Billing code 35371: Arterial endarterectomyMedicare rate & RVUs in Florida

Reports open plaque removal from a femoral, profunda femoris, or popliteal artery, including patch repair when performed, for lower-extremity arterial obstruction.

CMS RVU26DEffective Oct 1, 20263 payment localities7.3K Medicare services in 2024

CMS doesn’t publish an office rate for 35371 in Florida.

—Office (non-facility)
$798.65–$938.58Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 35371 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 35371 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 35371 covers

A vascular surgeon uses an open leg incision to remove obstructive plaque from a femoral, profunda femoris, or popliteal artery. A common example is open common femoral endarterectomy for symptomatic atherosclerotic disease; a patch may be used to close or enlarge the treated artery. The service is generally performed in a hospital operating room for lower-extremity revascularization.

Select this code when the documented open endarterectomy treats one of the specified arteries. The operative report should identify the artery and side, describe plaque removal, and document any patch repair. The patch is included in the service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one 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 may be paid; co-surgeons require 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.

Where 35371 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

35371 office and facility rates by payment locality
Payment localityOfficeFacility
Fort LauderdaleUnavailable$843.87
MiamiUnavailable$938.58
Rest Of FloridaUnavailable$798.65

How the 35371 rate is calculated

Each of 35371’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 · 35371

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.93Practice expense 3.42Malpractice 3.80

22.1500 adjusted RVUs×$33.4009 conversion factor=$739.83

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 35371

35371 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35371

Arterial endarterectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35371

Arterial endarterectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35371 without 50 · national facility

$739.83

Arterial endarterectomy

35371-50 · Bilateral: 150%

$1,109.75

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).

When to use modifier 50

35371 compared with similar codes

Compare codes

35371 vs 35372 vs 35301: national Medicare rates

Swap in your local Medicare rate.

  • 35371
    Arterial endarterectomy · 14.93 wRVU
    —
  • 35372
    Femoral endarterectomy · 18.12 wRVU
    —
  • 35301
    Arterial endarterectomy · 20.63 wRVU
    —

How to choose

35372Femoral endarterectomy
Choose 35371 for femoral, profunda femoris, or popliteal artery endarterectomy; 35372 identifies open iliac artery endarterectomy.
35301Arterial endarterectomy
35301 describes open endarterectomy in the carotid, vertebral, or subclavian territory through a neck incision, not lower-extremity arterial work.

35371 billing questions

When should 35371 be selected instead of 35372?

Use 35371 for open endarterectomy of a femoral, profunda femoris, or popliteal artery. Code 35372 is for the iliac artery.

Is a patch repair separately reported?

No. A patch used as part of the endarterectomy is included in 35371.

What should the operative report document?

Document the treated artery and side, the open plaque-removal work, and whether a patch was used. These details support selection of the lower-extremity code and bilateral reporting when applicable.

How is bilateral 35371 reported?

Report bilateral services with modifier 50. CMS pays the bilateral procedure at 150%.

How does the multiple-procedure reduction affect 35371?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.

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
RVUs for 35371PPRRVU2026_Oct_nonQPP.csv, line 4,326 (RVU26D)

Open CMS sourceHow we calculate rates

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