Billing code 35303: Arterial rechannelingMedicare rate & RVUs in Utah
Open arterial rechanneling removes obstructive plaque to restore blood flow; report 35303 when the operative service matches this code’s arterial procedure.
CMS doesn’t publish an office rate for 35303 in Utah.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 35303 covers
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 billing code 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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,084.68 |
How the 35303 rate is calculated
Each of 35303’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 · 35303
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 23.01Practice expense 4.48Malpractice 5.85
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 35303
35303 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 35303
Arterial rechanneling
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 35303
Arterial rechanneling
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
35303 without 50 · national facility
$1,113.59
Arterial rechanneling
35303-50 · Bilateral: 150%
$1,670.39
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).
35303 compared with similar codes
Compare codes
35303 vs 35301 vs 35304: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 35301Arterial endarterectomy
- Both codes describe arterial rechanneling procedures. Compare the operative artery and segment with each code’s full billing code descriptor rather than choosing by disease severity.
- 35304Arterial endarterectomy
- 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.
35303 billing questions
How do I choose 35303 over a nearby code in this family?
Use the billing code 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 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
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