility
$1388.68
No comparable office rate is available.
Suburban Chicago
Illinois · 35331
Office
Unavailable
Facility
$1458.86
No comparable office rate is available.
Indiana
Indiana · 35331
Office
Unavailable
Facility
$1142.40
No comparable office rate is available.
Kansas
Kansas · 35331
Office
Unavailable
Facility
$1143.38
No comparable office rate is available.
Kentucky
Kentucky · 35331
Office
Unavailable
Facility
$1236.04
No comparable office rate is available.
New Orleans
Louisiana · 35331
Office
Unavailable
Facility
$1294.13
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35331
Office
Unavailable
Facility
$1245.40
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35331
Office
Unavailable
Facility
$1309.27
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35331
Office
Unavailable
Facility
$1245.86
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35331
Office
Unavailable
Facility
$1350.02
No comparable office rate is available.
Rest Of Maryland
Maryland · 35331
Office
Unavailable
Facility
$1262.69
No comparable office rate is available.
Rest Of Maine
Maine · 35331
Office
Unavailable
Facility
$1172.78
No comparable office rate is available.
Southern Maine
Maine · 35331
Office
Unavailable
Facility
$1184.62
No comparable office rate is available.
Detroit
Michigan · 35331
Office
Unavailable
Facility
$1424.19
No comparable office rate is available.
Rest Of Michigan
Michigan · 35331
Office
Unavailable
Facility
$1288.66
No comparable office rate is available.
Minnesota
Minnesota · 35331
Office
Unavailable
Facility
$1112.65
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35331
Office
Unavailable
Facility
$1257.21
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35331
Office
Unavailable
Facility
$1264.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 35331
Office
Unavailable
Facility
$1245.92
No comparable office rate is available.
Mississippi
Mississippi · 35331
Office
Unavailable
Facility
$1191.62
No comparable office rate is available.
Montana**
Montana · 35331
Office
Unavailable
Facility
$1270.44
No comparable office rate is available.
North Carolina
North Carolina · 35331
Office
Unavailable
Facility
$1178.49
No comparable office rate is available.
North Dakota**
North Dakota · 35331
Office
Unavailable
Facility
$1134.01
No comparable office rate is available.
Nebraska
Nebraska · 35331
Office
Unavailable
Facility
$1116.96
No comparable office rate is available.
New Hampshire
New Hampshire · 35331
Office
Unavailable
Facility
$1247.74
No comparable office rate is available.
Northern Nj
New Jersey · 35331
Office
Unavailable
Facility
$1365.47
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35331
Office
Unavailable
Facility
$1342.03
No comparable office rate is available.
New Mexico
New Mexico · 35331
Office
Unavailable
Facility
$1305.81
No comparable office rate is available.
Nevada**
Nevada · 35331
Office
Unavailable
Facility
$1232.55
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35331
Office
Unavailable
Facility
$1552.20
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35331
Office
Unavailable
Facility
$1373.00
No comparable office rate is available.
Queens
New York · 35331
Office
Unavailable
Facility
$1455.60
No comparable office rate is available.
Rest Of New York
New York · 35331
Office
Unavailable
Facility
$1195.58
No comparable office rate is available.
Ohio
Ohio · 35331
Office
Unavailable
Facility
$1260.78
No comparable office rate is available.
Oklahoma
Oklahoma · 35331
Office
Unavailable
Facility
$1204.79
No comparable office rate is available.
Portland
Oregon · 35331
Office
Unavailable
Facility
$1241.63
No comparable office rate is available.
Rest Of Oregon
Oregon · 35331
Office
Unavailable
Facility
$1201.91
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35331
Office
Unavailable
Facility
$1337.28
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35331
Office
Unavailable
Facility
$1246.94
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35331
Office
Unavailable
Facility
$1268.96
No comparable office rate is available.
Rhode Island
Rhode Island · 35331
Office
Unavailable
Facility
$1267.71
No comparable office rate is available.
South Carolina
South Carolina · 35331
Office
Unavailable
Facility
$1225.88
No comparable office rate is available.
South Dakota**
South Dakota · 35331
Office
Unavailable
Facility
$1117.87
No comparable office rate is available.
Tennessee
Tennessee · 35331
Office
Unavailable
Facility
$1151.68
No comparable office rate is available.
Utah
Utah · 35331
Office
Unavailable
Facility
$1239.14
No comparable office rate is available.
Virginia
Virginia · 35331
Office
Unavailable
Facility
$1200.81
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35331
Office
Unavailable
Facility
$1268.96
No comparable office rate is available.
Vermont
Vermont · 35331
Office
Unavailable
Facility
$1155.68
No comparable office rate is available.
Rest Of Washington
Washington · 35331
Office
Unavailable
Facility
$1234.85
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35331
Office
Unavailable
Facility
$1305.11
No comparable office rate is available.
Wisconsin
Wisconsin · 35331
Office
Unavailable
Facility
$1105.64
No comparable office rate is available.
West Virginia
West Virginia · 35331
Office
Unavailable
Facility
$1352.21
No comparable office rate is available.
Wyoming**
Wyoming · 35331
Office
Unavailable
Facility
$1210.98
No comparable office rate is available.
See how rates vary across the country
35331 · 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?
Fort Worth is a Medicare payment area. Our Census mapping connects it to 45 cities and communities in Texas, 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.
- 35331 in Fort Worth
Multiple payment areas
- 35331 in Arlington
- 35331 in Azle
Multiple payment areas
- 35331 in Bedford
- 35331 in Benbrook
- 35331 in Blue Mound
- 35331 in Briar
Multiple payment areas
- 35331 in Burleson
Multiple payment areas
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 35331 in Fort Worth. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1372.11
$1247.37 × 110% = $1372.11
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 35331 in Fort Worth.
PPRRVU2026_Oct_nonQPP.csv
4,320
- Code
- 35331
- Physician work
- 27.03
- Practice expense
- 4.12
- Malpractice
- 6.90
GPCI2026.csv
100
- Locality
- Fort Worth
- Physician work
- 1.009
- Practice expense
- 0.986
- Malpractice
- 0.871
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.03 | × 1.009 | 27.2733 |
| Practice expense | 4.12 | × 0.986 | 4.0623 |
| Malpractice | 6.90 | × 0.871 | 6.0099 |
| Total RVUs | 37.3455 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Fort Worth$1247.37
Open 35331 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.03 | 1.009 |
| Practice expense | 4.12 | 0.986 |
| Malpractice | 6.9 | 0.871 |
(27.03 × 1.009 + 4.12 × 0.986 + 6.9 × 0.871) × $33.4009 = $1247.37
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
35331 · 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 | $1247.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $1247.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $1247.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $1247.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $1361.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $1361.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $1361.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $1361.03 | RVU25A |
35331 billing questions
How is this code distinguished from an aorta-only endarterectomy?
Use this code when the documented endarterectomy involves the aortoiliac segment. An operation confined to the aorta is represented by the aorta-specific code, 35321.
Does the code include a patch graft?
Yes. The procedure may include patch angioplasty when performed as part of the endarterectomy; document the repair in the operative report.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation.
How is bilateral treatment reported?
When the service is performed bilaterally and reported with modifier 50, CMS pays at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
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.
4,31735306,,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
4,32035331,,Rechanneling of artery,A,,27.03,4.12,NA,4.12,,6.90,38.05,38.05,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32135341,,Rechanneling of artery,A,,25.55,5.23,NA,5.23,,6.46,37.24,37.24,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32235351,,Rechanneling of artery,A,,23.99,4.87,NA,4.87,,6.16,35.02,35.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32335355,,Rechanneling of artery,A,,19.36,3.63,NA,3.63,,4.93,27.92,27.92,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903