No office rate
Use 35301 for carotid, vertebral, or subclavian endarterectomy through a neck incision. This code identifies the brachiocephalic trunk and a thoracic approach.
On this page
CMS RVU26D · Effective 2026-10-01
35311 Arterial endarterectomy Medicare reimbursement rates in Nevada
Open endarterectomy of the brachiocephalic trunk through a thoracic incision treats obstructive arterial disease, with patch closure included when performed. Compare 35311 office and facility rates across CMS payment localities in Nevada.
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 35311 in Nevada?
Nevada 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
$1425.06
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 35311: Brachiocephalic trunk endarterectomy
Open endarterectomy of the brachiocephalic trunk through a thoracic incision treats obstructive arterial disease, with patch closure included when performed.
This code represents open removal of obstructive plaque from the brachiocephalic trunk through a thoracic incision; patch closure, if performed, is part of the service. A vascular or cardiothoracic surgeon typically performs the operation in a hospital operating room for clinically significant trunk disease affecting blood flow to the head or right upper extremity. The operative report should identify the brachiocephalic trunk, the thoracic approach, and the endarterectomy performed.
Report the code for the specified vessel and approach, not for a neck-incision endarterectomy of the carotid, vertebral, or subclavian arteries. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For a bilateral service reported with modifier 50, payment is at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35311
- 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 RVU27.89 · 64%
- Practice expense (office) RVU9.21 · 21%
- Malpractice RVU6.67 · 15%
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.
35311 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
Code 35321 is for subclavian artery endarterectomy through a thoracic incision; this code is for the brachiocephalic trunk.
No office rate
Code 35331 addresses endarterectomy of the aortoiliac segment, not the brachiocephalic trunk.
Compare 35311 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$1425.06
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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 35311 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
4,318
- Code
- 35311
- Physician work
- 27.89
- Practice expense
- 9.21
- Malpractice
- 6.67
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.89 | × 1.000 | 27.8900 |
| Practice expense | 9.21 | × 1.001 | 9.2192 |
| Malpractice | 6.67 | × 0.833 | 5.5561 |
| Total RVUs | 42.6653 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$1425.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.89 | 1 |
| Practice expense | 9.21 | 1.001 |
| Malpractice | 6.67 | 0.833 |
(27.89 × 1 + 9.21 × 1.001 + 6.67 × 0.833) × $33.4009 = $1425.06
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.
35311 billing questions
How is this code distinguished from 35301?
This code is for the brachiocephalic trunk approached through a thoracic incision. Code 35301 covers endarterectomy of the carotid, vertebral, or subclavian artery through a neck incision.
Does patch closure support a separate code?
No. Patch closure, when performed as part of this endarterectomy, is included in the service.
What documentation supports reporting this code?
The operative report should identify the brachiocephalic trunk as the treated vessel and document the thoracic approach and plaque-removal procedure.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. A bilateral service reported with modifier 50 is paid 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 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.
4,31535304,,Rechanneling of artery,A,,23.99,4.45,NA,4.45,,6.16,34.60,34.60,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31635305,,Rechanneling of artery,A,,23.01,4.09,NA,4.09,,5.86,32.96,32.96,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31735306,,Rechanneling of artery,A,,9.02,0.72,NA,0.72,,2.31,12.05,12.05,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31835311,,Rechanneling of artery,A,,27.89,9.21,NA,9.21,,6.67,43.77,43.77,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31935321,,Rechanneling of artery,A,,16.18,4.41,NA,4.41,,4.14,24.73,24.73,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32035331,,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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097