$810.21
Use 35400 for direct optical inspection during a therapeutic procedure. Code 37252 describes intravascular ultrasound imaging of the initial vessel.
On this page
CMS RVU26D · Effective 2026-10-01
35400 Angioscopy Medicare reimbursement rates in Kansas
Reports direct optical inspection inside a noncoronary vessel during a therapeutic vascular procedure such as angioplasty, atherectomy, or stent placement. Compare 35400 office and facility rates across CMS payment localities in Kansas.
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 35400 in Kansas?
Kansas 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
$117.74
1 of 1 localities have a supported rate.
Payment area: Kansas
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 intervention
About 35400: Peripheral vascular angioscopy
Reports direct optical inspection inside a noncoronary vessel during a therapeutic vascular procedure such as angioplasty, atherectomy, or stent placement.
Angioscopy uses a small optical scope to inspect the inside of a noncoronary blood vessel during a therapeutic intervention. A vascular surgeon or interventional radiologist may use it while treating peripheral arterial disease, such as when performing angioplasty, atherectomy, or stent placement. It provides direct visual information from within the vessel rather than an image produced by a separate imaging method.
Report 35400 only with a qualifying primary therapeutic procedure; it is not a stand-alone service. The procedure note should document that angioscopy was performed, identify the vessel examined, describe relevant visual findings, and state the associated intervention. CMS treats payment for this add-on as part of the primary procedure’s global period. Select the code based on actual optical inspection during treatment, not merely because imaging or catheter-based treatment occurred.
CMS billing rules for 35400
- 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 RVU2.93 · 75%
- Practice expense (office) RVU0.24 · 6%
- Malpractice RVU0.75 · 19%
56
Medicare services in 2024 · #5282 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.
35400 compared with similar codes
Office rates for Kansas, from the same CMS release.
$154.14
Code 37253 reports intravascular ultrasound in each additional vessel. It does not describe optical angioscopy.
Compare 35400 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
Kansas →
Office / nonfacility
Unavailable
Facility
$117.74
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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 35400 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
4,329
- Code
- 35400
- Physician work
- 2.93
- Practice expense
- 0.24
- Malpractice
- 0.75
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 0.24 | × 0.904 | 0.2170 |
| Malpractice | 0.75 | × 0.504 | 0.3780 |
| Total RVUs | 3.5250 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$117.74
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 0.24 | 0.904 |
| Malpractice | 0.75 | 0.504 |
(2.93 × 1 + 0.24 × 0.904 + 0.75 × 0.504) × $33.4009 = $117.74
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.
35400 billing questions
Can 35400 be reported by itself?
No. It is an add-on code and must be reported with a primary therapeutic procedure.
How is angioscopy different from intravascular ultrasound?
Angioscopy provides direct optical visualization inside the vessel. Intravascular ultrasound uses ultrasound imaging from within the vessel.
Does angioplasty alone support reporting 35400?
No. The documentation must show that an angioscope was used for direct inspection during the therapeutic procedure; angioplasty by itself is not angioscopy.
What should the procedure note include?
Document the vessel inspected, the angioscopic findings, and the therapeutic intervention performed in the same procedure.
How does Medicare treat payment for 35400?
Medicare treats this add-on as paid within the primary procedure’s global period.
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.
4,32635371,,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
4,32735372,,Rechanneling of artery,A,,18.12,3.77,NA,3.77,,4.62,26.51,26.51,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32835390,,Reoperation carotid add-on,A,,3.11,0.39,NA,0.39,,0.79,4.29,4.29,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32935400,,Angioscopy,A,,2.93,0.24,NA,0.24,,0.75,3.92,3.92,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,33035500,,Harvest vein for bypass,A,,6.28,0.73,NA,0.73,,1.58,8.59,8.59,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,33135501,,Art byp grft ipsilat carotid,A,,28.36,4.11,NA,4.11,,7.26,39.73,39.73,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,33235506,,Art byp grft subclav-carotid,A,,24.70,3.69,NA,3.69,,6.31,34.70,34.70,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958