No office rate
35301 reports the primary carotid endarterectomy. Add 35390 only when that operation is a reoperation in a previously operated carotid field.
On this page
CMS RVU26D · Effective 2026-10-01
35390 Carotid reoperation Medicare reimbursement rates in Rhode Island
Reports the added work of repeat carotid endarterectomy in a previously operated neck, alongside the primary code for the new carotid endarterectomy. Compare 35390 office and facility rates across CMS payment localities in Rhode Island.
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 35390 in Rhode Island?
Rhode Island 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
$142.84
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 35390: Repeat carotid endarterectomy add-on
Reports the added work of repeat carotid endarterectomy in a previously operated neck, alongside the primary code for the new carotid endarterectomy.
This add-on represents the additional operative work of performing carotid endarterectomy in a neck that has already undergone carotid surgery. A vascular surgeon may encounter this situation when treating recurrent narrowing at a previously operated carotid artery. The repeat operation involves working through the prior surgical field to address the recurrent disease; it is not simply another code for an initial carotid endarterectomy.
Report 35390 with the primary code for the carotid endarterectomy, generally 35301. The operative report should establish the prior carotid operation and document the current repeat endarterectomy. CMS treats this as an add-on: it is reported only with a primary procedure, and its payment falls within that procedure’s global period. Do not report it by itself to describe the repeat operation.
CMS billing rules for 35390
- 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 RVU3.11 · 72%
- Practice expense (office) RVU0.39 · 9%
- Malpractice RVU0.79 · 18%
155
Medicare services in 2024 · #4538 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.
35390 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
37215
No office rateTranscath stent cca w/eps
37215 reports carotid stent placement with embolic protection, an endovascular approach rather than repeat open endarterectomy.
37216
No office rateTranscath stent cca w/o eps
37216 reports carotid stent placement without embolic protection. It describes an endovascular treatment, not reoperative carotid endarterectomy.
Compare 35390 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$142.84
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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 35390 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,328
- Code
- 35390
- Physician work
- 3.11
- Practice expense
- 0.39
- Malpractice
- 0.79
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.11 | × 1.019 | 3.1691 |
| Practice expense | 0.39 | × 1.033 | 0.4029 |
| Malpractice | 0.79 | × 0.892 | 0.7047 |
| Total RVUs | 4.2766 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$142.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.11 | 1.019 |
| Practice expense | 0.39 | 1.033 |
| Malpractice | 0.79 | 0.892 |
(3.11 × 1.019 + 0.39 × 1.033 + 0.79 × 0.892) × $33.4009 = $142.84
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.
35390 billing questions
When should 35390 be reported with 35301?
Report it when the current carotid endarterectomy is a reoperation in a previously operated carotid field. Code 35301 describes the primary endarterectomy; 35390 captures the added reoperative work.
Can 35390 be submitted without a primary procedure code?
No. It is an add-on code and must be reported with the primary carotid endarterectomy procedure.
What documentation supports the add-on?
The operative report should identify the prior carotid operation and describe the current repeat endarterectomy in that previously operated field.
Is 35390 used for an initial carotid endarterectomy?
No. An initial carotid endarterectomy is reported with the applicable primary procedure code; 35390 represents reoperative work.
How does the global-period rule affect payment?
CMS pays this add-on within the global period of the primary procedure. It is not a separately reportable stand-alone service.
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.
4,32535363,,Rechanneling of artery,A,,31.54,4.58,NA,4.58,,8.07,44.19,44.19,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32635371,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537