No office rate
Both codes describe arterial rechanneling procedures. Compare the operative artery and segment with each code’s full CPT descriptor rather than choosing by disease severity.
On this page
CMS RVU26D · Effective 2026-10-01
35303 Arterial rechanneling Medicare reimbursement rates in Ohio
Open arterial rechanneling removes obstructive plaque to restore blood flow; report 35303 when the operative service matches this code’s arterial procedure. Compare 35303 office and facility rates across CMS payment localities in Ohio.
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 35303 in Ohio?
Ohio 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
$1102.13
1 of 1 localities have a supported rate.
Payment area: Ohio
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 35303: Arterial thromboendarterectomy
Open arterial rechanneling removes obstructive plaque to restore blood flow; report 35303 when the operative service matches this code’s arterial procedure.
This open vascular operation removes obstructive material from an artery to restore the vessel’s lumen and improve blood flow. Vascular surgeons typically perform it in a hospital operating room for clinically significant arterial narrowing, such as atherosclerotic disease associated with limb ischemia. The operative approach and treated artery are central to identifying the correct code within the 35301–35306 family.
Report 35303 when the documented operation matches its specific CPT descriptor; do not choose among sibling codes based on disease severity alone. The operative report should identify the artery and treated segment, the obstructive disease, and the work performed to restore flow. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35303
- 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 RVU23.01 · 69%
- Practice expense (office) RVU4.48 · 13%
- Malpractice RVU5.85 · 18%
321
Medicare services in 2024 · #3946 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.
35303 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
This is a neighboring family code, not an interchangeable level based on the degree of narrowing. The operative report’s documented artery and treated segment guide code selection.
Compare 35303 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
Ohio →
Office / nonfacility
Unavailable
Facility
$1102.13
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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 35303 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
4,314
- Code
- 35303
- Physician work
- 23.01
- Practice expense
- 4.48
- Malpractice
- 5.85
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.01 | × 1.000 | 23.0100 |
| Practice expense | 4.48 | × 0.913 | 4.0902 |
| Malpractice | 5.85 | × 1.008 | 5.8968 |
| Total RVUs | 32.9970 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1102.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.01 | 1 |
| Practice expense | 4.48 | 0.913 |
| Malpractice | 5.85 | 1.008 |
(23.01 × 1 + 4.48 × 0.913 + 5.85 × 1.008) × $33.4009 = $1102.13
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.
35303 billing questions
How do I choose 35303 over a nearby code in this family?
Use the CPT descriptor that matches the artery and segment documented in the operative report. The procedure’s severity alone does not determine which family code applies.
What documentation supports reporting 35303?
Document the treated artery and segment, the obstructive disease, and the operative steps used to restore the arterial lumen and blood flow.
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 is 35303 handled when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can I report modifier 50 for bilateral treatment?
Yes. CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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.
4,31135286,,Rpr blvsl grf oth/th vn lxtr,A,,16.76,4.18,NA,4.18,,4.26,25.20,25.20,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31235301,,Rechanneling of artery,A,,20.63,4.72,NA,4.72,,5.36,30.71,30.71,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31335302,,Rechanneling of artery,A,,20.82,4.19,NA,4.19,,5.30,30.31,30.31,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31435303,,Rechanneling of artery,A,,23.01,4.48,NA,4.48,,5.85,33.34,33.34,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,31535304,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703