CPT 35301
Global 090 ActiveRechanneling of artery
CPT 35301 Billing & Documentation Guide
CPT code 35301 (Rechanneling of artery) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 20.63, a non-facility practice expense RVU of 4.72, and a malpractice RVU of 5.36, a total non-facility RVU of 30.71 and facility RVU of 30.71. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1020.91, though rates vary from $895.23 to $1305.94 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 35301, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 35301 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 35301 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 35301
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 20.63 | 20.63 |
| Practice Expense RVU | 4.72 | 4.72 |
| Malpractice RVU | 5.36 | 5.36 |
| Total RVU | 30.71 | 30.71 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 35301
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $997.39 | $997.39 | $969.52 - $1088.15 | 29 |
| Florida | $1195.75 | $1195.75 | $1108.86 - $1305.94 | 3 |
| Georgia | $1054.71 | $1054.71 | $1043.09 - $1066.32 | 2 |
| Illinois | $1185.93 | $1185.93 | $1112.82 - $1263.2 | 4 |
| Michigan | $1089.08 | $1089.08 | $1035.12 - $1143.04 | 2 |
| North Carolina | $950.55 | $950.55 | $950.55 - $950.55 | 1 |
| New York | $1141.01 | $1141.01 | $964.69 - $1253.07 | 5 |
| Ohio | $1013.46 | $1013.46 | $1013.46 - $1013.46 | 1 |
| Pennsylvania | $1041.07 | $1041.07 | $1002.97 - $1079.16 | 2 |
| Texas | $1014.36 | $1014.36 | $990.45 - $1097.47 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 35301
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 35301 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 35301
What does CPT code 35301 mean? +
CPT code 35301 represents: Rechanneling of artery. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 35301? +
The 2026 Medicare national average non-facility payment for CPT 35301 is $1020.91. Rates range from $895.23 to $1305.94 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 35301? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 35301? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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