Billing code 35363: Arterial rechannelingMedicare rate & RVUs in Delaware
Reports open surgical rechanneling of an artery by removing obstructive material, with patch grafting included when performed as part of the operation.
CMS doesn’t publish an office rate for 35363 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 35363 covers
A vascular surgeon performs an open endarterectomy to clear an artery narrowed or blocked by plaque or other obstructive material and restore blood flow. The surgeon exposes the treated vessel, opens it, removes the obstruction, and closes the artery; a patch may be used to widen the repair. These operations are typically performed in a hospital operating room for symptomatic or clinically significant arterial disease.
Select 35363 from the operative report’s documented vessel and the work performed, rather than from the diagnosis alone. The note should identify the treated artery, the open technique, and any patch repair. The patch is part of the reported operation when performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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 50% reduction. Modifier 50 identifies a bilateral procedure and is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires 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.
35363 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $1,452.19 |
How the 35363 rate is calculated
Each of 35363’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 · 35363
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 31.54Practice expense 4.58Malpractice 8.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 35363
35363 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35363
Arterial rechanneling
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35363
Arterial rechanneling
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35363 without 50 · national facility
$1,475.99
Arterial rechanneling
35363-50 · Bilateral: 150%
$2,213.99
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).
35363 compared with similar codes
Compare codes
35363 vs 35301 vs 35331 vs 35371: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 35301Arterial endarterectomy
- 35301 is the carotid, vertebral, or subclavian endarterectomy code. Use the code matching the vessel documented in the operative report.
- 35331Arterial endarterectomy
- 35331 is used for the billing code-defined aortic endarterectomy service. Distinguish it from 35363 by the vessel and operative service documented.
- 35371Arterial endarterectomy
- 35371 applies to the billing code-defined femoral endarterectomy service. The treated artery, not simply the presence of peripheral arterial disease, determines the code.
35363 billing questions
What documentation supports reporting 35363?
The operative report should describe the open arterial rechanneling, identify the vessel treated, and document the extent of the procedure and any patch repair.
Can a patch graft be billed separately?
A patch used as part of the endarterectomy is included in this procedure. The code covers the operation whether or not a patch is performed.
How is a bilateral procedure reported?
Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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
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