Billing code 35302: Arterial endarterectomyMedicare rate & RVUs in Nevada

Reports open plaque removal from the axillary artery to restore flow, typically for upper-extremity arterial occlusive disease treated by vascular surgery.

CMS RVU26DEffective Oct 1, 20261 payment locality1.8K Medicare services in 2024

CMS doesn’t publish an office rate for 35302 in Nevada.

—Office (non-facility)
$982.96Hospital 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 35302 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 35302 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 35302 covers

A vascular surgeon uses this code for an open operation that removes obstructive plaque from the axillary artery to improve blood flow to the upper extremity. A patch may be used to close or widen the treated artery. The procedure is generally performed in a hospital operating room for a documented axillary artery lesion, rather than for disease confined to the carotid, brachial, radial, or ulnar artery.

Report the code when the operative record identifies the axillary artery as the treated vessel and describes the plaque removal; a patch, if used, is included. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment, modifier 50 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.

35302 in Nevada**

35302 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**Unavailable$982.96

How the 35302 rate is calculated

Each of 35302’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 · 35302

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 20.82Practice expense 4.19Malpractice 5.30

30.3100 adjusted RVUs×$33.4009 conversion factor=$1,012.38

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

Payment rules and modifiers for 35302

35302 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35302

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 · 35302

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

35302 without 50 · national facility

$1,012.38

Arterial endarterectomy

35302-50 · Bilateral: 150%

$1,518.57

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

35302 compared with similar codes

Compare codes

35302 vs 35301 vs 35303 vs 35304: national Medicare rates

Swap in your local Medicare rate.

  • 35302
    Arterial endarterectomy · 20.82 wRVU
    —
  • 35301
    Arterial endarterectomy · 20.63 wRVU
    —
  • 35303
    Arterial rechanneling · 23.01 wRVU
    —
  • 35304
    Arterial endarterectomy · 23.99 wRVU
    —

How to choose

35301Arterial endarterectomy
Choose 35301 when the treated vessel is the carotid, vertebral, or subclavian artery. This code is for the axillary artery.
35303Arterial rechanneling
Choose 35303 for brachial artery plaque removal; this code applies when the axillary artery is treated.
35304Arterial endarterectomy
Choose 35304 for treatment of the radial or ulnar artery. This code applies to the axillary artery.

35302 billing questions

How do I distinguish this from 35301?

Use this code for plaque removal from the axillary artery. Code 35301 is for treatment of the carotid, vertebral, or subclavian artery.

Is patch closure separately reported?

No. A patch used as part of the axillary artery endarterectomy is included in this service.

What documentation supports this code?

The operative report should identify the axillary artery, describe the obstructive plaque and its removal, and document any patch used.

How is bilateral treatment reported?

Report modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.

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
RVUs for 35302PPRRVU2026_Oct_nonQPP.csv, line 4,313 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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