CPT 35306
Global ZZZ ActiveRechanneling of artery
CPT 35306 Billing & Documentation Guide
CPT code 35306 (Rechanneling of artery) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 9.02, a non-facility practice expense RVU of 0.72, and a malpractice RVU of 2.31, a total non-facility RVU of 12.05 and facility RVU of 12.05. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $398.57, though rates vary from $348.08 to $521.44 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 35306, 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 35306 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 35306 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 35306
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 9.02 | 9.02 |
| Practice Expense RVU | 0.72 | 0.72 |
| Malpractice RVU | 2.31 | 2.31 |
| Total RVU | 12.05 | 12.05 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 35306
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 | $382.37 | $382.37 | $374.11 - $410.45 | 29 |
| Florida | $475.6 | $475.6 | $440.23 - $521.44 | 3 |
| Georgia | $416.99 | $416.99 | $414.7 - $419.28 | 2 |
| Illinois | $473.01 | $473.01 | $443.83 - $504.63 | 4 |
| Michigan | $432.46 | $432.46 | $410.34 - $454.57 | 2 |
| North Carolina | $373.02 | $373.02 | $373.02 - $373.02 | 1 |
| New York | $447.29 | $447.29 | $378.36 - $492.43 | 5 |
| Ohio | $401.01 | $401.01 | $401.01 - $401.01 | 1 |
| Pennsylvania | $410.03 | $410.03 | $396.27 - $423.78 | 2 |
| Texas | $398.28 | $398.28 | $387.7 - $433.73 | 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 35306
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 35306 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11042 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11043 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11044 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11045 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11046 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 35306
What does CPT code 35306 mean? +
CPT code 35306 represents: Rechanneling of artery. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 35306? +
The 2026 Medicare national average non-facility payment for CPT 35306 is $398.57. Rates range from $348.08 to $521.44 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 35306? +
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 35306? +
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 June 1, 2026.
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