35305 Arterial endarterectomy Medicare reimbursement rates in New Jersey

This code represents open removal of obstructive plaque from a femoral artery to restore blood flow to the leg. Vascular surgeons commonly perform it for atherosclerotic occlusive disease, often when disease affects the common femoral artery. The artery may be closed with a patch as part of the operation. The service is generally performed in a hospital operating room rather than an office setting.

Report the code when the operative work is a femoral artery endarterectomy; the operative note should identify the artery treated, the plaque removal, and any patch closure. A profunda femoris reconstruction involving profundaplasty may point to a different code. Medicare assigns this major surgery a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same 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 at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.