CPT 35305
Global 090 ActiveRechanneling of artery
CPT 35305 Billing & Documentation Guide
CPT code 35305 (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 23.01, a non-facility practice expense RVU of 4.09, and a malpractice RVU of 5.86, a total non-facility RVU of 32.96 and facility RVU of 32.96. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1094.36, though rates vary from $959.71 to $1406.17 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 35305, 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 35305 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 1 units of 35305 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 35305
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 23.01 | 23.01 |
| Practice Expense RVU | 4.09 | 4.09 |
| Malpractice RVU | 5.86 | 5.86 |
| Total RVU | 32.96 | 32.96 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 35305
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 | $1063.89 | $1063.89 | $1036.26 - $1155 | 29 |
| Florida | $1286.64 | $1286.64 | $1193.33 - $1405.76 | 3 |
| Georgia | $1134.23 | $1134.23 | $1123.72 - $1144.73 | 2 |
| Illinois | $1277.28 | $1277.28 | $1199.2 - $1360.43 | 4 |
| Michigan | $1172.32 | $1172.32 | $1114.26 - $1230.38 | 2 |
| North Carolina | $1021.08 | $1021.08 | $1021.08 - $1021.08 | 1 |
| New York | $1223.5 | $1223.5 | $1035.93 - $1343.64 | 5 |
| Ohio | $1090.57 | $1090.57 | $1090.57 - $1090.57 | 1 |
| Pennsylvania | $1118.51 | $1118.51 | $1078.93 - $1158.1 | 2 |
| Texas | $1089.08 | $1089.08 | $1062.75 - $1179.68 | 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 35305
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 35305 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 35305
What does CPT code 35305 mean? +
CPT code 35305 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 35305? +
The 2026 Medicare national average non-facility payment for CPT 35305 is $1094.36. Rates range from $959.71 to $1406.17 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 35305? +
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 35305? +
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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