No office rate
Both describe open arterial rechanneling. Choose based on the artery named in the full CPT descriptor and documented in the operative report.
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CMS RVU26D · Effective 2026-10-01
35304 Arterial endarterectomy Medicare reimbursement rates in Virginia
Open arterial endarterectomy removes obstructive material to restore the vessel channel, reported when the documented artery matches this code’s designated site. Compare 35304 office and facility rates across CMS payment localities in Virginia.
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 35304 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1092.65–$1248.65
2 of 2 localities have a supported rate.
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 35304: Arterial endarterectomy, specified artery
Open arterial endarterectomy removes obstructive material to restore the vessel channel, reported when the documented artery matches this code’s designated site.
This open vascular procedure clears obstructive material from an artery to restore its channel. The surgeon exposes the vessel, removes the obstructing material, and may use a patch to close or enlarge the treated segment. Vascular surgeons typically perform it in an operating room, often for symptomatic or flow-limiting arterial disease. Code selection depends on the specific artery and the procedure performed; use the code whose CPT descriptor matches the operative site.
Report one unit for the treated artery when the documentation identifies the vessel and supports open rechanneling. The operative report should describe the target artery, the removal of obstructive material, and any patch repair. A patch used as part of the endarterectomy is included in the service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35304
- 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 RVU23.99 · 69%
- Practice expense (office) RVU4.45 · 13%
- Malpractice RVU6.16 · 18%
157
Medicare services in 2024 · #4529 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.
35304 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
This is a nearby artery-level alternative within the rechanneling family; the operative site determines which code applies.
No office rate
This code identifies a different specified vessel site. Confirm the exact artery treated rather than relying on the general short descriptor.
Compare 35304 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1248.65
Virginia →
Office / nonfacility
Unavailable
Facility
$1092.65
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35304 billing questions
How do I choose this code over another 3530x code?
Match the operative artery to the specific CPT descriptor. The shared short descriptor is not enough to distinguish the artery-level codes.
Is patch repair separately reported?
A patch used to close or enlarge the artery as part of the endarterectomy is included in this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can I report modifier 50 for bilateral work?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when bilateral reporting is appropriate.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with 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.
4,31235301,,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
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