35301 reports the primary carotid endarterectomy. Add 35390 only when that operation is a reoperation in a previously operated carotid field.
On this page
CMS RVU26D · Effective 2026-10-01
35390 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$134.06
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 35390: Repeat carotid endarterectomy add-on
Reports the added work of repeat carotid endarterectomy in a previously operated neck, alongside the primary code for the new carotid endarterectomy.
This add-on represents the additional operative work of performing carotid endarterectomy in a neck that has already undergone carotid surgery. A vascular surgeon may encounter this situation when treating recurrent narrowing at a previously operated carotid artery. The repeat operation involves working through the prior surgical field to address the recurrent disease; it is not simply another code for an initial carotid endarterectomy.
Report 35390 with the primary code for the carotid endarterectomy, generally 35301. The operative report should establish the prior carotid operation and document the current repeat endarterectomy. CMS treats this as an add-on: it is reported only with a primary procedure, and its payment falls within that procedure’s global period. Do not report it by itself to describe the repeat operation.
CMS billing rules for 35390
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.11 · 72%
- Practice expense (office) RVU0.39 · 9%
- Malpractice RVU0.79 · 18%
155
Medicare services in 2024 · #4538 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.
35390 compared with similar codes
Office rates for Redding, from the same CMS release.
Transcath stent cca w/eps
37215 reports carotid stent placement with embolic protection, an endovascular approach rather than repeat open endarterectomy.
Transcath stent cca w/o eps
37216 reports carotid stent placement without embolic protection. It describes an endovascular treatment, not reoperative carotid endarterectomy.
The same code, a different location
How does Redding compare?
35390 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 35390
Office
Unavailable
Facility
$134.06
No comparable office rate is available.
Merced
California · 35390
Office
Unavailable
Facility
$134.06
No comparable office rate is available.
Modesto
California · 35390
Office
Unavailable
Facility
$134.06
No comparable office rate is available.
Napa
California · 35390
Office
Unavailable
Facility
$140.99
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 35390
Office
Unavailable
Facility
$138.62
No comparable office rate is available.
Rest Of California
California · 35390
Office
Unavailable
Facility
$134.06
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 35390
Office
Unavailable
Facility
$142.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 35390
Office
Unavailable
Facility
$136.91
No comparable office rate is available.
Salinas
California · 35390
Office
Unavailable
Facility
$136.34
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 35390
Office
Unavailable
Facility
$136.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 35390
Office
Unavailable
Facility
$144.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 35390
Office
Unavailable
Facility
$143.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 35390
Office
Unavailable
Facility
$148.23
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 35390
Office
Unavailable
Facility
$144.56
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 35390
Office
Unavailable
Facility
$134.62
No comparable office rate is available.
Santa Cruz-Watsonville
California · 35390
Office
Unavailable
Facility
$136.03
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 35390
Office
Unavailable
Facility
$136.12
No comparable office rate is available.
Santa Rosa-Petaluma
California · 35390
Office
Unavailable
Facility
$137.13
No comparable office rate is available.
Stockton
California · 35390
Office
Unavailable
Facility
$134.06
No comparable office rate is available.
Vallejo
California · 35390
Office
Unavailable
Facility
$139.70
No comparable office rate is available.
Visalia
California · 35390
Office
Unavailable
Facility
$134.06
No comparable office rate is available.
Yuba City
California · 35390
Office
Unavailable
Facility
$134.06
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 35390
Office
Unavailable
Facility
$154.20
No comparable office rate is available.
Miami
Florida · 35390
Office
Unavailable
Facility
$184.17
No comparable office rate is available.
Chicago
Illinois · 35390
Office
Unavailable
Facility
$178.25
No comparable office rate is available.
Manhattan
New York · 35390
Office
Unavailable
Facility
$167.51
No comparable office rate is available.
Alaska*
Alaska · 35390
Office
Unavailable
Facility
$184.23
No comparable office rate is available.
Alabama
Alabama · 35390
Office
Unavailable
Facility
$130.21
No comparable office rate is available.
Arkansas
Arkansas · 35390
Office
Unavailable
Facility
$128.66
No comparable office rate is available.
Arizona
Arizona · 35390
Office
Unavailable
Facility
$139.09
No comparable office rate is available.
Colorado
Colorado · 35390
Office
Unavailable
Facility
$139.59
No comparable office rate is available.
Connecticut
Connecticut · 35390
Office
Unavailable
Facility
$151.91
No comparable office rate is available.
Delaware
Delaware · 35390
Office
Unavailable
Facility
$140.99
No comparable office rate is available.
Fort Lauderdale
Florida · 35390
Office
Unavailable
Facility
$164.78
No comparable office rate is available.
Rest Of Florida
Florida · 35390
Office
Unavailable
Facility
$155.99
No comparable office rate is available.
Atlanta
Georgia · 35390
Office
Unavailable
Facility
$149.11
No comparable office rate is available.
Rest Of Georgia
Georgia · 35390
Office
Unavailable
Facility
$146.95
No comparable office rate is available.
Hawaii, Guam
Hawaii · 35390
Office
Unavailable
Facility
$133.97
No comparable office rate is available.
Iowa
Iowa · 35390
Office
Unavailable
Facility
$126.27
No comparable office rate is available.
Idaho
Idaho · 35390
Office
Unavailable
Facility
$128.34
No comparable office rate is available.
East St. Louis
Illinois · 35390
Office
Unavailable
Facility
$169.00
No comparable office rate is available.
Rest Of Illinois
Illinois · 35390
Office
Unavailable
Facility
$157.01
No comparable office rate is available.
Suburban Chicago
Illinois · 35390
Office
Unavailable
Facility
$164.74
No comparable office rate is available.
Indiana
Indiana · 35390
Office
Unavailable
Facility
$128.78
No comparable office rate is available.
Kansas
Kansas · 35390
Office
Unavailable
Facility
$128.95
No comparable office rate is available.
Kentucky
Kentucky · 35390
Office
Unavailable
Facility
$139.60
No comparable office rate is available.
New Orleans
Louisiana · 35390
Office
Unavailable
Facility
$146.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 35390
Office
Unavailable
Facility
$140.68
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 35390
Office
Unavailable
Facility
$147.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 35390
Office
Unavailable
Facility
$140.29
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 35390
Office
Unavailable
Facility
$152.16
No comparable office rate is available.
Rest Of Maryland
Maryland · 35390
Office
Unavailable
Facility
$142.32
No comparable office rate is available.
Rest Of Maine
Maine · 35390
Office
Unavailable
Facility
$132.27
No comparable office rate is available.
Southern Maine
Maine · 35390
Office
Unavailable
Facility
$133.44
No comparable office rate is available.
Detroit
Michigan · 35390
Office
Unavailable
Facility
$160.94
No comparable office rate is available.
Rest Of Michigan
Michigan · 35390
Office
Unavailable
Facility
$145.56
No comparable office rate is available.
Minnesota
Minnesota · 35390
Office
Unavailable
Facility
$125.09
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 35390
Office
Unavailable
Facility
$141.89
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 35390
Office
Unavailable
Facility
$142.72
No comparable office rate is available.
Rest Of Missouri
Missouri · 35390
Office
Unavailable
Facility
$140.81
No comparable office rate is available.
Mississippi
Mississippi · 35390
Office
Unavailable
Facility
$134.59
No comparable office rate is available.
Montana**
Montana · 35390
Office
Unavailable
Facility
$143.24
No comparable office rate is available.
North Carolina
North Carolina · 35390
Office
Unavailable
Facility
$132.89
No comparable office rate is available.
North Dakota**
North Dakota · 35390
Office
Unavailable
Facility
$127.62
No comparable office rate is available.
Nebraska
Nebraska · 35390
Office
Unavailable
Facility
$125.87
No comparable office rate is available.
New Hampshire
New Hampshire · 35390
Office
Unavailable
Facility
$140.53
No comparable office rate is available.
Northern Nj
New Jersey · 35390
Office
Unavailable
Facility
$153.71
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 35390
Office
Unavailable
Facility
$151.20
No comparable office rate is available.
New Mexico
New Mexico · 35390
Office
Unavailable
Facility
$147.51
No comparable office rate is available.
Nevada**
Nevada · 35390
Office
Unavailable
Facility
$138.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 35390
Office
Unavailable
Facility
$175.01
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 35390
Office
Unavailable
Facility
$154.74
No comparable office rate is available.
Queens
New York · 35390
Office
Unavailable
Facility
$163.97
No comparable office rate is available.
Rest Of New York
New York · 35390
Office
Unavailable
Facility
$134.80
No comparable office rate is available.
Ohio
Ohio · 35390
Office
Unavailable
Facility
$142.37
No comparable office rate is available.
Oklahoma
Oklahoma · 35390
Office
Unavailable
Facility
$136.01
No comparable office rate is available.
Portland
Oregon · 35390
Office
Unavailable
Facility
$139.64
No comparable office rate is available.
Rest Of Oregon
Oregon · 35390
Office
Unavailable
Facility
$135.40
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 35390
Office
Unavailable
Facility
$150.79
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 35390
Office
Unavailable
Facility
$140.77
No comparable office rate is available.
Puerto Rico
Puerto Rico · 35390
Office
Unavailable
Facility
$143.04
No comparable office rate is available.
Rhode Island
Rhode Island · 35390
Office
Unavailable
Facility
$142.84
No comparable office rate is available.
South Carolina
South Carolina · 35390
Office
Unavailable
Facility
$138.34
No comparable office rate is available.
South Dakota**
South Dakota · 35390
Office
Unavailable
Facility
$125.77
No comparable office rate is available.
Tennessee
Tennessee · 35390
Office
Unavailable
Facility
$129.89
No comparable office rate is available.
Austin
Texas · 35390
Office
Unavailable
Facility
$141.25
No comparable office rate is available.
Beaumont
Texas · 35390
Office
Unavailable
Facility
$140.24
No comparable office rate is available.
Brazoria
Texas · 35390
Office
Unavailable
Facility
$138.20
No comparable office rate is available.
Dallas
Texas · 35390
Office
Unavailable
Facility
$140.43
No comparable office rate is available.
Fort Worth
Texas · 35390
Office
Unavailable
Facility
$140.64
No comparable office rate is available.
Galveston
Texas · 35390
Office
Unavailable
Facility
$139.49
No comparable office rate is available.
Houston
Texas · 35390
Office
Unavailable
Facility
$153.95
No comparable office rate is available.
Rest Of Texas
Texas · 35390
Office
Unavailable
Facility
$140.07
No comparable office rate is available.
Utah
Utah · 35390
Office
Unavailable
Facility
$139.82
No comparable office rate is available.
Virginia
Virginia · 35390
Office
Unavailable
Facility
$135.31
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 35390
Office
Unavailable
Facility
$143.04
No comparable office rate is available.
Vermont
Vermont · 35390
Office
Unavailable
Facility
$130.12
No comparable office rate is available.
Rest Of Washington
Washington · 35390
Office
Unavailable
Facility
$139.02
No comparable office rate is available.
Seattle (King Cnty)
Washington · 35390
Office
Unavailable
Facility
$146.61
No comparable office rate is available.
Wisconsin
Wisconsin · 35390
Office
Unavailable
Facility
$124.48
No comparable office rate is available.
West Virginia
West Virginia · 35390
Office
Unavailable
Facility
$152.96
No comparable office rate is available.
Wyoming**
Wyoming · 35390
Office
Unavailable
Facility
$136.43
No comparable office rate is available.
See how rates vary across the country
35390 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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 35390 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$147.47
$134.06 × 110% = $147.47
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 35390 in Redding.
PPRRVU2026_Oct_nonQPP.csv
4,328
- Code
- 35390
- Physician work
- 3.11
- Practice expense
- 0.39
- Malpractice
- 0.79
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.11 | × 1.017 | 3.1629 |
| Practice expense | 0.39 | × 1.096 | 0.4274 |
| Malpractice | 0.79 | × 0.536 | 0.4234 |
| Total RVUs | 4.0137 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$134.06
Open 35390 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.11 | 1.017 |
| Practice expense | 0.39 | 1.096 |
| Malpractice | 0.79 | 0.536 |
(3.11 × 1.017 + 0.39 × 1.096 + 0.79 × 0.536) × $33.4009 = $134.06
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
35390 · 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 | $134.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $134.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $134.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $134.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $142.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $142.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $142.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $142.98 | RVU25A |
35390 billing questions
When should 35390 be reported with 35301?
Report it when the current carotid endarterectomy is a reoperation in a previously operated carotid field. Code 35301 describes the primary endarterectomy; 35390 captures the added reoperative work.
Can 35390 be submitted without a primary procedure code?
No. It is an add-on code and must be reported with the primary carotid endarterectomy procedure.
What documentation supports the add-on?
The operative report should identify the prior carotid operation and describe the current repeat endarterectomy in that previously operated field.
Is 35390 used for an initial carotid endarterectomy?
No. An initial carotid endarterectomy is reported with the applicable primary procedure code; 35390 represents reoperative work.
How does the global-period rule affect payment?
CMS pays this add-on within the global period of the primary procedure. It is not a separately reportable stand-alone service.
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.
