No office rate
35355 is for iliac artery endarterectomy; 35351 applies to a different arterial site. Base selection on the artery treated in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
35355 Arterial endarterectomy Medicare reimbursement rates in Arkansas
Open iliac artery endarterectomy removes obstructive plaque to restore blood flow, with patch repair included when performed. Compare 35355 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 35355 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$835.59
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular surgery
About 35355: Iliac artery endarterectomy
Open iliac artery endarterectomy removes obstructive plaque to restore blood flow, with patch repair included when performed.
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.
CMS billing rules for 35355
- 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 RVU19.36 · 69%
- Practice expense (office) RVU3.63 · 13%
- Malpractice RVU4.93 · 18%
3.1K
Medicare services in 2024 · #2158 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.
35355 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Use 35355 for iliac artery treatment; 35361 represents aortoiliac endarterectomy. The documented operative extent determines the appropriate code.
No office rate
35371 is for femoral artery endarterectomy, whereas 35355 is for the iliac artery. Do not choose by the general diagnosis of lower-extremity occlusive disease alone.
Compare 35355 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$835.59
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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 35355 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,323
- Code
- 35355
- Physician work
- 19.36
- Practice expense
- 3.63
- Malpractice
- 4.93
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.36 | × 1.000 | 19.3600 |
| Practice expense | 3.63 | × 0.859 | 3.1182 |
| Malpractice | 4.93 | × 0.515 | 2.5389 |
| Total RVUs | 25.0171 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$835.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.36 | 1 |
| Practice expense | 3.63 | 0.859 |
| Malpractice | 4.93 | 0.515 |
(19.36 × 1 + 3.63 × 0.859 + 4.93 × 0.515) × $33.4009 = $835.59
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.
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 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.
4,32035331,,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
4,32435361,,Rechanneling of artery,A,,29.48,4.42,NA,4.42,,7.54,41.44,41.44,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32535363,,Rechanneling of artery,A,,31.54,4.58,NA,4.58,,8.07,44.19,44.19,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32635371,,Rechanneling of artery,A,,14.93,3.42,NA,3.42,,3.80,22.15,22.15,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541